Development of a public health programme in Greenland

Bjerregaard, Peter

doi:10.1080/14034940510006076

Cited by 1 publication

(4 citation statements)

References 3 publications

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“…The effect of tobacco smoking on PC is well documented and as much as 25% of PC is reported to be associated with tobacco smoking ( 5 , 15 – 17 ). The prevalence of daily smokers in the adult Greenlandic population is 66% (and decreasing) ( 18 ), while this number in Denmark is 21% ( 19 ) and could account, in part, to the higher rates of PC among the Greenlandic population. As an effect of the decreasing use of tobacco smoking in both countries ( 18 , 20 ), it is likely that a lower number of smoking-related PC will be observed in future years.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of daily smokers in the adult Greenlandic population is 66% (and decreasing) ( 18 ), while this number in Denmark is 21% ( 19 ) and could account, in part, to the higher rates of PC among the Greenlandic population. As an effect of the decreasing use of tobacco smoking in both countries ( 18 , 20 ), it is likely that a lower number of smoking-related PC will be observed in future years. However, the cessation of tobacco smoking will have to last for at least 10 years, before a reduced risk will be present ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…Tobacco smoking has for a long time been a part of the Greenlandic culture, but the tendency to smoke is decreasing, probably because of higher price and better educational levels ( 25 ). The higher prevalence of DM-2 in Greenland compared with Denmark is probably associated with the westernization mentioned in the Introduction section.…”

Section: Discussionmentioning

confidence: 99%

“…Alcohol per se is probably not a risk factor, but an excessive daily intake of alcohol may lead to pancreatitis and thereby to PC ( 28 ). In Denmark, the average yearly intake per person is 11.3 L of alcohol ( 29 ) corresponding to the Greenlandic value of 11.7 L ( 30 ). The significantly increased risk of PC in Greenland found in this study is therefore not likely to be explained by a difference in alcohol intake.…”

Section: Discussionmentioning

confidence: 99%

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Incidence of pancreatic cancer in Greenland 2000–2010

Kirkegaard

2012

International Journal of Circumpolar Health

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BackgroundInuit people are known to be at an increased risk of cancers usually uncommon to the western world such as cancers of the nasopharynx and salivary glands. But what is the trend regarding pancreatic cancer?ObjectiveTo determine the incidence of pancreatic cancer (PC) in Greenland compared with Denmark in the period 2000–2010.Study designRetrospective register-based study. Cases were retrieved from The Danish Cancer Register and The Greenlandic Patient Register and stratified in 5-year age intervals for each year. Age-standardized incidence ratios (SIR) for each year for Greenland compared with Denmark were calculated using the number of cases and the number of inhabitants in each 5-year age interval and in each country. The average SIR for the entire period was calculated using a weighted average.ResultsThe study revealed a SIR of 2.38 (95% CI: 1.97–2.86; p<0.0001) indicating a significantly increased incidence of PC in Greenland compared with Denmark. A linear regression analysis showed no significant change in the SIR over time (p for trend 0.25) as well as no significant change isolated in Greenland (p for trend 0.8). Furthermore, the Inuit were significantly younger at the time of diagnosis (mean 62.7 vs. 70.0; p<0.0001).ConclusionsThe age-standardized incidence of PC is 138% higher in Greenland than in Denmark. A part of this could be explained by a higher prevalence of smoking and DM-2. However, the impact of genetic factors cannot be disregarded and should be subjected to further investigation.

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