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University of Wollongong

Cancer

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Patient, Oncologist And Gp Views About Cancer Follow-Up Care In General Practice, Heike Schutze, Melvin Chin, David Weller, Sue Suchy, Mark Fort Harris Jan 2017

Patient, Oncologist And Gp Views About Cancer Follow-Up Care In General Practice, Heike Schutze, Melvin Chin, David Weller, Sue Suchy, Mark Fort Harris

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the 2nd International Conference on General Practice & Primary Care, 18-19 September 2017, Zurich, Switzerland


Psa Testing For Men At Average Risk Of Prostate Cancer, Bruce Armstrong, Michael Barry, Mark Frydenberg, Robert A. Gardiner, Ian Haines, Stacy M. Carter Jan 2017

Psa Testing For Men At Average Risk Of Prostate Cancer, Bruce Armstrong, Michael Barry, Mark Frydenberg, Robert A. Gardiner, Ian Haines, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

Prostate-specific antigen (PSA) testing of men at normal risk of prostate cancer is one of the most contested issues in cancer screening. There is no formal screening program, but testing is common - arguably a practice that ran ahead of the evidence. Public and professional communication about PSA screening has been highly varied and potentially confusing for practitioners and patients alike. There has been much research and policy activity relating to PSA testing in recent years. Landmark randomised controlled trials have been reported; authorities - including the 2013 Prostate Cancer World Congress, the Prostate Cancer Foundation of Australia, Cancer Council …


What Is Overdiagnosis And Why Should We Take It Seriously In Cancer Screening?, Stacy M. Carter, Alexandra Barratt Jan 2017

What Is Overdiagnosis And Why Should We Take It Seriously In Cancer Screening?, Stacy M. Carter, Alexandra Barratt

Faculty of Social Sciences - Papers (Archive)

Overdiagnosis occurs in a population when conditions are diagnosed correctly but the diagnosis produces an unfavourable balance between benefits and harms. In cancer screening, overdiagnosed cancers are those that did not need to be found because they would not have produced symptoms or led to premature death. These overdiagnosed cancers can be distinguished from false positives, which occur when an initial screening test suggests that a person is at high risk but follow-up testing shows them to be at normal risk. The cancers most likely to be overdiagnosed through screening are those of the prostate, thyroid, breast and lung. Overdiagnosis …


Patient, General Practitioner And Oncologist Views Regarding Long-Term Cancer Shared Care, Heike Schutze, Melvin Chin, David Weller, Mark Fort Harris Jan 2017

Patient, General Practitioner And Oncologist Views Regarding Long-Term Cancer Shared Care, Heike Schutze, Melvin Chin, David Weller, Mark Fort Harris

Faculty of Social Sciences - Papers (Archive)

Background The rising incidence of cancer and increasing number of cancer survivors place competing demands on specialist oncology clinics. This has led to a need to consider collaborative care between primary and secondary care for the long-term post-treatment care of cancer survivors. Objective To explore the views of breast and colorectal cancer survivors, their oncologist and GP about GPs taking a more active role in long-term cancer follow-up care. Methods Semi-structured interviews using a thematic analysis framework. Respondents were asked their views on the specialist hospital-based model for cancer follow-up care and their views on their GP taking a greater …


All Care, But Whose Responsibility? Community Juries Reason About Expert And Patient Responsibilities In Prostate-Specific Antigen Screening For Prostate Cancer, Chris Degeling, Stacy M. Carter, Lucie Rychetnik Jan 2016

All Care, But Whose Responsibility? Community Juries Reason About Expert And Patient Responsibilities In Prostate-Specific Antigen Screening For Prostate Cancer, Chris Degeling, Stacy M. Carter, Lucie Rychetnik

Faculty of Social Sciences - Papers (Archive)

General practitioners have implicitly been given responsibility for guiding men's decisions about prostate-specific antigen-based screening for prostate cancer, but patients' expectations of the bounds of this responsibility remain unclear. We sought to explore how well-informed members of the public allocate responsibilities in prostate-specific antigen screening decision-making. In 2014, we convened two Community juries in Sydney, Australia, to address questions related to the content and timing of information provision and respective roles of patients and general practitioners in screening decisions. Participants in the first jury were of mixed gender and of all ages (n = 15); the participants in the second …


Colorectal Cancer Screening: Barriers To The Faecal Occult Blood Test (Fobt) And Colonoscopy In Singapore, Sook Kwin Yong, Whee Sze Ong, Gerald Choon Huat Koh, Richard Ming Chert Yeo, Tam C. Ha Jan 2016

Colorectal Cancer Screening: Barriers To The Faecal Occult Blood Test (Fobt) And Colonoscopy In Singapore, Sook Kwin Yong, Whee Sze Ong, Gerald Choon Huat Koh, Richard Ming Chert Yeo, Tam C. Ha

Faculty of Social Sciences - Papers (Archive)

Introduction: This study aims to identify the barriers to adopting faecal occult blood test (FOBT) and colonoscopy as colorectal cancer (CRC) screening methods among the eligible target population of Singapore. Materials and methods: This study was previously part of a randomised controlled trial reported elsewhere. Data was collected from Singapore residents aged 50 and above, via a household sample survey. The study recruited subjects who were aware of CRC screening methods, and interviewed them about the barriers to screening that they faced. Collected results on barriers to each screening method were analysed separately. Results: Out of the 343 subjects, 85 …


The Role Of Personalised Choice In Decision Support: A Randomized Controlled Trial Of An Online Decision Aid For Prostate Cancer Screening, Glenn P. Salkeld, Michelle Cunich, Jack Dowie, Kirsten Howard, Manish I. Patel, Graham Mann, Wendy Lipworth Jan 2016

The Role Of Personalised Choice In Decision Support: A Randomized Controlled Trial Of An Online Decision Aid For Prostate Cancer Screening, Glenn P. Salkeld, Michelle Cunich, Jack Dowie, Kirsten Howard, Manish I. Patel, Graham Mann, Wendy Lipworth

Faculty of Social Sciences - Papers (Archive)

Importance Decision support tools can assist people to apply population-based evidence on benefits and harms to individual health decisions. A key question is whether "personalising" choice within decisions aids leads to better decision quality. Objective To assess the effect of personalising the content of a decision aid for prostate cancer screening using the Prostate Specific Antigen (PSA) test. Design Randomized controlled trial. Setting Australia. Participants 1,970 men aged 40-69 years were approached to participate in the trial. Intervention 1,447 men were randomly allocated to either a standard decision aid with a fixed set of five attributes or a personalised decision …


Cancer Beliefs In Ethnic Minority Populations: A Review And Meta-Synthesis Of Qualitative Studies, Sharon Licqurish, Lyn Phillipson, Peggy Chiang, Jennifer Walker, Fiona Walter, Jon Emery Jan 2016

Cancer Beliefs In Ethnic Minority Populations: A Review And Meta-Synthesis Of Qualitative Studies, Sharon Licqurish, Lyn Phillipson, Peggy Chiang, Jennifer Walker, Fiona Walter, Jon Emery

Faculty of Social Sciences - Papers (Archive)

People from ethnic minorities often experience poorer cancer outcomes, possibly due to later presentation to healthcare and later diagnosis. We aimed to identify common cancer beliefs in minority populations in developed countries, which can affect symptom appraisal and help seeking for symptomatic cancer. Our systematic review found 15 relevant qualitative studies, located in the United Kingdom (six), United States (five), Australia (two) and Canada (two) of African, African-American, Asian, Arabic, Hispanic and Latino minority groups. We conducted a meta-synthesis that found specific emotional reactions to cancer, knowledge and beliefs and interactions with healthcare services as contributing factors in help seeking …


Spatiotemporal Variations In Lung Cancer Mortality In China Between 2006 And 2012: A Multilevel Analysis, Yunning Liu, Thomas E. Astell-Burt, Jiangmei Liu, Peng Yin, Xiaoqi Feng, Jinling You, Andrew Page, Maigeng Zhou, Lijun Wang Jan 2016

Spatiotemporal Variations In Lung Cancer Mortality In China Between 2006 And 2012: A Multilevel Analysis, Yunning Liu, Thomas E. Astell-Burt, Jiangmei Liu, Peng Yin, Xiaoqi Feng, Jinling You, Andrew Page, Maigeng Zhou, Lijun Wang

Faculty of Social Sciences - Papers (Archive)

We investigated temporal trends and geographical variations in lung cancer mortality in China from 2006 to 2012. Lung cancer mortality counts for people aged over 40 years were extracted from the China Mortality Surveillance System for 161 disease surveillance points. Negative binomial regression was used to investigate potential spatiotemporal variation and correlations with age, gender, urbanization, and region. Lung cancer mortality increased in China over the study period from 78.77 to 85.63 (1/100,000), with higher mortality rates evident in men compared to women. Median rate ratios (MRRs) indicated important geographical variation in lung cancer mortality between provinces (MRR = 1.622) …


Do Wi-Fi And Mobile Phones Really Cause Cancer? Experts Respond, Simon Chapman, Darren Saunders, Rodney J. Croft, Sarah P. Loughran Jan 2016

Do Wi-Fi And Mobile Phones Really Cause Cancer? Experts Respond, Simon Chapman, Darren Saunders, Rodney J. Croft, Sarah P. Loughran

Faculty of Social Sciences - Papers (Archive)

On 16th February, Catalyst aired an episode on the ABC titled "Wi-Fried", hosted by Dr Maryanne Demasi, claiming that radiation from mobile phones and Wi-Fi may constitute a brain cancer risk. We invited experts who have conducted research into this area to respond to the claims made in the programme.


General Practitioners' Experiences Of, And Responses To, Uncertainty In Prostate Cancer Screening: Insights From A Qualitative Study, Kristen Pickles, Stacy M. Carter, Lucie Rychetnik, Kirsten Mccaffery, Vikki A. Entwistle Jan 2016

General Practitioners' Experiences Of, And Responses To, Uncertainty In Prostate Cancer Screening: Insights From A Qualitative Study, Kristen Pickles, Stacy M. Carter, Lucie Rychetnik, Kirsten Mccaffery, Vikki A. Entwistle

Faculty of Social Sciences - Papers (Archive)

Background Prostate-specific antigen (PSA) testing for prostate cancer is controversial. There are unresolved tensions and disagreements amongst experts, and clinical guidelines conflict. This both reflects and generates significant uncertainty about the appropriateness of screening. Little is known about general practitioners' (GPs') perspectives and experiences in relation to PSA testing of asymptomatic men. In this paper we asked the following questions: (1) What are the primary sources of uncertainty as described by GPs in the context of PSA testing? (2) How do GPs experience and respond to different sources of uncertainty? Methods This was a qualitative study that explored general practitioners' …


Doctors' Perspectives On Psa Testing Illuminate Established Differences In Prostate Cancer Screening Rates Between Australia And The Uk: A Qualitative Study, Kristen Pickles, Stacy M. Carter, Lucie Rychetnik, Vikki A. Entwistle Jan 2016

Doctors' Perspectives On Psa Testing Illuminate Established Differences In Prostate Cancer Screening Rates Between Australia And The Uk: A Qualitative Study, Kristen Pickles, Stacy M. Carter, Lucie Rychetnik, Vikki A. Entwistle

Faculty of Social Sciences - Papers (Archive)

Objectives To examine how general practitioners (GPs) in the UK and GPs in Australia explain their prostate-specific antigen (PSA) testing practices and to illuminate how these explanations are similar and how they are different. Design A grounded theory study. Setting Primary care practices in Australia and the UK. Participants 69 GPs in Australia (n=40) and the UK (n=29). We included GPs of varying ages, sex, clinical experience and patient populations. All GPs interested in participating in the study were included. Results GPs' accounts revealed fundamental differences in whether and how prostate cancer screening occurred in their practice and in the …


Ethical Aspects Of Cancer Screening, Stacy M. Carter Jan 2016

Ethical Aspects Of Cancer Screening, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

Screening for cancer or cancer risk is well-established in high-income countries. This article considers ethical aspects of cancer screening. Ethical evaluation of screening depends on a contested evidence base, interacts with people's fear of cancer, and their enthusiasm for technology in general and screening in particular. Cancer screening is both a clinical and a public health activity, and so the often-conflicting frameworks from both clinical ethics and public health ethics are relevant to its evaluation. Cancer screening is an intrusion by health services into the lives of well individuals and so requires strong justification. Cancer screening can and should prevent …


Routine Screening Of Indigenous Cancer Patients' Unmet Support Needs: A Qualitative Study Of Patient And Clinician Attitudes, Belinda Thewes, Esther L. Davis, Afaf Girgis, Patricia C. Valery, K Giam, Alison Hocking, J Jackson, Vincent He, Desmond Yip, Gail Garvey Jan 2016

Routine Screening Of Indigenous Cancer Patients' Unmet Support Needs: A Qualitative Study Of Patient And Clinician Attitudes, Belinda Thewes, Esther L. Davis, Afaf Girgis, Patricia C. Valery, K Giam, Alison Hocking, J Jackson, Vincent He, Desmond Yip, Gail Garvey

Faculty of Social Sciences - Papers (Archive)

Indigenous Australians have poorer cancer outcomes in terms of incidence mortality and survival compared with non-Indigenous Australians. The factors contributing to this disparity are complex. Identifying and addressing the psychosocial factors and support needs of Indigenous cancer patients may help reduce this disparity. The Supportive Care Needs Assessment Tool for Indigenous People (SCNAT-IP) is a validated 26-item questionnaire developed to assess their unmet supportive care needs. This qualitative study reports on patient and clinician attitudes towards feasibility and acceptability of SCNAT-IP in routine care.


The Role Of Communication In Breast Cancer Screening: A Qualitative Study With Australian Experts, Lisa M. Parker, Lucie Rychetnik, Stacy M. Carter Jan 2015

The Role Of Communication In Breast Cancer Screening: A Qualitative Study With Australian Experts, Lisa M. Parker, Lucie Rychetnik, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

Background One well-accepted strategy for optimising outcomes in mammographic breast cancer screening is to improve communication with women about screening. It is not always clear, however, what it is that communication should be expected to achieve, and why or how this is so. We investigated Australian experts' opinions on breast screening communication. Our research questions were: 1 What are the views of Australian experts about communicating with consumers on breast screening? 2 How do experts reason about this topic? Methods We used a qualitative methodology, interviewing 33 breast screening experts across Australia with recognisable influence in the Australian mammographic breast …


Screening For Cervical, Prostate, And Breast Cancer: Interpreting The Evidence, Stacy M. Carter, Jane H. Williams, Lisa M. Parker, Kristen Pickles, Gemma L. Jacklyn, Lucie Rychetnik, Alexandra Barratt Jan 2015

Screening For Cervical, Prostate, And Breast Cancer: Interpreting The Evidence, Stacy M. Carter, Jane H. Williams, Lisa M. Parker, Kristen Pickles, Gemma L. Jacklyn, Lucie Rychetnik, Alexandra Barratt

Faculty of Social Sciences - Papers (Archive)

Cancer screening is an important component of prevention and early detection in public health and clinical medicine. The evidence for cancer screening, however, is often contentious. A description and explanation of disagreements over the evidence for cervical, breast, and prostate screening may assist physicians, policymakers, and citizens faced with screening decisions and suggest directions for future screening research. There are particular issues to be aware of in the evidence base for each form of screening, which are summarized in this paper. Five tensions explain existing conflicts over the evidence: (1) data from differing contexts may not be comparable; (2) screening …


The Incorporation Of Transformative Consumer Research Principles Within The 'Cancer Good News' Social Marketing Project: A Case Study, Lyn Phillipson, Julie Hall, Leissa Pitts Jan 2015

The Incorporation Of Transformative Consumer Research Principles Within The 'Cancer Good News' Social Marketing Project: A Case Study, Lyn Phillipson, Julie Hall, Leissa Pitts

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the World Social Marketing Conference, 19-21 April 2015, Sydney, Australia


Values In Breast Cancer Screening: An Empirical Study With Australian Experts, Lisa M. Parker, Lucie Rychetnik, Stacy M. Carter Jan 2015

Values In Breast Cancer Screening: An Empirical Study With Australian Experts, Lisa M. Parker, Lucie Rychetnik, Stacy M. Carter

Faculty of Social Sciences - Papers (Archive)

Objective To explore what Australian experts value in breast screening, how these values are conceptualised and prioritised, and how they inform experts' reasoning and judgement about the Australian breast-screening programme. Design Qualitative study based on interviews with experts. Participants 33 experts, including clinicians, programme managers, policymakers, advocates and researchers selected for their recognisable influence in the Australian breast-screening setting. Setting Australian breast-screening policy, practice and research settings. Results Experts expressed 2 types of values: ethical values (about what was good, important or right) and epistemological values (about how evidence should be created and used). Ethical values included delivering benefit, avoiding …


The Cancer Good News Project, Lyn Phillipson, Julie Hall, Leissa Pitts Jan 2014

The Cancer Good News Project, Lyn Phillipson, Julie Hall, Leissa Pitts

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the International Social Marketing Conference 2014, 17-18 July 2014, Melbourne, Australia


Cultural Beliefs About Cancer Influencing Help-Seeking And Symptom Appraisal: A Meta-Synthesis Of Qualitative Findings, Sharon Licqurish, Peggy Chiang, Jennifer Walker, Lyn Phillipson, Fiona Walter, Jon Emery Jan 2014

Cultural Beliefs About Cancer Influencing Help-Seeking And Symptom Appraisal: A Meta-Synthesis Of Qualitative Findings, Sharon Licqurish, Peggy Chiang, Jennifer Walker, Lyn Phillipson, Fiona Walter, Jon Emery

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the 2014 World Cancer Congress, 3-6 December 2014, Melbourne, Australia


Steps Toward Improving Diet And Exercise For Cancer Survivors (Stride): A Quasi-Randomised Controlled Trial Protocol, Lauren J. Frensham, Dorota M. Zarnowiecki, Gaynor C. Parfitt, Rebecca M. Stanley, James Dollman Jan 2014

Steps Toward Improving Diet And Exercise For Cancer Survivors (Stride): A Quasi-Randomised Controlled Trial Protocol, Lauren J. Frensham, Dorota M. Zarnowiecki, Gaynor C. Parfitt, Rebecca M. Stanley, James Dollman

Faculty of Social Sciences - Papers (Archive)

Background Cancer survivorship rates have increased in developed countries largely due to population ageing and improvements in cancer care. Survivorship is a neglected phase of cancer treatment and is often associated with adverse physical and psychological effects. There is a need for broadly accessible, non-pharmacological measures that may prolong disease-free survival, reduce or alleviate co-morbidities and enhance quality of life. The aim of the Steps TowaRd Improving Diet and Exercise (STRIDE) study is to evaluate the effectiveness of an online-delivered physical activity intervention for increasing walking in cancer survivors living in metropolitan and rural areas of South Australia. Methods/Design This …


Project Good News - Engaging Priority Cald Communities To Reduce The Stigma Associated With Cancer, Lyn Phillipson, Julie Hall, Leissa Pitts, Tara Hunt Jan 2013

Project Good News - Engaging Priority Cald Communities To Reduce The Stigma Associated With Cancer, Lyn Phillipson, Julie Hall, Leissa Pitts, Tara Hunt

Faculty of Social Sciences - Papers (Archive)

Abstract presented at the Innovations in Cancer Services and Care NSW Conference 2013


Effectiveness Of 'Signs And Symptoms' Campaigns For Lun G Cancer: A Rapid Review, Ross Gordon, Christopher Magee, Sandra Jones, Lyn Phillipson, Lance Barrie Jan 2012

Effectiveness Of 'Signs And Symptoms' Campaigns For Lun G Cancer: A Rapid Review, Ross Gordon, Christopher Magee, Sandra Jones, Lyn Phillipson, Lance Barrie

Faculty of Social Sciences - Papers (Archive)

Early diagnosis of lung cancer may be important in improving the survival rate and patients' quality of life. This Evidence Check review assessed the effectiveness of 'signs and symptoms' campaigns in influencing knowledge, attitudes, beliefs and help-seeking behaviour in the general community and at-risk groups. Interventions may be effective, but the evidence is limited overall, and very limited for at risk groups. Social marketing frameworks may provide a structure for future interventions.


Improving Cancer Outcomes Among Culturally And Linguistically Diverse Communities: A Rapid Review Of The Literature, Lyn Phillipson, Karen Larsen-Truong, Sandra Jones, Leissa Pitts Jan 2012

Improving Cancer Outcomes Among Culturally And Linguistically Diverse Communities: A Rapid Review Of The Literature, Lyn Phillipson, Karen Larsen-Truong, Sandra Jones, Leissa Pitts

Faculty of Social Sciences - Papers (Archive)

This Evidence Check review examined the knowledge, attitudes and beliefs of Chinese, Vietnamese and Arabic speaking communities in Australia in relation to cancer, its causes, screening, treatments, perceptions of susceptibility, and perceived outcomes. The review explores fear, stigma, taboos, and the role of family, as well as the evidence of effectiveness of cancer prevention, detection and treatment interventions. There are significant gaps in the evidence base.


Women's Awareness Of Cancer Symptoms: A Review Of The Literature, Sandra C. Jones, Keryn Johnson Jan 2012

Women's Awareness Of Cancer Symptoms: A Review Of The Literature, Sandra C. Jones, Keryn Johnson

Faculty of Social Sciences - Papers (Archive)

Improvements in cancer detection and treatment have led to consistent declines in mortality from many cancers. However, many patients present for treatment at a point where more invasive treatment is required and/or treatment outcomes are less than optimal. One factor that has been consistently shown to be associated with late diagnosis and treatment is delay in seeking help for symptoms. This paper reviews the literature on women's awareness of cancer symptoms and aims to identify knowledge gaps that need to be addressed in order to improve help-seeking behaviors. The discovery of substantial gaps in awareness suggest a need for improved …


Psychosocial Aspects Of Anal Cancer Screening: A Review And Recommendations, Jodie Landstra, Joseph Ciarrochi, Frank P. Deane Jan 2012

Psychosocial Aspects Of Anal Cancer Screening: A Review And Recommendations, Jodie Landstra, Joseph Ciarrochi, Frank P. Deane

Faculty of Social Sciences - Papers (Archive)

Cancer screening programs have the potential to decrease psychosocial wellbeing. This review investigates the evidence that anal cancer screening has an impact on psychosocial functioning and outlines considerations for supporting participants. The review suggested that screening has no significant effect on general mental health but may increase cancer-specific worry. Having worse anal or HIV symptoms, being younger, higher baseline distress or worse histology results were predictive of greater worry. The findings suggest the need to increase education campaigns, particularly targeting those with HIV infection and men who have sex with men. There is a need to develop a consensus on …


Beliefs And Beyond: What Can We Learn From Qualitative Studies Of Lay People's Understandings Of Cancer Risk?, Wendy Lipworth, Heather M. Davey, Stacy M. Carter, Claire Hooker, Wendy Hu Jan 2010

Beliefs And Beyond: What Can We Learn From Qualitative Studies Of Lay People's Understandings Of Cancer Risk?, Wendy Lipworth, Heather M. Davey, Stacy M. Carter, Claire Hooker, Wendy Hu

Faculty of Social Sciences - Papers (Archive)

Background  Clinicians and public health professionals are centrally concerned with mediating risk. However, people often resist the risk-related information that is communicated to them by experts, or have their own models of risk that conflict with expert views. Quantitative studies have clearly demonstrated the importance of health beliefs and various cognitive and emotional processes in shaping risk perception. More recently, a growing body of qualitative research has emerged, exploring lay conceptualizations, experiences and constructions of cancer risk. To date, this literature has not been synthesized. Objective  We report the findings of a synthesis of qualitative literature regarding the ways in …


Is Nasopharyngeal Cancer Really A "Cantonese Cancer"?, Joseph Tien Seng Wee, Tam C. Ha, Susan Loong, Chao-Nan Qian Jan 2010

Is Nasopharyngeal Cancer Really A "Cantonese Cancer"?, Joseph Tien Seng Wee, Tam C. Ha, Susan Loong, Chao-Nan Qian

Faculty of Social Sciences - Papers (Archive)

Nasopharyngeal cancer (NPC) is endemic in Southern China, with Guandong province and Hong Kong reporting some of the highest incidences in the world. The journal Science has called it a "Cantonese cancer". We propose that in fact NPC is a cancer that originated in the Bai Yue ("proto Tai Kadai" or "proto Austronesian" or "proto Zhuang") peoples and was transmitted to the Han Chinese in southern China through intermarriage. However, the work by John Ho raised the profile of NPC, and because of the high incidence of NPC in Hong Kong and Guangzhou, NPC became known as a Cantonese cancer. …


Writing Social Determinants Into And Out Of Cancer Control: An Assessment Of Policy Practice, Stacy M. Carter, Claire Hooker, Heather M. Davey Jan 2009

Writing Social Determinants Into And Out Of Cancer Control: An Assessment Of Policy Practice, Stacy M. Carter, Claire Hooker, Heather M. Davey

Faculty of Social Sciences - Papers (Archive)

A large literature concurs that social determinants of health (SDH) are demonstrable, important, and insufficiently attended to in policy and practice. A resulting priority for research should be to determine how the social determinants of health can best be addressed. In this paper we support the more effective transfer of social determinants research into policy by: (1) describing a qualitative analysis of thirty-two cancer control policy documents from six English-speaking OECD countries and two transnational organizations, demonstrating great variability in the treatment of social determinants in these policies; (2) critiquing these various policy practices in relation to their likely impact …


Writing The Risk Of Cancer: Cancer Risk In Public Policy, Claire Hooker, Stacy M. Carter, Heather M. Davey Jan 2009

Writing The Risk Of Cancer: Cancer Risk In Public Policy, Claire Hooker, Stacy M. Carter, Heather M. Davey

Faculty of Social Sciences - Papers (Archive)

In this paper we examine how cancer risk is written in cancer policy documents from the English speaking OECD nations. We offer an audit of the multiple ways in which cancer risk is conceptualised and presented in health policy and professional contexts with the long term aim of comparing this with lay conceptualisations. Our study sampled cancer policy documents produced by six nations, the World Health Organization and the International Union for Cancer Control since 2000 and analysed them iteratively through questions and codes. Whilst the documents contained a comprehensive range of concepts and locations for cancer risk, our analysis …