Momin Behnoosh, Wanliss Ena, Davis Lumbe, Townsend Julie S, Lopez Kerri, Steele Brooke
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, MS F-76, Atlanta, GA, 30341, USA.
Northwest Portland Area Indian Health Board, Portland, OR, USA.
Cancer Causes Control. 2018 Dec;29(12):1231-1237. doi: 10.1007/s10552-018-1111-3. Epub 2018 Dec 4.
Achieving health equity requires addressing social determinants of health. Promoting health equity as it relates to cancer control is one of six priorities of the National Comprehensive Cancer Control Program (NCCCP). This article describes recent activities implemented by three NCCCP awardees (North-west Portland Area Indian Health Board, Kansas, Michigan) and the CDC-funded National Behavior Health Network (NBHN), whose aim is to reduce health disparities among those with mental health and/or substance disorders. North-west Portland administered tribal surveys to help better understand tribal cancer-related risk factors, health behaviors, provide baseline data to support their cancer plan, and obtain resources for targeted interventions. Kansas established a health equity workgroup with a vision of addressing health equity through implementation and uptake of activities among all Kansans. Michigan provided trainings in health equity and social justice and developed health equity learning labs. As a result of the successful implementation of the NBHN's Community of Practice, individuals currently living with mental illness and/or substance disorders have had increased access to tobacco cessation and other cancer support services. These efforts and key opportunities for public health practitioners and their partners to increase engagement in cancer health equity are summarized in this article.
实现健康公平需要解决健康的社会决定因素。促进与癌症控制相关的健康公平是国家综合癌症控制计划(NCCCP)的六大优先事项之一。本文介绍了NCCCP的三个受奖者(西北波特兰地区印第安人健康委员会、堪萨斯州、密歇根州)以及疾病控制与预防中心资助的国家行为健康网络(NBHN)近期开展的活动,其目的是减少患有精神健康和/或物质使用障碍者之间的健康差距。西北波特兰地区开展了部落调查,以更好地了解与部落癌症相关的风险因素、健康行为,提供基线数据以支持其癌症计划,并获取资源用于有针对性的干预措施。堪萨斯州成立了一个健康公平工作组,其愿景是通过在所有堪萨斯人当中实施和开展相关活动来解决健康公平问题。密歇根州提供了健康公平和社会正义方面的培训,并建立了健康公平学习实验室。由于NBHN实践社区的成功实施,目前患有精神疾病和/或物质使用障碍的个人获得戒烟和其他癌症支持服务的机会有所增加。本文总结了这些努力以及公共卫生从业者及其合作伙伴在加强参与癌症健康公平方面的关键机遇。