Although cancer mortality rates declined in the United States in recent decades, some populations experienced little benefit from advances in cancer prevention, early detection, treatment, and survivorship care. In fact, some cancer disparities between populations of low and high socioeconomic status widened during this period. Many potentially preventable cancer deaths continue to occur, and disadvantaged populations bear a disproportionate burden. Reducing the burden of cancer and eliminating cancer‐related disparities will require more focused and coordinated action across multiple sectors and in partnership with communities. This article, part of the American Cancer Society's Cancer Control Blueprint series, introduces a framework for understanding and addressing social determinants to advance cancer health equity and presents actionable recommendations for practice, research, and policy. The article aims to accelerate progress toward eliminating disparities in cancer and achieving health equity.

中文翻译：

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了解和解决社会决定因素以促进美国癌症健康公平：实践、研究和政策蓝图

尽管近几十年来美国的癌症死亡率有所下降，但一些人群从癌症预防、早期检测、治疗和生存护理方面的进步中获益甚微。事实上，在此期间，社会经济地位低下和社会经济地位高的人群之间的一些癌症差异扩大了。许多可能可预防的癌症死亡继续发生，弱势群体承受着不成比例的负担。减少癌症负担和消除与癌症相关的差异将需要跨多个部门并与社区合作采取更有针对性和协调性的行动。这篇文章是美国癌症协会癌症控制蓝图系列的一部分，介绍了一个理解和解决社会决定因素以促进癌症健康公平的框架，并为实践、研究和政策提出了可操作的建议。本文旨在加快消除癌症差异和实现健康公平的进展。