Implementation Science Center for Cancer Control and Prevention Research Center, Brown School, Washington University in St. Louis, One Brookings Drive, St. Louis, MO 63130, USA.
Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA.
Int J Environ Res Public Health. 2020 Nov 24;17(23):8720. doi: 10.3390/ijerph17238720.
Although innovative and impactful interventions are necessary for the primary prevention of breast cancer, the factors influencing program adoption, implementation, and sustainment are key, yet remain poorly understood. Insufficient attention has been paid to the primary prevention of breast cancer in state and national cancer plans, limiting the impact of evidence-based interventions on population health. This commentary highlights the state of primary prevention of breast cancer and gaps in the current literature. As a way to enhance the reach and adoption of cancer prevention policies and programs, the utility of dissemination and implementation (D&I) science is highlighted. Examples of how D&I could be applied to study policies and programs for chronic disease prevention are described, in addition to needs for future research. Through application of D&I science and a strong focus on health equity, a clearer understanding of contextual factors influencing the success of prevention programs will be achieved, ultimately impacting population health.
虽然创新和有影响力的干预措施对于乳腺癌的一级预防是必要的，但影响项目采用、实施和维持的因素是关键，然而这些因素仍未得到充分理解。州和国家癌症计划对乳腺癌的一级预防重视不够，限制了基于证据的干预措施对人群健康的影响。本评论强调了乳腺癌一级预防的现状和当前文献中的差距。为了增强癌症预防政策和计划的覆盖面和采用率，突出了传播和实施（D&I）科学的作用。描述了如何将 D&I 应用于慢性病预防政策和计划的研究的例子，此外还需要未来的研究。通过应用 D&I 科学并高度关注健康公平，将更清楚地了解影响预防计划成功的背景因素，最终影响人口健康。
