A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries
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 c...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.884678/full |
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| author | Tomi Akinyemiju Tomi Akinyemiju Kemi Ogunsina Anjali Gupta Iris Liu Dejana Braithwaite Dejana Braithwaite Robert A. Hiatt Robert A. Hiatt |
| author_facet | Tomi Akinyemiju Tomi Akinyemiju Kemi Ogunsina Anjali Gupta Iris Liu Dejana Braithwaite Dejana Braithwaite Robert A. Hiatt Robert A. Hiatt |
| author_sort | Tomi Akinyemiju |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T11:07:39Z |
| format | Article |
| id | doaj.art-d3f28706c1f84c3190093295c457d0ea |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-12T11:07:39Z |
| publishDate | 2022-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d3f28706c1f84c3190093295c457d0ea2022-12-22T00:26:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-05-011010.3389/fpubh.2022.884678884678A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income CountriesTomi Akinyemiju0Tomi Akinyemiju1Kemi Ogunsina2Anjali Gupta3Iris Liu4Dejana Braithwaite5Dejana Braithwaite6Robert A. Hiatt7Robert A. Hiatt8Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United StatesDuke Cancer Institute, Durham, NC, United StatesDepartment of Public Health Sciences, University of Miller School of Medicine, Miami, FL, United StatesDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, United StatesDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, United StatesDepartment of Epidemiology, University of Florida, Gainesville, FL, United StatesUniversity of Florida Cancer Center, Gainesville, FL, United StatesDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United StatesUCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, United StatesCancer 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.https://www.frontiersin.org/articles/10.3389/fpubh.2022.884678/fullcancer preventionLMIClow-income countriesmiddle income countriessocio-ecological framework |
| spellingShingle | Tomi Akinyemiju Tomi Akinyemiju Kemi Ogunsina Anjali Gupta Iris Liu Dejana Braithwaite Dejana Braithwaite Robert A. Hiatt Robert A. Hiatt A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries Frontiers in Public Health cancer prevention LMIC low-income countries middle income countries socio-ecological framework |
| title | A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries |
| title_full | A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries |
| title_fullStr | A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries |
| title_full_unstemmed | A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries |
| title_short | A Socio-Ecological Framework for Cancer Prevention in Low and Middle-Income Countries |
| title_sort | socio ecological framework for cancer prevention in low and middle income countries |
| topic | cancer prevention LMIC low-income countries middle income countries socio-ecological framework |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.884678/full |
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