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Cáncer De Mama En México: Una Prioridad Apremiante (Breast Cancer in Mexico: An Urgent Priority)

Knaul FM, Nigenda G, Lozano R, Arreola Ornelas H, Langer A, Frenk J. Cáncer de mama en México: una prioridad apremiante. Salud Pública de México 2009; Vol. 51 suppl 2: S335-S344. (Spanish version, original in English in Repro Health Matters).

10 Pages Posted: 1 May 2012 Last revised: 16 May 2012

Felicia Marie Knaul

Mexican Health Foundation; Harvard Global Equity Initiative

Gustavo Nigenda

Medical University of Sofia

Rafael Lozano

affiliation not provided to SSRN

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C.

Ana Langer

Harvard University - T.H. Chan School of Public Health

Julio Frenk

Bill and Melinda Gates Foundation

Date Written: 2009

Abstract

Breast cancer is a serious threat to the health of women globally and an unrecognized priority in middle-income countries. This paper presents data from Mexico. It shows that breast cancer accounts for more deaths than cervical cancer since 2006. It is the second cause of death among women aged 30 to 54 and affects all socioeconomic groups. Data on detection, although underreported, show 6000 new cases in 1990 and a projected increase to over 16500 per year by 2020. Further, the majority of cases are self-detected and only 10% of all cases are detected in stage I. Mexico´s social security systems cover approximately 40 to 45% of the population and include breast cancer treatments. Since 2007 the rest of the population has had the right to breast cancer treatment through Seguro Popular. Despite these entitlements, services are lacking and interventions for early detection, particularly mammography, are very limited. As of 2006 only 22% of women aged 40 to 69 reported having a mammography in the past year. Barriers exist on both the demand and supply sides. Lobbying, education, awareness building and an articulated policy response will be important to ensure extended coverage, access to and acceptance of both treatment and early detection.

Notes: Downloadable document is in Spanish.

Keywords: Breast cancer, middle-income countries, social security systems

JEL Classification: I18

Suggested Citation

Knaul, Felicia Marie and Nigenda, Gustavo and Lozano, Rafael and Arreola-Ornelas, Héctor and Langer, Ana and Frenk, Julio, Cáncer De Mama En México: Una Prioridad Apremiante (Breast Cancer in Mexico: An Urgent Priority) (2009). Knaul FM, Nigenda G, Lozano R, Arreola Ornelas H, Langer A, Frenk J. Cáncer de mama en México: una prioridad apremiante. Salud Pública de México 2009; Vol. 51 suppl 2: S335-S344. (Spanish version, original in English in Repro Health Matters).. Available at SSRN: https://ssrn.com/abstract=2046757

Felicia Marie Knaul (Contact Author)

Mexican Health Foundation ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
El Arenal Tepepan, Tlalpan
Mexico, D.F., 14610
Mexico
(52) 55 56559011 (Phone)
(52) 55 56559082 (Fax)

HOME PAGE: http://http//www.funsalud.org.mx

Harvard Global Equity Initiative ( email )

FXB Building, Room 632
651 Huntington Avenue
Boston, MA 02115
United States
(617) 4327938 (Phone)

HOME PAGE: http://isites.harvard.edu/icb/icb.do?keyword=k62597&pageid=icb.page268594

Gustavo Nigenda

Medical University of Sofia

Bialo more str. N 8
Sofia, 1527
Bulgaria

Rafael Lozano

affiliation not provided to SSRN ( email )

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Ana Langer

Harvard University - T.H. Chan School of Public Health ( email )

677 Huntington Avenue
Boston, MA 02115
United States

Julio Frenk

Bill and Melinda Gates Foundation ( email )

P.O. Box 23350
Seattle, WA 98102
United States

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