在低卫生资源环境下消除宫颈癌:从全球视角到中国视角  

Eliminating cervical cancer in low medical resource areas: from a global to a Chinese perspective

作　　者：王慧珂 朱奕潼 丁晗玥 高辰 乔友林[1] WANG Hui Ke;ZHU Yi Tong;DING Han Yue;GAO Chen;QIAO You Lin(Peking Union Medical College,Beijing 100730,China;Tencent Sustainable Social Value,Beijing 100193,China)

机构地区：[1]中国医学科学院北京协和医学院,北京100730 [2]腾讯可持续社会价值事业部,北京100193

出　　处：《中国妇幼卫生杂志》2023年第5期1-7,共7页Chinese Journal of Women and Children Health

基　　金：腾讯公益慈善基金会(TF-20221116-00001-0001);中国医学科学院医学与健康科技创新工程(2021-I2M-1-004)。

摘　　要：宫颈癌是全球性的公共卫生问题,其疾病负担分布间接反映了卫生资源分布的不公平性。世界范围内,194个国家共同承诺于2030年消除宫颈癌,并探索了不同的策略和应对措施。在我国,宫颈癌的防控体系已历经半个多世纪的建设,未来的工作重点将是如何在低卫生资源环境下消除宫颈癌。本文对宫颈癌的流行现状与我国宫颈癌的防控策略探索历程进行简要综述,并探讨了宫颈癌三级防控措施在低卫生资源环境下的应用,以提高基层诊断及管理水平,有效缓解资源有限地区因卫生医疗资源不足而造成的困境,助力我国在2030年前达到消除宫颈癌“90-70-90”的中期目标,最终消除宫颈癌。Cervical cancer poses a global public health challenge,characterized by a pattern of disease burden that underscores disparities in health resource distribution.The pursuit of cervical cancer elimination in 2030 has emerged as a shared commitment among 194 nations,and various stategies have been explored globally.China has developed cervical cancer prevention system over the half century,however,there remains an imperative to eliminate cervical cancer in low medical resource areas.This article provides a succinct overview of cervical cancer epidemiology and preventive strategies in China,with a specific emphasis on tertiary prevention of cervical cancer at resource-constrained areas in order to improve diagnose and management at grass-roots unit,and effectively overcome difficulties caused by limited health resources,thereby contribute to China’s aspirations of achieving the“90-70-90”midterm targets by 2030 and ultimately eliminate ocervical cancer.

关 键 词：消除宫颈癌 低卫生资源地区 人乳头瘤病毒疫苗 宫颈癌筛查 

分 类 号：R737.33[医药卫生—肿瘤]