The global burden of women's cancers: a grand challenge in global health

被引:759
作者
Ginsburg, Ophira [1 ,2 ]
Bray, Freddie [3 ]
Coleman, Michel P. [4 ]
Vanderpuye, Verna [5 ]
Eniu, Alexandru [6 ]
Kotha, S. Rani [7 ]
Sarker, Malabika [8 ]
Tran Thanh Huong [9 ,10 ]
Allemani, Claudia [4 ]
Dvaladze, Allison [11 ]
Gralow, Julie [11 ]
Yeates, Karen [12 ]
Taylor, Carolyn [13 ]
Oomman, Nandini
Krishnan, Suneeta [14 ,15 ]
Sullivan, Richard [16 ,17 ,18 ]
Kombe, Dominista [19 ]
Blas, Magaly M. [20 ]
Parham, Groesbeck [21 ,22 ]
Kassami, Natasha [23 ]
Conteh, Lesong [23 ]
机构
[1] Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Womens Coll Res Inst, Toronto, ON, Canada
[2] WHO, Geneva, Switzerland
[3] Int Agcy Res Canc, Canc Surveillance Sect, Lyon, France
[4] London Sch Hyg & Trop Med, Canc Survival Grp, Dept Noncommunicable Dis Epidemiol, London, England
[5] Korlebu Teaching Hosp, Natl Ctr Radiotherapy, Accra, Ghana
[6] Canc Inst Ion Chiricuta, Cluj Napoca, Romania
[7] Univ Toronto, Inst Global Hlth Equ & Innovat, Toronto, ON, Canada
[8] BRAC Univ, James P Grant Sch Publ Hlth, Dhaka, Bangladesh
[9] Hanoi Med Univ, Hanoi, Vietnam
[10] Natl Inst Canc Control, Hanoi, Vietnam
[11] Univ Washington, Fred Hutchinson Canc Res Ctr, Seattle Canc Care Alliance, Seattle, WA 98195 USA
[12] Queens Univ, Off Global Hlth, Fac Hlth Sci, Kingston, ON, Canada
[13] Global Focus Canc, Port Chester, NY USA
[14] Res Triangle Inst Global India Pvt Ltd, New Delhi, India
[15] St Johns Res Inst, Bengarulu, India
[16] Kings Hlth Partners Comprehens Canc Ctr, Inst Canc Policy, London, England
[17] Kings Hlth Partners, Kings Ctr Global Hlth, London, England
[18] Kings Coll London, London, England
[19] Ocean Rd Canc Ctr, Dar Es Salaam, Tanzania
[20] Univ Peruana Cayetano Heredia, Sch Publ Hlth & Adm, Lima, Peru
[21] Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC USA
[22] Univ Zambia, Lusaka, Zambia
[23] Imperial Coll London, Sch Publ Hlth, Hlth Econ Grp, London, England
关键词
BREAST-CANCER; CERVICAL-CANCER; HUMAN-PAPILLOMAVIRUS; SYSTEMATIC ANALYSIS; MATERNAL MORTALITY; INDIGENOUS PEOPLE; AFRICAN-AMERICAN; INCIDENCE RATES; WHITE WOMEN; NEW-ZEALAND;
D O I
10.1016/S0140-6736(16)31392-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Every year, more than 2 million women worldwide are diagnosed with breast or cervical cancer, yet where a woman lives, her socioeconomic status, and agency largely determines whether she will develop one of these cancers and will ultimately survive. In regions with scarce resources, fragile or fragmented health systems, cancer contributes to the cycle of poverty. Proven and cost-effective interventions are available for both these common cancers, yet for so many women access to these is beyond reach. These inequities highlight the urgent need in low-income and middle-income countries for sustainable investments in the entire continuum of cancer control, from prevention to palliative care, and in the development of high-quality population-based cancer registries. In this first paper of the Series on health, equity, and women's cancers, we describe the burden of breast and cervical cancer, with an emphasis on global and regional trends in incidence, mortality, and survival, and the consequences, especially in socioeconomically disadvantaged women in different settings.
引用
收藏
页码:847 / 860
页数:14
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