The Intersection of Tobacco Use, Health Disparities, and Inequalities in Lung Cancer Treatment and Survival

Author:

Shankar Abhishek1,Yau Callum2ORCID,Wallbridge Isaac G.2,Saini Deepak3ORCID,Prasad Chandra Prakash4,Singh Pritanjali5,Kaur Jagdish6ORCID,Roy Shubham7,Sinha Praveen8

Affiliation:

1. Department of Radiation Oncology, All India Institute of Medical Sciences Patna, Patna, Bihar, India

2. Department of Medical Education, University of Sheffield, Sheffield, United Kingdom

3. Materia Medica Department, Lal Bahadur Shastri Homoeopathic Medical College and Hospital, Prayagraj, Uttar Pradesh, India

4. Medical Oncology (Lab), All India Institute of Medical Sciences, Delhi, India

5. Department of Radiotherapy, All India Institute of Medical Sciences Patna, Bihar, India

6. Healthier Populations and Non Communicable Diseases (NCDs) Department, WHO Regional Office for South-East Asia, New Delhi, India

7. Department of Developmental & Behavioral Pediatrics, Sitaram Bhartia Institute of Science & Research, Delhi, India

8. National Professional Officer, Division of Tobacco Control, World Health Organisation India

Abstract

AbstractTobacco use and socioeconomic status are related with each other and important determinants of disparities and inequalities to access to care. There is overall reduction in number of smokers but still most number of smokers is represented by people from low socioeconomic status, with less number of these people having an access to the treatment centers. Patients who are tobacco users have shown to be less likely to receive any form of treatment for lung cancer, whether that be chemotherapy, radiotherapy, or surgery. As there is less awareness about signs and symptoms of lung cancer, lower socioeconomic patients are likely to report to hospitals at advanced stages or many times as a medical emergency. We are well aware that patients with advanced lung cancer have lower chances of survival in view of incomplete response to treatment. As there is an intersection between tobacco use, health disparities, and inequalities and lung cancer treatment and survival, this issue needs better focus and attention to minimize disparities and inequalities in access to care and outcomes.

Publisher

Georg Thieme Verlag KG

Subject

Oncology,Pediatrics, Perinatology and Child Health

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