NDLI: The challenge of cancer in middle-income countries with an ageing population: Mexico as a case study

Content Provider	PubMed Central
Author	Aggarwal, Ajay Karla, Unger-saldaña Lewison, Grant Sullivan, Richard
Copyright Year	2015
Abstract	Mexico is undergoing rapid population ageing as a result of its epidemiological transition. This study explores the interface between this rapid population ageing and the burden of cancer. The number of new cancer cases is expected to increase by nearly 75% by 2030 (107,000 additional cases per annum), with 60% of cases in the elderly (aged ≥ 65). A review of the literature was supplemented by a bibliometric analysis of Mexico’s cancer research output. Cancer incidence projections for selected sites were estimated with Globocan software. Data were obtained from recent national census, surveys, and cancer death registrations. The elderly, especially women and those living in rural areas, face high levels of poverty, have low rates of educational attainment, and many are not covered by health insurance schemes. Out of pocket payments and private health care usage remain high, despite the implementation of Seguro Popular that was designed to achieve financial protection for the lowest income groups. A number of cancers that predominate in elderly persons are not covered by the scheme and individuals face catastrophic expenditure in seeking treatment. There is limited research output in those cancer sites that have a high burden in the elderly Mexican population, especially research that focuses on outcomes. The elderly population in Mexico is vulnerable to the effects of the rising cancer burden and faces challenges in accessing high quality cancer care. Based on our evidence, we recommend that geriatric oncology should be an urgent public policy priority for Mexico.
Related Links	http://dx.doi.org/10.3332/ecancer.2015.536
Starting Page	536
File Format	PDF
ISSN	17546605
e-ISSN	17546605
Journal	ecancermedicalscience
Volume Number	9
Language	English
Publisher	Cancer Intelligence
Publisher Date	2015-05-01
Access Restriction	Open
Rights Holder	Cancer Intelligence
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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