Looking Towards 2030: Strengthening the Environmental Health in Childhood–Adolescent Cancer Survivor Programs
| Autor: | Laura T. Cabrera-Rivera, Brittney Sweetser, José L. Fuster-Soler, Rebeca Ramis, Fernando A. López-Hernández, Antonio Pérez-Martínez, Juan A. Ortega-García |
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| Přispěvatelé: | Federación Española de Padres de Niños con Cáncer, Sociedad Pediatria Sureste (España), Red Internacional de Medio Ambiente, Supervivencia y Cáncer Infantil, Asociación Española Contra el Cáncer, Gobierno de la Región de Murcia (España), NIH - National Institute on Minority Health and Health Disparities (NIMHD) (Estados Unidos), Fogarty International Center |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Pediatric cancer
Adolescent environmental health pediatric cancer spatiotemporal analysis carbon footprint Incidence Health Toxicology and Mutagenesis Public Health Environmental and Occupational Health Carbon footprint Environmental health Cancer Survivors Spatiotemporal analysis Neoplasms Humans Noncommunicable Diseases Child |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 20; Issue 1; Pages: 443 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph20010443 |
| Popis: | Childhood and adolescent cancer survivors (CACS) are a high-risk population for non-communicable diseases and secondary carcinogenesis. The Environmental and Community Health Program for Longitudinal Follow-up of CACS in the region of Murcia, Spain, is an ongoing pioneering program that constitutes a model for social innovation. This study aims to present the program tools and protocol as a whole, as well as a profile of the incidence, survival, and spatiotemporal distribution of childhood cancer in the region of Murcia, Spain, using 822 sample cases of cancer diagnosed in children under 15 years of age (1998-2020). While the crude incidence rate across that entire period was 149.6 per 1 million, there was an increase over that time in the incidence. The areas with a higher standardized incidence ratio have shifted from the northwest (1998-2003) to the southeast (2016-2020) region. Overall, the ten-year survival rate for all tumor types was 80.1% over the entire period, increasing the five-year survival rate from 76.1 (1998-2003) to 85.5 (2014-2018). CACS living in areas with very poor outdoor air quality had lower survival rates. Furthermore, integrating environmental health into clinical practice could improve knowledge of the etiology and prognosis, as well as the outcomes of CACS. Finally, monitoring individual carbon footprints and creating healthier lifestyles, alongside healthier environments for CACS, could promote wellbeing, environmental awareness, and empowerment in order to attain Sustainable Development Goals for non-communicable diseases in this population. This research was supported by the Environment, Survival and Childhood Cancer Project, Spanish Federation of Parents of Children with Cancer (FFIS-CCE-2019-11); Environmental Health Profile for Children Project funded by Sociedad Pediatria Sureste Esp. (FFIS-DF-2022-36); the International Network of Environment, Survival and Childhood Cancer (ENSUCHICA) in Europe and Latin America (FFIS EU17-01-01); Fundación Científica de la AECC (MACAPE-2004); Medio Ambiente Cáncer Pediátrica en la Región De Murcia (MACAPEMUR-2009 ~FFIS/EMER09/15); the Mount Sinai International Exchange Program for Minority Students funded by the National Institute of Minority Health and Health Disparities (T37 MD001452); and the International Training and Research Program in Environmental and Occupational Health funded by the Fogarty International Center, United States (TW00640). The funders had no role in the completion of the research project, the writing of the manuscript for publication, or the decision to publish the results. Sí |
| Databáze: | OpenAIRE |
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