癌症预防
精密医学
心理干预
衡平法
癌症
癌症筛查
卫生公平
风险分析(工程)
医学
业务
公共卫生
政治学
病理
护理部
内科学
法学
作者
Eboneé N. Butler,Asad Umar,Brandy M. Heckman-Stoddard,Kathryn Kundrod,Lisa B. Signorello,Philip E. Castle
标识
DOI:10.1016/j.trecan.2022.01.009
摘要
Precision cancer prevention as it is currently envisioned is a targeted, molecular-based approach to intercept carcinogenesis before cancer develops or before it becomes untreatable. Unfortunately, due to systemic biases, current precision cancer prevention interventions might not be effective in all populations, especially in minoritized communities. In addition, not all cancer risk is attributable to genetic or even biological factors, but includes social determinants of health (SDH). Here, we propose a broader framework for precision cancer prevention, anchored in optimizing the benefits to harms for all people. We propose that precision cancer prevention considers not only what is being delivered, but also for whom, where, and how, with a goal of achieving cancer prevention health equity.
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