对拉丁美洲癌症诊断和治疗不公平现象的反思分析:为公共卫生采取行动的呼吁。

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gabriela Guerron-Gomez, Mariana Rojas-Fierro, Rafael Parra-Medina, Andrés Mosquera, Marcela Gomez Suarez
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引用次数: 0

摘要

癌症仍然是拉丁美洲和加勒比(拉丁美洲和加勒比)的一个重大公共卫生挑战,其特点是发病率和死亡率不断上升,预计到2040年负担将增加。尽管人们认识到早期诊断和治疗的重要性,但由于社会经济、地理和教育方面的障碍,拉丁美洲和加勒比地区在获得癌症治疗方面存在巨大差异。缺乏医疗专家、获得保健服务的机会有限以及资源分配(特别是在农村地区)加剧了这些不公平现象。健康的社会决定因素(SDH),如收入水平、受教育程度和地理位置,进一步导致诊断延误和治疗结果不佳。为了解决这些障碍,最近的举措强调了诸如心灵病理学网络、健康教育计划和建立癌症支持网络等战略,以提高早期诊断和护理质量。本综述探讨了拉丁美洲和加勒比地区基于sdh的癌症治疗差异,研究了旨在减少卫生不平等和改善服务不足人群结果的创新方法。通过有针对性的干预措施,文章强调亟须制定促进公平获得癌症治疗的政策,将其作为拉丁美洲和加勒比地区的一项基本公共卫生目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A reflective analysis on the inequities in cancer diagnosis and treatment in Latin America: a call to action for public health.

Cancer continues to be a significant public health challenge in Latin America and the Caribbean (LAC), marked by rising incidence and mortality rates and a projection of increased burden by 2040. Despite the recognized importance of early diagnosis and treatment, the LAC region faces profound disparities in cancer care access due to socioeconomic, geographic, and educational barriers. These inequities are exacerbated by a lack of medical specialists, healthcare access limitations, and the distribution of resources, especially in rural areas. Social determinants of health (SDH) such as income level, educational attainment, and geographic location further contribute to delayed diagnoses and poor treatment outcomes. Addressing these barriers, recent initiatives emphasize strategies like telepathology networks, health education programs, and the establishment of cancer support networks to improve early diagnosis and quality of care. This review explores these SDH-based disparities in cancer care within LAC, examining innovative approaches aimed at reducing health inequities and improving outcomes for underserved populations. Through targeted interventions, the article highlights the critical need for policies promoting equitable access to cancer care as a fundamental public health objective in LAC.

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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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