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拉丁裔患者结直肠癌筛查的延误:移民医疗保健在遏制全球结直肠癌发病率上升中的作用。

Delays in Colorectal Cancer Screening for Latino Patients: The Role of Immigrant Healthcare in Stemming the Rising Global Incidence of Colorectal Cancer.

作者信息

Montalvan-Sanchez Eleazar E, Beas Renato, Karkash Ahmad, Godoy Ambar, Norwood Dalton Argean, Dougherty Michael

机构信息

Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

Division of Preventive Medicine, University of Alabama at Birmingham, AL 35294, USA.

出版信息

Gastroenterology Res. 2024 Feb;17(1):41-51. doi: 10.14740/gr1697. Epub 2024 Feb 28.

Abstract

The significant global burden of colorectal cancer accentuates disparities in access to preventive healthcare in most low- and middle-income countries (LMICs) as well as large sections of underserved populations within high-income countries. The barriers to colorectal cancer screening in economically transitioning Latin America are multiple. At the same time, immigration from these countries to the USA continues to increase. This case highlights the delays in diagnosis experienced by a recent immigrant from a country with no established colorectal cancer screening program, to an immigrant population in the USA with similar poor screening coverage. We discuss common challenges faced by Latinos in their home countries and the USA, as well as strategies that could be implemented to improve screening coverage in US immigrant populations.

摘要

结直肠癌在全球造成的重大负担凸显了大多数低收入和中等收入国家(LMICs)以及高收入国家中大部分未得到充分医疗服务人群在获得预防性医疗保健方面的差异。经济转型中的拉丁美洲在结直肠癌筛查方面存在多重障碍。与此同时,这些国家向美国的移民持续增加。本病例突出了一名近期从一个没有成熟结直肠癌筛查项目的国家移民到美国、且筛查覆盖率同样很低的移民群体所经历的诊断延迟情况。我们讨论了拉丁裔在其祖国和美国所面临的共同挑战,以及为提高美国移民群体的筛查覆盖率可实施的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a0/10923253/f01aed86ff0c/gr-17-041-g001.jpg

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