Inuit have an increased risk of cancer due to high smoking rates, low food security

New data show system-level interventions are needed to improve health of growing population

TORONTO, Sept. 14, 2017 /CNW/ - A new report developed jointly by Cancer Care Ontario and Tungasuvvingat Inuit shows that cancer risk factors are significantly more common among Inuit in Ontario and elsewhere in Canada compared to non-Aboriginal Ontarians.

The report, Cancer Risk Factors and Screening Among Inuit in Ontario and Other Canadian Regions, is the first to estimate cancer risk and screening behaviours among Inuit living in and outside Inuit Nunangat (the traditional Inuit homeland including parts of Northern coastal Labrador, Northern Quebec, the territory of Nunavut and the western edge of the Northwest Territories) and in Ontario. Results are presented alongside a historical timeline and medical travel map to highlight the unique challenges Inuit face in securing access to nutritious and affordable food, healthcare services and other basic necessities of life.

"The lack of good-quality and comprehensive Inuit health data has been a significant barrier to better understanding and reducing the risk of chronic diseases, including cancer, among Inuit," says Jason LeBlanc, Executive Director, Tungasuvvingat Inuit. "Working in partnership with Cancer Care Ontario on this report, we were able to bring together evidence from multiple sources. We look forward to using these data to target health resources appropriately and continue advocating for culturally appropriate policies and programs that will enhance the health and wellbeing of our people."

Key report findings:

  • There is a high prevalence of smoking and low prevalence of household food security among Inuit compared to non-Aboriginal Ontarians.
    • Nearly three-quarters of Inuit living in Nunangat (74%) and about one-third of Inuit in Ontario were current smokers (34%) compared to 23% of non-Aboriginal Ontarians.
    • About two-thirds (67%) of Inuit in Ontario reported living in a food-secure household (one where residents have the financial resources to access nutritious food), which is significantly less than non-Aboriginal respondents in Ontario (94%).
  • A higher proportion of Inuit living in Nunangat were overdue for colorectal cancer screening (72% of men, 66% of women) than non-Aboriginal Ontarians (43% of men, 41% of women).

  • Generally, the pattern of cancer risk for Inuit living in Ontario was similar to Inuit living outside Inuit Nunangat more broadly, with a higher proportion of current smoking overall and a lower prevalence of food-secure households than the non-Aboriginal population. 

  • More Inuit-specific health data are needed for tracking and monitoring cancer disease rates and outcomes, improving the understanding of key health determinants, and assessing the impacts of interventions designed to reduce risk and disease rates in the growing Inuit population outside Inuit Nunangat.

"We know that behaviours such as tobacco use, alcohol consumption and a healthy diet can impact an individual's risk of developing cancer, but until recently, very little research has been done on the prevalence of these behaviours among Inuit in southern Canada," says Alethea Kewayosh, Director, Aboriginal Cancer Control Unit, Cancer Care Ontario. "The data in this report provide a clear picture of the state of Inuit health in this country and show that many Inuit fare poorer across these risk factors than non-Aboriginal Ontarians. Together with Tungasuvvingat Inuit, our hope is that this knowledge will be used to inform culturally appropriate programming to effectively reduce health inequities for Inuit, wherever they live."

Cancer Care Ontario and Tungasuvvingat Inuit collaborated on this report as both groups have a shared interested in improving the health of Inuit communities across Ontario. This work is aligned with Cancer Care Ontario's Aboriginal Cancer Strategy III, which highlights research and surveillance as a strategic priority. It is also in line with Tungasuvvingat Inuit's commitment to establish improved data on Inuit across the country and meet the rapidly growing, complex and evolving needs of Inuit in Ontario.

In addition to gathering evidence on cancer risk factors and screening behaviours, the report also highlights a need for culturally appropriate, system-level interventions to improve the health and well-being of Inuit in all regions of Canada. The path towards healthier communities involves not only taking practical steps towards encouraging healthy behaviours, but also creating environments that support individuals, families and communities in making healthy choices.

In 2016, Cancer Care Ontario released Path to Prevention: Recommendations for Reducing Chronic Disease in First Nations, Inuit and Métis. The report provided the Government of Ontario with 22 recommended policies and interventions to reduce population-level exposure to four key risk factors, build capacity for chronic disease prevention and work towards health equity. Similarly, Tungasuvvingat Inuit released a report in 2005 from the National Urban Inuit One Voice Workshop with 26 recommendations aimed at improving the health and wellbeing of urban Inuit.

A full copy of Cancer Risk Factors and Screening Among Inuit in Ontario and Other Canadian Regions is available at http://cancercare.on.ca/InuitRiskFactors

About Cancer Care Ontario:

Cancer Care Ontario equips health professionals, organizations and policy-makers with the most up-to-date cancer knowledge and tools to prevent cancer and deliver high-quality patient care. 

It does this by collecting and analyzing data about cancer services and combining it with evidence and research that is shared with the healthcare community in the form of guidelines and standards. It also monitors and measures the performance of the cancer system, and oversees a funding and governance model that ties funding to performance, making healthcare providers more accountable and ensuring value for investments in the system.

Cancer Care Ontario actively engages people with cancer and their families in the design, delivery and evaluation of Ontario's cancer system, and works to improve the performance of Ontario's cancer system by driving quality, accountability, innovation and value.

About Tungasuvvingat Inuit:

Tungasuvvingat Inuit is an Inuit-specific provincial service that provides social support, cultural activities and counselling focused on meeting the needs of Inuit in Ontario. It is a registered, charitable, not-for-profit organization, offering more than 20 highly integrated, front-line services. The agency is the only Inuit-specific service organization of its kind in urban Canada offering support through the entire life cycle.

Tungasuvvingat Inuit has almost 30 years of highly successful experience in crafting the design, development and delivery of a wide range of effective, client-centered services. With an increasing percentage of Inuit now living outside of northern Canada, Tungasuvvingat Inuit is recognized as a leading advocate for urban Inuit and is prominent within the framework of national Inuit organizations.

Version française disponible.

SOURCE Cancer Care Ontario

For further information: Cancer Care Ontario, Erin MacFarlane, Phone: 1-855-460-2646, Email: media@cancercare.on.ca; Tungasuvvingat Inuit, Phone: 613-565-5885, Email: exec-dir@tungasuvvingatinuit.ca

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http://www.cancercare.on.ca

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