Best outcomes for cancer in Maori

In Aotearoa/New Zealand there are significant differences between Maori and non-Maori in cancer incidence and mortality with inequalities in cancer survival rates having also been documented for a range of cancers. Additionally, there are important differences in quality of life between Maori and non-Maori at all stages of the cancer journey. In this presentation I describe a 4-part research program that aims to: (a) contribute to improved measurement of the causes and burden of cancer in Maori, (b) focus on the service responses necessary to optimize outcomes for Maori and their whanau (family) with a diagnosis of cancer, and (c) develop the Maori research workforce. Designed principally within a Maori health development framework, the four linked projects concern: 1. The role of early life factors on the development of breast cancer; 2. Risk factors for development of stomach cancer in Maori and determinants of survival; 3. Understanding the determinants of inequalities in breast cancer survival and; 4. The role of primary health services in coordinating cancer care for Maori with cancer. This research program addresses two major priorities in Maori health and Maori health research – (a) reducing the incidence and burden from cancer for Maori, and (b) Maori research/health development. We are working closely with relevant stakeholders to ensure that the findings are widely disseminated and influence Maori health policy. Additionally, there is potential and opportunity for sharing of information and approaches to research questions, methods and development of interventions with other indigenous researchers and communities working in the cancer area.