Lung cancer treatment and patient care are constantly improving, but it remains doubtful whether this applies equally to all socioeconomic groups. It is nowadays well established that there are socioeconomic inequalities regarding lung cancer incidence, screening, effective treatment, overall survival, and prognosis. One of the key contributing factors to low socioeconomic status is low education. Low educational level is correlated with several factors, such as smoking habits, bad lifestyle behaviors, lower paid and unhealthier occupations, polluted neighborhoods, and genetic-familial risk, that lead to increased lung cancer incidence. The disparities regarding lung cancer care are further enhanced by stigma. On this basis and inspired by the gap in health equality among the Greek population, the Greek Society of Lung Cancer initiated a campaign, “MIND THE GAP”, to help increase awareness and minimize the gap associated with lung cancer, both in Greece and across Europe. The aim of this review is to explore the gap of health inequalities regarding lung cancer incidence and prognosis between patients of different SES and its root of causality. Key pivotal actions towards bridging this gap are reviewed as well.
肺癌治疗与患者护理水平持续提升,但不同社会经济群体是否同等受益仍存疑问。目前学界已明确证实,肺癌发病率、筛查普及度、有效治疗率、总体生存率及预后等方面均存在社会经济不平等现象。低教育水平是导致社会经济地位低下的关键因素之一,其与吸烟习惯、不良生活方式、低收入高危职业、污染居住环境及遗传家族风险等多种因素相关,共同推高了肺癌发病率。而社会污名化现象进一步加剧了肺癌医疗资源的分配不均。基于此背景,并受希腊人口健康平等差距的启发,希腊肺癌学会发起"关注差距"倡议活动,旨在提升公众认知,缩小希腊乃至全欧洲与肺癌相关的健康不平等鸿沟。本文综述旨在探究不同社会经济地位患者群体在肺癌发病率与预后方面的健康不平等差距及其根源,并对弥合这一差距的关键举措进行系统性评述。