A Socio-Ecological Framework for Cancer Control in the Pacific: A Community Case Study of the US Affiliated Pacific Island Jurisdictions 1997-2017.
A Socio-Ecological Framework for Cancer Control in the Pacific: A Community Case Study of the US Affiliated Pacific Island Jurisdictions 1997-2017.
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DOI：
10.3389/fpubh.2018.00313
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发表时间：
2018
影响因子：
5.2
通讯作者：
Buenconsejo-Lum LE
中科院分区：
文献类型：
--
作者：
Palafox NA;Reichhardt M;Taitano JR;Nitta M;Garstang H;Riklon S;Taulung L;Buenconsejo-Lum LE
美国附属太平洋岛屿管辖区（USAPIJ）在政治上与美国（美国）有联系，作为美国领土（关岛，美属萨摩亚），美国联邦（北方马里亚纳群岛联邦），并通过自由联合条约与美国联系的主权国家[密克罗尼西亚联邦（FSM），马歇尔群岛共和国（RMI），帕劳共和国（ROP）]。马绍尔群岛的子宫颈癌发病率是世界上最高的，密克罗尼西亚联邦没有乳房X光检查服务，只有关岛有岛上肿瘤服务。肥胖、吸烟和B型肝炎等癌症风险因素很普遍。马绍尔群岛12年的核试验增加了癌症负担。建立了一个以社区为基础的多国联盟，与多系统的外部合作伙伴太平洋区域癌症控制伙伴关系（PRCP），以解决USAPIJ的癌症预防和控制问题。通过PRCP，地方癌症联盟，区域癌症登记，12年的区域癌症控制计划，以及癌症预防方案和研究已经实施。方法：PRCP是本社区案例研究的主题。PRCP是通过社会生态理论框架进行分析，其类型，积木和管理的背景。将说明每个伙伴和组织各自的作用和工作，并使其与社会生态框架的各个层面保持一致。结果：USAPIJ在20多年的时间里发展了一个以社区为中心的内部和外部区域癌症预防和控制网络。PRCP的功能和结构符合癌症控制的社会生态框架。一个适应性的管理战略已被用于内部的PRCP管理其多国，多层次，多系统的合作伙伴。结论：在过去的20年里，PRCP能够以社区为中心的模式推进癌症预防和控制计划，该模式在多国，多文化，低资源，地理分散的环境中发挥作用。PRCP的结构和管理方式与癌症控制的社会生态框架一致。本案例研究为PRCP的组织结构及其运作机制提供了蓝图。PRCP概念是在多国资源有限的环境中以社区为中心的癌症控制模式，可以扩展到其他全球环境。
The United States Affiliated Pacific Island Jurisdictions (USAPIJ) are politically associated to the United States (US) as US Territories (Guam, American Samoa), a US Commonwealth (Commonwealth of the Northern Mariana Islands), and as sovereign nations linked to the US through Compacts of Free Association [Federated States of Micronesia (FSM), Republic of the Marshall Islands (RMI), Republic of Palau (ROP)]. Cervical cancer incidence in the RMI is the highest in the world, mammography services are not available in the FSM and only Guam has on-island oncology services. Cancer risk factors such as obesity, tobacco, and Hepatitis B are prevalent. Twelve years of nuclear testing in the RMI adds to the cancer burden. A community-based, multi-national coalition with multi-system external partners the Pacific Regional Cancer Control Partnership (PRCP) was developed to address cancer prevention and control in the USAPIJ. Through the PRCP, local cancer coalitions, a regional cancer registry, 12 years of regional cancer control plans, and cancer prevention programs and research has been implemented. Methods: The PRCP is the subject of this community case study. The PRCP is analyzed through a socio-ecological theoretical framework to contextualize its typology, building blocks, and management. The respective roles and work of each partner and organization will be described and aligned with the levels of the socio-ecological framework. Results: The USAPIJs evolved a community-focused internal and external regional cancer prevention and control network over 20 years. The function and structure of the PRCP fits within a socio-ecological framework for cancer control. An adaptive management strategy has been used within the PRCP to manage its multi-national, multi-level, and multi-system partners. Conclusion: The PRCP has been able to advance cancer prevention and control programs with a community-centric model that functions in a multi-national, multi-cultural, low-resource, geographically dispersed environment over the last 20 years. The PRCP operates with a structure and management style that is consistent with a socio-ecological framework for cancer control. This case study provides a blueprint for the PRCP organizational structure and a mechanism for its function. The PRCP concept, a community-centric model for cancer control in multi-national resource-limited environments, may be scaled to other global environments.
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影响因子：
2.2
作者：
Simon SL;Bouville A;Land CE;Beck HL
通讯作者：
Beck HL
影响因子：
5.5
作者：
Kessaram, Tara;McKenzie, Jeanie;Hoy, Damian
通讯作者：
Hoy, Damian
影响因子：
2.3
作者：
Hohman, Karin;Rochester, Phyllis;Belle-Isle, Lori
通讯作者：
Belle-Isle, Lori
影响因子：
1.6
作者：
Spiker, Cynthia A.;Weinberg, Armin D.
通讯作者：
Weinberg, Armin D.
影响因子：
168.9
作者：
Krug, EG;Mercy, JA;Zwi, AB
通讯作者：
Zwi, AB