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Source: Estimates based on data from Globocan 2012 & IHME, 2015
Mortality rank: breast and cervical cancer
Women 15 to 49, countries by income level
1 Breast cancer
HIV / AIDS other
Jamaica
12 3 Cervical cancer
Diabetes
Breast
10 5 Hemorrhagic
stroke Cervical
Number of cause of death
8
in the age group
Low
Upper-middle income High income
income
The cancer transition: by income, region:
breast and cervical cancer 1980-2010
200
% Change in incidence
-14 -14
Caribbean High income
5
0
inequality gap
4
Haiti
0
Survival
USA+Cda
Guyana
Jamaica
2
0 Bahamas
Cervical
Breast
0
Low Lower Upper High
Income Middle Middle Income
33%
Age at
66% 62%
15-39
40-54
>55
Age at
Death
34%
67% 61%
Fuente: Estimaciones de los autores basadas en IARC, Globocan 2012
Global trends:
breast cancer mortality
30
USA
Age-adjusted mortality rate
Canad
Australi
a
Mexico
0
1975 1980 1985 1990 1995 2000 2005 2010 2014 2025
?
Source: Data extracted from CI5plus.
Detection + Treatment = survivorship
(Source: American Cancer Society)
0-1 98%
2-3 84%
4 27%
Every Mexican
I II
50% III IV
High %
Stage IV
Po
o r 0%
Marginalized High Access
Juanita:
Advanced metastatic breast cancer
as a result of stigma, misinformation
and a series of missed opportunities
and barriers to access
Low quality primary care services
One in every two women diagnosed with breast
cancer reported problems with medical attention in
the diagnostic process
Did not receive breast clinical examination or
information in their routine annual exam & pap test
Doctor did not value the importance of signs and
symptoms manifested by the woman, and sent her
home without a diagnosis
Both primary care providers and specialists
recognized the lack of sensitivity of health care
providers to the needs and voice of womens
RESULTS FROM A NATIONAL QUALITATIVE STUDY
Nigenda et al.
Engage and Train primary care promoters, nurses
and doctors in early detection of breast cancer
> 16,000
Health Promoters
8 Risk Score (0-10) Significant increase in knowledge,
7 *
among health promoters,
6
especially
5
in clinical breast examination
4
(Keating, Knaul et al 2014, The Oncologist)
3 3-6 month
Pre Post
Why dont young women with breast
cancer seek treatment earlier in Mexico?
(Hubbling, Knaul, forthcoming)
CHILDREN WORK:
no tena alguien con : No
quien dejar a mis es cualquier trabajo que le da uno perm
hijos.
MENT:
When I got cancer, I had my partner,
MISINFORMATIO
atenderlo de que me falta a mi.
ARGENTINA 3
BRASIL 3
COSTA RICA 3
COLOMBIA 2
10 ECUADOR
EL SALVADOR
1
1
countrie MXICO 4
s PER
URUGUAY
2
1
VENEZUELA 2
TOTAL 22
PRESIDENCIA