Ayenigbara Israel Oluwasegun
School and Community Health Education Unit, Department of Health Education, University of Ibadan, Ibadan, Nigeria.
Korean J Fam Med. 2023 Mar;44(2):76-86. doi: 10.4082/kjfm.22.0167. Epub 2023 Mar 20.
Cancer, or malignancy, continues to be one of the most serious health problems in the world, leading to death and disability. Unlike in previous years, where new cases of cancer were predominant in developed nations, the number of cases of cancer and the resultant deaths are increasing in low- and middle-income countries. This is partially attributable to the current trend of adopting a Western lifestyle, substantial urbanization, and the rise in infections, such as the human papillomavirus (HPV) and hepatitis B virus (HBV), which together account for over 30% of cancer cases in underdeveloped and developing nations. The deleterious impact of cancer, as cases multiply worldwide, is multi-dimensional. Cancer exerts serious physical, psychological, and monetary burdens, not only on cancer patients but also on their family members, close friends, health care systems, and society at large. Importantly, over half of all cancer types can be prevented globally by mitigating the risk and causative factors as well as prompt adherence to scientifically recommended prevention measures. This review provides various scientifically based and people-centered strategies that every individual could adopt to reduce their risk of developing cancer in the future. It is recommended that, for these cancer prevention strategies to be effective, there should be a strong political will from the governments of individual countries to enact specific laws and implement policies that will significantly reduce sedentary lifestyles and unhealthy eating among the general public. Likewise, HPV and HBV vaccines, as well as cancer screenings, should be made available, affordable, and accessible on a timely basis for those who are eligible to take them. Finally, intensified campaigns and numerous informative and educational programs that promote cancer prevention should be initiated globally.
癌症,即恶性肿瘤,仍然是世界上最严重的健康问题之一,会导致死亡和残疾。与前些年不同,以往癌症新发病例在发达国家占主导地位,而如今低收入和中等收入国家的癌症病例数及由此导致的死亡人数正在增加。这部分归因于当前采用西方生活方式的趋势、大规模城市化以及感染率上升,如人乳头瘤病毒(HPV)和乙型肝炎病毒(HBV),在不发达国家和发展中国家,这些感染因素导致的癌症病例占比超过30%。随着全球癌症病例不断增加,癌症的有害影响是多方面的。癌症不仅给癌症患者及其家庭成员、亲密朋友、医疗保健系统以及整个社会带来严重的身体、心理和经济负担。重要的是,全球超过一半的癌症类型可以通过降低风险和致病因素以及及时遵循科学推荐的预防措施来预防。本综述提供了各种基于科学且以人为本的策略,每个人都可以采用这些策略来降低未来患癌风险。建议为使这些癌症预防策略有效,各个国家的政府应具有强烈的政治意愿,制定具体法律并实施政策,以显著减少普通民众的久坐生活方式和不健康饮食。同样,应及时为符合条件的人群提供HPV和HBV疫苗以及癌症筛查服务,使其价格可承受且易于获得。最后,应在全球范围内开展强化宣传活动以及众多促进癌症预防的信息和教育项目。