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对拉丁美洲癌症诊断与治疗不平等现象的反思性分析:呼吁公共卫生采取行动

A reflective analysis on the inequities in cancer diagnosis and treatment in Latin America: a call to action for public health.

作者信息

Guerron-Gomez Gabriela, Rojas-Fierro Mariana, Parra-Medina Rafael, Mosquera Andrés, Suarez Marcela Gomez

机构信息

Research Institute, Fundación Universitaria de Ciencias de la Salud - FUCS, Bogotá, Colombia.

出版信息

Int J Equity Health. 2025 Apr 28;24(1):113. doi: 10.1186/s12939-025-02457-8.

Abstract

Cancer continues to be a significant public health challenge in Latin America and the Caribbean (LAC), marked by rising incidence and mortality rates and a projection of increased burden by 2040. Despite the recognized importance of early diagnosis and treatment, the LAC region faces profound disparities in cancer care access due to socioeconomic, geographic, and educational barriers. These inequities are exacerbated by a lack of medical specialists, healthcare access limitations, and the distribution of resources, especially in rural areas. Social determinants of health (SDH) such as income level, educational attainment, and geographic location further contribute to delayed diagnoses and poor treatment outcomes. Addressing these barriers, recent initiatives emphasize strategies like telepathology networks, health education programs, and the establishment of cancer support networks to improve early diagnosis and quality of care. This review explores these SDH-based disparities in cancer care within LAC, examining innovative approaches aimed at reducing health inequities and improving outcomes for underserved populations. Through targeted interventions, the article highlights the critical need for policies promoting equitable access to cancer care as a fundamental public health objective in LAC.

摘要

癌症仍然是拉丁美洲和加勒比地区(LAC)面临的一项重大公共卫生挑战,其特点是发病率和死亡率不断上升,预计到2040年负担将加重。尽管早期诊断和治疗的重要性已得到认可,但由于社会经济、地理和教育障碍,LAC地区在癌症护理可及性方面存在巨大差异。缺乏医学专家、医疗服务可及性受限以及资源分配不均,尤其是在农村地区,加剧了这些不平等。健康的社会决定因素(SDH),如收入水平、教育程度和地理位置,进一步导致诊断延迟和治疗效果不佳。为应对这些障碍,近期的举措强调了远程病理学网络、健康教育项目以及建立癌症支持网络等策略,以改善早期诊断和护理质量。本综述探讨了LAC地区基于SDH的癌症护理差异,研究旨在减少健康不平等并改善弱势群体治疗效果的创新方法。通过有针对性的干预措施,本文强调了制定政策促进公平获得癌症护理的迫切需求,这是LAC地区一项基本的公共卫生目标。

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Science. 2022 Mar 18;375(6586):eaay9040. doi: 10.1126/science.aay9040.
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Addressing health inequalities in Latin America: the role of social protection.解决拉丁美洲的健康不平等问题:社会保护的作用。
Cien Saude Colet. 2020 May;25(5):1587-1598. doi: 10.1590/1413-81232020255.32802019. Epub 2020 May 8.
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The Value Proposition for Pathologists: A Population Health Approach.病理学家的价值主张:一种群体健康方法。
Acad Pathol. 2020 Jan 14;7:2374289519898857. doi: 10.1177/2374289519898857. eCollection 2020 Jan-Dec.

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