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亚美尼亚的癌症预防与控制工作:以控烟和移动医疗为重点策略。

Addressing cancer prevention and control in Armenia: tobacco control and mHealth as key strategies.

机构信息

Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington Cancer Center, George Washington University, Washington, DC, USA.

Turpanjian School of Public Health, American University of Armenia, Yerevan, Armenia.

出版信息

Int J Equity Health. 2021 Jan 6;20(1):4. doi: 10.1186/s12939-020-01344-8.

Abstract

This paper focuses on the particular challenges in cancer prevention and control (CPC) in low- and middle-income countries (LMICs). In particular, this paper extrapolates challenges and opportunities in Armenia, which has the 2nd highest rate of cancer-related deaths in the world, the 11th highest smoking prevalence among men globally, and an evolving health system infrastructure for non-communicable disease (NCD) prevention and control, including CPC. Despite significant progress in enhancing research capacity in Armenia over the past decade, additional efforts are needed, particularly in CPC-related research. Key opportunities are to advance tobacco control and utilization of mHealth. Public health training programs remain insufficient in the area of CPC, and in-country research expertise regarding CPC and related areas (e.g., tobacco control, mHealth, policy) is limited, particularly given the need to address the diverse and complex determinants of onset, prevention, and management of cancer. Moreover, critical gaps in research dissemination and knowledge translation from evidence to policy and practice continue to exist. Thus, public health infrastructure must be enhanced, in-country CPC leaders across various relevant disciplines must be further developed and supported, and medical and public health training must more fully integrate CPC and research dissemination and translation to inform policy and practice.

摘要

本文重点关注中低收入国家(LMICs)癌症预防和控制(CPC)中的特殊挑战。具体而言,本文推断了亚美尼亚的挑战和机遇,亚美尼亚是世界上癌症相关死亡率第二高的国家,全球男性吸烟率第 11 高,并且其非传染性疾病(NCD)预防和控制,包括 CPC 的卫生系统基础设施正在不断发展。尽管亚美尼亚在过去十年中在提高研究能力方面取得了重大进展,但仍需要做出更多努力,特别是在与 CPC 相关的研究方面。关键机遇在于推进烟草控制和移动医疗的应用。在 CPC 领域,公共卫生培训计划仍然不足,国内关于 CPC 及相关领域(如烟草控制、移动医疗、政策)的研究专业知识有限,特别是考虑到需要解决癌症发病、预防和管理的多样性和复杂性决定因素。此外,证据转化为政策和实践的研究传播和知识转化方面仍存在重大差距。因此,必须加强公共卫生基础设施,进一步培养和支持各个相关学科的国内 CPC 领导者,并且医疗和公共卫生培训必须更充分地整合 CPC 以及研究传播和转化,以为政策和实践提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bd1/7789615/1afe49d0a555/12939_2020_1344_Fig1_HTML.jpg

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