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低收入和中等收入国家以女性为中心的乳腺癌护理:挑战、解决方案及公平路线图

Women-Centric Breast Cancer Care in Low- and Middle-Income Countries: Challenges, Solutions, and a Roadmap for Equity.

作者信息

Iqbal Jabed

机构信息

Division of Pathology, Singapore General Hospital, Singapore.

出版信息

Cancer Control. 2025 Jan-Dec;32:10732748251378804. doi: 10.1177/10732748251378804. Epub 2025 Sep 16.

Abstract

Breast cancer remains a critical public health challenge in low- and middle-income countries (LMICs), where late-stage diagnoses, limited access to care, and fragmented survivorship support exacerbate disparities in outcomes. This manuscript examines the systemic barriers to delivering women-centric breast cancer care in LMICs, including geographic and socioeconomic inequities, underfunded prevention efforts, and gaps in policy implementation. Building on a proposed roadmap for reform, we advocate for culturally adaptive strategies, community co-creation, and investment in scalable care models. By prioritizing women's unique needs and fostering multisectoral collaboration, LMICs can transform breast cancer care from survival-focused to empowerment-driven, even amid resource constraints.

摘要

乳腺癌在低收入和中等收入国家(LMICs)仍然是一项严峻的公共卫生挑战,在这些国家,晚期诊断、获得医疗服务的机会有限以及支离破碎的生存支持加剧了治疗结果的差异。本手稿探讨了在低收入和中等收入国家提供以女性为中心的乳腺癌护理的系统性障碍,包括地理和社会经济不平等、预防工作资金不足以及政策实施方面的差距。基于一项提议的改革路线图,我们倡导采用文化适应性策略、社区共同创造以及对可扩展护理模式进行投资。通过优先考虑女性的独特需求并促进多部门合作,即使在资源有限的情况下,低收入和中等收入国家也可以将乳腺癌护理从以生存为重点转变为以赋权为驱动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18b2/12441264/f6e793f3c73f/10.1177_10732748251378804-fig1.jpg

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