|
1
|
Figueiredo Lebre Martins BN, Dos Santos ES, Fonseca FP, William WN, Bueno de Oliveira T, Marta GN, Freitas Chaves AL, Prado-Ribeiro AC, Ayo-Yusuf O, Curado MP, Saes AM, Kowalski LP, Santos-Silva AR. The impact of colonialism on head and neck cancer in Brazil: a historical essay focussing on tobacco, alcohol and slavery. Lancet Reg Health Am 2024; 31:100690. [PMID: 38370581 PMCID: PMC10873724 DOI: 10.1016/j.lana.2024.100690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 12/28/2023] [Accepted: 01/22/2024] [Indexed: 02/20/2024]
Abstract
Colonialism's enduring impact on Brazil has had significant implications for health and oncology outcomes. This historical essay delves into the profound changes brought about by the transatlantic slave trade from Africa to the Americas, particularly in terms of its influence on the economy, sociocultural habits, and health outcomes. This essay explores the enduring connections between the colonial period's operational dynamics in Brazil and the current epidemiological panorama of head and neck cancer (HNC). The examination provides original insights on the role of tobacco and alcohol production and consumption, alongside the investigation of structural racism, which contributes to disparities in access to diagnosis, treatment, and prognosis for patients with HNC. This article presents novel visions and an analysis of evidence-based strategies to disrupt the adverse impact of colonialism's legacy on the epidemiology of HNC in Brazil.
Collapse
Affiliation(s)
| | - Erison Santana Dos Santos
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Felipe Paiva Fonseca
- Federal University of Minas Gerais, Department of Dental Clinic, Pathology and Surgery, Belo Horizonte, Brazil
| | - William Nassib William
- Grupo Oncoclínicas, São Paulo, Brazil
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
| | | | - Gustavo Nader Marta
- Department of Radiation Oncology, Hospital Sírio-Libanês São Paulo, São Paulo, Brazil
| | - Aline Lauda Freitas Chaves
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
- DOM Oncology Group, Divinópolis, Minas Gerais, Brazil
| | - Ana Carolina Prado-Ribeiro
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- São Paulo State Cancer Institute (ICESP-FMUSP), Dental Oncology Service, Brazil
- Serviço de Medicina Oral, Hospital Sírio-Libanês, São Paulo, Brazil
| | - Olalekan Ayo-Yusuf
- Africa Centre for Tobacco Industry Monitoring and Policy Research, School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
| | | | | | - Luiz Paulo Kowalski
- Department of Head and Neck Surgery and Otolaryngology, A C Camargo Cancer Center, São Paulo, Brazil
- Department of Head and Neck Surgery, University of São Paulo, Brazil
| | - Alan Roger Santos-Silva
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | - Latin American Cooperative Oncology Group
- University of Campinas (UNICAMP), Oral Diagnosis Department, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
- Federal University of Minas Gerais, Department of Dental Clinic, Pathology and Surgery, Belo Horizonte, Brazil
- Grupo Oncoclínicas, São Paulo, Brazil
- Latin American Cooperative Oncology Group, Brazilian Group of Head and Neck Cancer, Brazil
- Medical Oncology Department, AC Camargo Cancer Center, São Paulo, SP, Brazil
- Department of Radiation Oncology, Hospital Sírio-Libanês São Paulo, São Paulo, Brazil
- DOM Oncology Group, Divinópolis, Minas Gerais, Brazil
- São Paulo State Cancer Institute (ICESP-FMUSP), Dental Oncology Service, Brazil
- Serviço de Medicina Oral, Hospital Sírio-Libanês, São Paulo, Brazil
- Africa Centre for Tobacco Industry Monitoring and Policy Research, School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa
- Epidemiology AC Camargo Cancer Center, São Paulo, SP, Brazil
- Professor of Economic History, Department of Economics, University of São Paulo, Brazil
- Department of Head and Neck Surgery and Otolaryngology, A C Camargo Cancer Center, São Paulo, Brazil
- Department of Head and Neck Surgery, University of São Paulo, Brazil
| |
Collapse
|