Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy
Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy
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DOI：
10.3322/caac.21586
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发表时间：
2019-10-29
影响因子：
254.7
通讯作者：
Wender, Richard C.
中科院分区：
文献类型：
--
作者：
Alcaraz, Kassandra, I;Wiedt, Tracy L.;Wender, Richard C.
尽管近几十年来美国的癌症死亡率有所下降，但一些人群在癌症预防、早期检测、治疗和幸存者护理方面的进步并没有给他们带来什么好处。事实上，在这一时期，社会经济地位高低的人群之间的一些癌症差异扩大了。许多本可预防的癌症死亡继续发生，弱势群体承受着不成比例的负担。减轻癌症负担和消除与癌症有关的差距需要在多个部门之间采取更加集中和协调的行动，并与社区合作。本文是美国癌症协会癌症控制蓝图系列的一部分，介绍了一个框架，用于理解和解决促进癌症健康公平的社会决定因素，并为实践、研究和政策提出了可操作的建议。这篇文章旨在加速消除癌症方面的差距和实现卫生公平的进程。
Although cancer mortality rates declined in the United States in recent decades, some populations experienced little benefit from advances in cancer prevention, early detection, treatment, and survivorship care. In fact, some cancer disparities between populations of low and high socioeconomic status widened during this period. Many potentially preventable cancer deaths continue to occur, and disadvantaged populations bear a disproportionate burden. Reducing the burden of cancer and eliminating cancer-related disparities will require more focused and coordinated action across multiple sectors and in partnership with communities. This article, part of the American Cancer Society's Cancer Control Blueprint series, introduces a framework for understanding and addressing social determinants to advance cancer health equity and presents actionable recommendations for practice, research, and policy. The article aims to accelerate progress toward eliminating disparities in cancer and achieving health equity.