Publications by authors named "N A Palafox"
Cancer prevention and control in the USAPI: Participatory development and partnership - the voyage.
Cancer Control (Woodbridge)
January 2024
Charting a course to achieve cancer prevention and control in several sovereign Pacific Island nations and US Pacific Island Territories has been a challenging and dynamic process. Partners and stakeholders from these communities have developed the infrastructure to achieve cancer control in the region. This narrative is about the Pacific Cancer Control voyagers in the region, who they are, where they hope to go, and the voyaging canoe on which they journey.
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- The World Health Organization aims to eliminate cervical cancer as a public health issue, but the US-Affiliated Pacific Islands currently lack accurate incidence data necessary for monitoring progress.
- This study calculates age-standardized incidence rates of cervical cancer in the USAPI (including territories and freely associated states) from data collected between 2007 and 2020.
- Findings indicate that from 2007 to 2020, 409 cases were diagnosed in the USAPI, with age-standardized incidence rates between 21.7 and 22.1 cases per 100,000 women, highlighting the need for focused cancer control strategies in the region.
Article Synopsis
- - Breast cancer is the most common cancer among women worldwide, but its occurrence in the US-Affiliated Pacific Islands (USAPI) is not well understood.
- - From 2007-2020, there were 1,118 breast cancer cases in the USAPI, with most cases (66.3%) occurring in Guam; the incidence rates were lower in USAPI compared to the US, but the rates of late-stage diagnoses were significantly higher.
- - The findings suggest that low breast cancer incidence rates alongside higher late-stage diagnoses in the USAPI indicate potential issues with access to screening and healthcare, highlighting the need for improved cancer services in the region.
The U.S.-affiliated Pacific Islands (USAPI) have higher cervical cancer incidence and mortality rates and lower screening coverage compared with the United States.
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