Challenges to effective cancer control in China, India, and Russia

Cancer is one of the major non-communicable diseases posing a threat to world health. Unfortunately, improvements in socioeconomic conditions are usually associated with increased cancer incidence. In this Commission, we focus on China, India, and Russia, which share rapidly rising cancer incidence...

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Published in:The lancet oncology Vol. 15; no. 5; pp. 489 - 538
Main Authors: Goss, Paul E, Strasser-Weippl, Kathrin, Lee-Bychkovsky, Brittany L, Fan, Lei, Li, Junjie, Chavarri-Guerra, Yanin, Liedke, Pedro E R, Pramesh, C S, Badovinac-Crnjevic, Tanja, Sheikine, Yuri, Chen, Zhu, Qiao, You-lin, Shao, Zhiming, Wu, Yi-Long, Fan, Daiming, Chow, Louis W C, Wang, Jun, Zhang, Qiong, Yu, Shiying, Shen, Gordon, He, Jie, Purushotham, Arnie, Sullivan, Richard, Badwe, Rajendra, Banavali, Shripad D, Nair, Reena, Kumar, Lalit, Parikh, Purvish, Subramanian, Somasundarum, Chaturvedi, Pankaj, Iyer, Subramania, Shastri, Surendra Srinivas, Digumarti, Raghunadhrao, Soto-Perez-de-Celis, Enrique, Adilbay, Dauren, Semiglazov, Vladimir, Orlov, Sergey, Kaidarova, Dilyara, Tsimafeyeu, Ilya, Tatishchev, Sergei, Danishevskiy, Kirill D, Hurlbert, Marc, Vail, Caroline, St Louis, Jessica, Chan, Arlene
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.04.2014
Elsevier Limited
Subjects:
Age
Aged
Aged, 80 and over
Alcoholism - epidemiology
Breast Neoplasms - diagnosis
Cancer
Cardiovascular disease
China
Clinical trials
Colorectal Neoplasms - diagnosis
Cultural Characteristics
Early Detection of Cancer - trends
Economic Development - trends
Economic growth
Environmental Pollution - adverse effects
Ethnic Groups
Female
GDP
Gross Domestic Product
Health Manpower - trends
Health Services - economics
Health Services Accessibility - trends
Healthcare Disparities - trends
Hematology, Oncology and Palliative Medicine
Humans
India
Male
Medicine, Chinese Traditional
Middle Aged
Mortality
Neoplasms - prevention & control
Neoplasms - therapy
Population
Rural Health Services - trends
Russia - epidemiology
Sexism
Smoking
Social Stigma
Socioeconomic factors
Urban Health Services - trends
Urbanization
China
India
Russia
United Kingdom > UK
ISSN:1470-2045, 1474-5488, 1474-5488
Online Access:Get full text
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Summary:Cancer is one of the major non-communicable diseases posing a threat to world health. Unfortunately, improvements in socioeconomic conditions are usually associated with increased cancer incidence. In this Commission, we focus on China, India, and Russia, which share rapidly rising cancer incidence and have cancer mortality rates that are nearly twice as high as in the UK or the USA, vast geographies, growing economies, ageing populations, increasingly westernised lifestyles, relatively disenfranchised subpopulations, serious contamination of the environment, and uncontrolled cancer-causing communicable infections. We describe the overall state of health and cancer control in each country and additional specific issues for consideration: for China, access to care, contamination of the environment, and cancer fatalism and traditional medicine; for India, affordability of care, provision of adequate health personnel, and sociocultural barriers to cancer control; and for Russia, monitoring of the burden of cancer, societal attitudes towards cancer prevention, effects of inequitable treatment and access to medicine, and a need for improved international engagement.
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ISSN:1470-2045
1474-5488
1474-5488
DOI:10.1016/S1470-2045(14)70029-4