Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia.
Cancer Control Department, American Cancer Society, Atlanta, Georgia.
CA Cancer J Clin. 2020 Jan;70(1):31-46. doi: 10.3322/caac.21586. Epub 2019 Oct 29.
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.
尽管近年来美国的癌症死亡率有所下降,但一些人群从癌症预防、早期发现、治疗和生存护理方面的进展中获益甚少。事实上,在此期间,低社会经济地位人群和高社会经济地位人群之间的一些癌症差异扩大了。许多潜在可预防的癌症死亡仍在继续发生,弱势群体承受着不成比例的负担。减少癌症负担和消除与癌症相关的差异需要在多个部门更有针对性和协调地采取行动,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,介绍了一个理解和解决社会决定因素的框架,以促进癌症健康公平,并为实践、研究和政策提出了可行的建议。本文旨在加速消除癌症差异和实现健康公平的进展。