Wilkes G, Freeman H, Prout M
Boston City Hospital, MA.
Semin Oncol Nurs. 1994 May;10(2):79-88. doi: 10.1016/s0749-2081(05)80061-0.
Poverty contributes to an increase in cancer incidence and mortality. The economically disadvantaged have a higher incidence for several cancers and lower survival rates for all cancer sites combined. A number of factors are responsible for the increased mortality and morbidity from cancer among the poor and include lack of employment, lack of education, inadequate housing, lack of access to medical care, chronic malnutrition, and a fatalistic attitude. Successful strategies must be taken to reverse these trends.
贫困导致癌症发病率和死亡率上升。经济上处于不利地位的人群中,多种癌症的发病率较高,所有癌症部位综合起来的生存率较低。贫困人口中癌症死亡率和发病率上升有多种因素,包括缺乏就业、缺乏教育、住房不足、难以获得医疗保健、慢性营养不良以及宿命论态度。必须采取成功的策略来扭转这些趋势。