Author:
Akinyemiju Tomi,Ogunsina Kemi,Gupta Anjali,Liu Iris,Braithwaite Dejana,Hiatt Robert A.
Abstract
Cancer incidence and mortality rates continue to rise globally, a trend mostly driven by preventable cancers occurring in low-and middle-income countries (LMICs). There is growing concern that many LMICs are ill-equipped to cope with markedly increased burden of cancer due to lack of comprehensive cancer control programs that incorporate primary, secondary, and tertiary prevention strategies. Notably, few countries have allocated budgets to implement such programs. In this review, we utilize a socio-ecological framework to summarize primary (risk reduction), secondary (early detection), and tertiary (treatment and survivorship) strategies to reduce the cancer burden in these countries across the individual, organizational, community, and policy levels. We highlight strategies that center on promoting health behaviors and reducing cancer risk, including diet, tobacco, alcohol, and vaccine uptake, approaches to promote routine cancer screenings, and policies to support comprehensive cancer treatment. Consistent with goals promulgated by the United Nations General Assembly on Noncommunicable Disease Prevention and Control, our review supports the development and implementation of sustainable national comprehensive cancer control plans in partnership with local communities to enhance cultural relevance and adoption, incorporating strategies across the socio-ecological framework. Such a concerted commitment will be necessary to curtail the rising cancer and chronic disease burden in LMICs.
Subject
Public Health, Environmental and Occupational Health
Reference104 articles.
1. Global Cancer Statistics 2020: globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries;Sung;CA Cancer J Clin.,2021
2. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: a systematic analysis for the global burden of disease study;Fitzmaurice;JAMA Oncol.,2019
3. 2011 High Level Meeting on Prevention and Control of Non-Communicable Diseases: United Nations2011
4. Global cancer control: responding to the growing burden, rising costs and inequalities in access;Prager;ESMO Open.,2018
5. A Two-step markov processes approach for parameterization of cancer state-transition models for low- and middle-income countries;Gopalappa;Med Decis Making.,2018
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