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'Avoidable mortality' from cervical cancer: exploring the concept.

J Howard

    Social Science & Medicine (1982)
    |January 1, 1987
    PubMed
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    Reducing avoidable cancer mortality requires addressing social factors beyond scientific advancements. Innovative outreach and inreach programs are crucial for screening high-risk populations, particularly for cervical cancer prevention.

    Area of Science:

    • Public Health
    • Cancer Control
    • Health Services Research

    Background:

    • The National Cancer Institute promotes research to reduce avoidable cancer mortality.
    • Defining 'avoidable mortality' is key for effective cancer control strategies.
    • Cervical cancer serves as a case study to explore these concepts.

    Purpose of the Study:

    • To define and explore the concept of avoidable mortality from a cancer control perspective.
    • To examine factors influencing cervical cancer screening and follow-up.
    • To propose strategies for reaching underscreened, high-risk populations.

    Main Methods:

    • Conceptual analysis of 'avoidable mortality' in cancer control.
    • Examination of social constraints and reference standards.

    Related Experiment Videos

  • Discussion of screening program participation, risk status, Pap smear errors, follow-up, and screening intervals.
  • Exploration of outreach and inreach program strategies.
  • Main Results:

    • Voluntary screening participation, risk-screening disparities, diagnostic errors, and inadequate follow-up hinder mortality reduction.
    • Innovative outreach and inreach programs are necessary to engage high-risk, underscreened groups.
    • Reducing cervical cancer mortality is influenced by social priorities and resource allocation, not solely scientific progress.

    Conclusions:

    • Effective cancer control requires addressing social determinants and implementing targeted interventions.
    • Inreach strategies can leverage existing healthcare systems for improved cancer screening.
    • Societal commitment and resource allocation are critical for translating scientific potential into reduced cancer mortality.