原住民和土著人士与癌症
Although cancer survival has improved markedly in developed countries in recent decades, not all groups have benefited equally. In particular, Indigenous and Tribal peoples continue to have poorer cancer outcomes than their non-Indigenous counterparts. The available evidence suggests these disparities are linked to a complex combination of factors, including higher incidence of cancers associated with a high case fatality, later stage of diagnosis, reduced access to cancer treatment, and poorer overall health. Much research is underway to explore approaches to improving health system responses for Indigenous and Tribal peoples. A developing evidence base is supporting effective translation of knowledge into practice. This book offers a global perspective on this evidence base, written from Indigenous perspectives. This book is the first comprehensive publication to report on cancer incidence, mortality, prevalence, survival, and inequities for Indigenous and Tribal peoples globally, with the aim of enhancing global efforts to improve outcomes for these populations. Its content and approach are led by Indigenous researchers with international reputations in health and cancer research. Chapters provide important information and data to support Indigenous-specific, targeted cancer awareness and early detection campaigns. This book goes beyond a discussion of the issues and challenges in Indigenous health, with a strengths-based approach to discussing successful health interventions, research projects, research translation, and living well – both with and beyond cancer.
虽然最近几十年发达国家的癌症生存率显著提高,但并非所有群体都受益均衡。特别是土著和部落人群的癌症结果仍然比非土著对照组更差。现有证据表明,这些差异与一系列复杂因素有关,包括那些高致死率癌症的发病率更高、诊断时分期更晚以及治疗可及性较差以及整体健康状况更差。很多研究正在进行中以探索改善针对土著和部落人群的卫生系统应对措施的方法。正在建立的一个发展中的证据基础支持知识向实践的有效转化。本书从土著视角提供了一个全球证据基拙的整体视角,撰写此书。 本书是首个发布关于全球土著和部落人群癌症发病率、死亡率、流行病学、生存率和不平等情况的全面出版物,旨在增强对这些群体改善结果的努力。其内容和方法由在健康和癌症研究中享有国际声誉的土著研究人员领导。章节提供了重要信息和支持针对特定目的的土著癌症意识和早期发现运动的数据。本书不仅讨论了土著健康方面的问题与挑战,还采取以优势为基础的方法来讨论成功的卫生干预措施、研究项目、研究成果转换以及在癌症之外生活的良好方式。
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