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医疗服务不足人群中的癌症

Cancer in the Medically Underserved Population.

作者信息

Olaku Oluwadamilola O, Taylor Emmanuel A

机构信息

Office of Cancer Complementary and Alternative Medicine, National Cancer Institute, 9609 Medical Center Drive, 5-W622, MSC 9743, Bethesda, MD 20892-9743, USA; Kelly Services, Kelly Government Solutions, 6101 Executive Boulevard, Suite 392, Rockville, MD 20852, USA.

Center to Reduce Cancer Health Disparities, National Cancer Institute, 9609 Medical Center Drive, 6-W104, MSC 9746, Rockville, MD 20850-9746, USA.

出版信息

Prim Care. 2017 Mar;44(1):87-97. doi: 10.1016/j.pop.2016.09.020.

DOI:10.1016/j.pop.2016.09.020
PMID:28164822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5314211/
Abstract

Cancer is characterized by uncontrolled growth and spread of abnormal cells. It is the second most common cause of death in the United States, and a significant proportion can be prevented. Underrepresented and underserved populations are less likely to receive routine medical procedures and experience a lower quality of health services. Despite the increase in cancer screening, there are disparities in the incidence and mortality of various cancers. These disparities are not fully explained by the correlations between minority race and lower socioeconomic status or minority race and insurance status. Considerations for global cancer control in low-resource settings are presented.

摘要

癌症的特征是异常细胞不受控制地生长和扩散。它是美国第二大常见死因,且很大一部分是可以预防的。代表性不足和服务欠缺的人群接受常规医疗程序的可能性较小,所获得的医疗服务质量也较低。尽管癌症筛查有所增加,但各种癌症的发病率和死亡率仍存在差异。少数族裔与较低社会经济地位或少数族裔与保险状况之间的相关性并不能完全解释这些差异。本文还介绍了在资源匮乏地区进行全球癌症控制的相关考量。

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本文引用的文献

1
Adherence to Cancer Prevention Guidelines and Cancer Risk in Low-Income and African American Populations.低收入和非裔美国人群对癌症预防指南的遵循情况与癌症风险
Cancer Epidemiol Biomarkers Prev. 2016 May;25(5):846-53. doi: 10.1158/1055-9965.EPI-15-1186. Epub 2016 Mar 10.
2
Global Cancer Incidence and Mortality Rates and Trends--An Update.全球癌症发病率、死亡率及趋势——最新情况
Cancer Epidemiol Biomarkers Prev. 2016 Jan;25(1):16-27. doi: 10.1158/1055-9965.EPI-15-0578. Epub 2015 Dec 14.
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Long-term effects of radiation exposure on health.长期辐射暴露对健康的影响。
Lancet. 2015 Aug 1;386(9992):469-78. doi: 10.1016/S0140-6736(15)61167-9.
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Medically underserved populations: disparities in quality and outcomes.医疗服务不足人群:质量与结局方面的差异
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5
Annual Report to the Nation on the Status of Cancer, 1975-2011, Featuring Incidence of Breast Cancer Subtypes by Race/Ethnicity, Poverty, and State.《1975 - 2011年美国癌症现状年度报告:按种族/族裔、贫困状况及州划分的乳腺癌亚型发病率》
J Natl Cancer Inst. 2015 Mar 30;107(6):djv048. doi: 10.1093/jnci/djv048. Print 2015 Jun.
6
Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012.全球癌症发病与死亡:GLOBOCAN 2012 数据源、方法与主要模式。
Int J Cancer. 2015 Mar 1;136(5):E359-86. doi: 10.1002/ijc.29210. Epub 2014 Oct 9.
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Disparities in stage at diagnosis, treatment, and survival in nonelderly adult patients with cancer according to insurance status.非老年成年癌症患者在诊断分期、治疗及生存方面根据保险状况存在的差异。
J Clin Oncol. 2014 Oct 1;32(28):3118-25. doi: 10.1200/JCO.2014.55.6258. Epub 2014 Aug 4.
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Colorectal cancer control: providing adequate care to those who need it.结直肠癌防治:为有需要的人提供充分的治疗。
J Natl Cancer Inst. 2014 Apr;106(4):dju075. doi: 10.1093/jnci/dju075. Epub 2014 Mar 28.
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Challenges in meeting Healthy People 2020 objectives for cancer-related preventive services, National Health Interview Survey, 2008 and 2010.2008 年和 2010 年全国健康访谈调查:实现《2020 年健康人》癌症相关预防服务目标的挑战。
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Vitamin and mineral supplements in the primary prevention of cardiovascular disease and cancer: An updated systematic evidence review for the U.S. Preventive Services Task Force.维生素和矿物质补充剂在心血管疾病和癌症一级预防中的作用:美国预防服务工作组的更新系统循证评价。
Ann Intern Med. 2013 Dec 17;159(12):824-34. doi: 10.7326/0003-4819-159-12-201312170-00729.