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A Socio-Ecological Framework for Cancer Control in the Pacific: A Community Case Study of the US Affiliated Pacific Island Jurisdictions 1997a??2017

机译:太平洋地区癌症控制的社会生态框架:1997年至2017年美国附属太平洋岛管辖区的社区案例研究

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The United States Affiliated Pacific Island Jurisdictions (USAPIJ) are politically associated to the United States (US) as US Territories (Guam, American Samoa), a US Commonwealth (Commonwealth of the Northern Mariana Islands), and as sovereign nations linked to the US through Compacts of Free Association [Federated States of Micronesia (FSM), Republic of the Marshall Islands (RMI), Republic of Palau (ROP)]. Cervical cancer incidence in the RMI is the highest in the world, mammography services are not available in the FSM and only Guam has on-island oncology services. Cancer risk factors such as obesity, tobacco, and Hepatitis B are prevalent. Twelve years of nuclear testing in the RMI adds to the cancer burden. A community-based, multi-national coalition with multi-system external partners the Pacific Regional Cancer Control Partnership (PRCP) was developed to address cancer prevention and control in the USAPIJ. Through the PRCP, local cancer coalitions, a regional cancer registry, 12 years of regional cancer control plans, and cancer prevention programs and research has been implemented.
机译:美国隶属的太平洋岛国辖区(USAPIJ)在政治上与美国(US)有联系,分别是美国领土(关岛,美属萨摩亚),美国联邦(北马里亚纳群岛联邦)和与美国有联系的主权国家通过自由联合会协定[密克罗尼西亚联邦(FSM),马绍尔群岛共和国(RMI),帕劳共和国(ROP)]。 RMI的宫颈癌发病率是世界上最高的,FSM无法提供乳房X光检查服务,只有关岛拥有岛上肿瘤学服务。肥胖,烟草和乙型肝炎等癌症风险因素十分普遍。 RMI中的十二年核试验增加了癌症负担。与多系统外部合作伙伴建立了一个基于社区的跨国联盟,即太平洋地区癌症控制合作伙伴(PRCP),以解决USAPIJ中的癌症预防和控制问题。通过PRCP,实施了地方癌症联盟,地区癌症注册机构,12年的地区癌症控制计划以及癌症预防计划和研究。

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