Participation in cancer prevention programs is suboptimal. Socioeconomic backgrounds play a role in cancer awareness and prevention programs. We conducted a narrative review, summarizing the evidence on the integration of cancer prevention extended to non-occupational risk factors at the workplace. Cancer prevention programs include screenings (colonoscopy, mammography, Pap-test), vaccinations (anti-HPV, anti-HBV), and interventions focused on lifestyle changes. Such strategies may face several barriers related to individual or environmental factors. The workplace is potentially an ideal setting for implementing extended cancer prevention strategies because (i) occupational health surveillance (OHS) targets adults, including hard-to-reach subgroups; (ii) it is structured, with health records and exams for risk assessment; (iii) it offers a key chance to promote cancer awareness and prevention through direct worker–physician interaction. Such an innovative approach requires a coordinated effort to build professional networks and manage high-risk workers. Its successful implementation depends on financial support and the active involvement of physicians, employers, and workers. Occupational-based cancer prevention represents a novel and promising strategy, though its feasibility and cost-effectiveness need to be assessed through large-scale studies.
癌症预防项目的参与度尚不理想。社会经济背景在癌症认知与预防项目中扮演着重要角色。本文通过叙述性综述，系统总结了将癌症预防延伸至工作场所非职业性风险因素的相关证据。癌症预防项目主要包括筛查（结肠镜检查、乳腺X线摄影、宫颈涂片检查）、疫苗接种（抗HPV、抗HBV）以及以生活方式改变为核心的干预措施。此类策略在实施过程中可能面临个体或环境因素造成的多重障碍。工作场所因其以下特点，可能成为实施延伸性癌症预防策略的理想场景：（一）职业健康监护面向成年群体，可覆盖包括难以触达的亚群在内的广泛人群；（二）具备结构化健康档案与风险评估体检体系；（三）通过医患直接互动为提升癌症认知与预防提供关键契机。这种创新模式需要构建专业协作网络并对高风险工作者进行系统管理。其成功实施有赖于资金支持以及医师、雇主和劳动者的共同参与。基于职业场所的癌症预防代表了一种新颖且具有前景的策略，但其可行性与成本效益仍需通过大规模研究进行评估。
Expanding Cancer Prevention: Strategies Integrated into Occupational Health Surveillance
肿瘤(癌症)患者之家