Reeler Anne, Qiao Youlin, Dare Lola, Li Jing, Zhang Ai-Li, Saba Joseph
Axios International, Paris, France.
Asian Pac J Cancer Prev. 2009 Jul-Sep;10(3):519-26.
The article focuses on two women's cancers, breast and cervical cancer, that are much more deadly in developing countries than in developed countries. Early detection can make a significant difference for the treatment outcome of these two cancers and there are now cost-effective tools for prevention and screening. The authors propose a new public health approach to these two cancers in developing countries where resources for effective cancer control are very limited and offer a framework for putting women's cancers in developing countries on the global public health agenda. The key areas are: 1. Proposals for a new, integrated public health approach to women's cancers (breast and cervical) in resource poor settings; 2. Reviews of the evidence for cost-effective screening and early detection of breast and cervical cancer, and discussion of some of the lessons learned from HIV/AIDS on an integrated health systems approach; 3. Outlines of ways to make a priority of women?s cancers in developing countries on the political agenda of international agencies.
本文聚焦于两种女性癌症，即乳腺癌和宫颈癌，这两种癌症在发展中国家比在发达国家的致死率要高得多。早期检测对于这两种癌症的治疗结果会产生重大影响，而且现在有具有成本效益的预防和筛查工具。作者针对发展中国家这两种癌症提出了一种新的公共卫生方法，这些国家有效控制癌症的资源非常有限，并提供了一个将发展中国家女性癌症纳入全球公共卫生议程的框架。关键领域包括：1. 针对资源匮乏地区女性癌症（乳腺癌和宫颈癌）提出新的综合公共卫生方法的建议；2. 对乳腺癌和宫颈癌具有成本效益的筛查及早期检测证据的综述，以及对从艾滋病毒/艾滋病综合卫生系统方法中吸取的一些经验教训的讨论；3. 概述如何将发展中国家女性癌症列为国际机构政治议程上的优先事项。
