癌症初级预防:在种族和种族少数群体中减少行为风险因素的多层次方法
Sherri Sheinfeld Gorin1, Kelly Hirko2
1From the Department of Family Medicine, The School of Medicine, and the School of Public Health, The University of Michigan, Ann Arbor, MI.
Cancer journal (Sudbury, Mass.)
|November 14, 2023
概括
多层次干预可以通过解决吸烟和饮食等行为风险来减少少数群体癌症差异. 这种方法针对政策,社区,医疗保健和个人层面进行有效的初级预防.
科学领域:
- 公共卫生 公共卫生
- 预防癌症 预防癌症
- 健康差异 在健康上的差异
背景情况:
- 癌症是美国的主要死亡原因.
- 种族和民族少数群体面临着巨大的癌症预防差异.
- 行为风险因素有助于这些差异.
研究的目的:
- 审查美国少数群体中初级癌症预防的证据.
- 突出可修改的行为风险因素.
- 探索多层次的干预策略.
主要方法:
- 关于原发性癌症预防证据的文献综述.
- 专注于行为风险因素:烟草,肥胖,饮食,酒精,阳光照射,HPV疫苗接种.
- 审查政策,社区,医疗保健,临床,家庭和个人层面的干预措施.
主要成果:
- 有证据支持对风险因素修改进行多层次干预.
- 政策层面的干预措施包括烟草税.
- 社区,医疗保健和个人战略涉及饮食,体育活动,HPV疫苗接种和防晒.
结论:
- 多层次干预措施对少数群体的初级癌症预防是有效的.
- 在各个层面解决行为风险可以减少癌症负担.
- 有针对性的战略对于减轻健康差距至关重要.
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