Percorrer por autor "Roxo, Luis"
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- 4P-CAN: Deliverable 2.2 – Paper on countries’ stakeholder profiles for CPPPublication . Roxo, Luis; Carvalho da Silva Santos, Ana João; Girvalaki, Charis; Geantă, Marius; 4P-CAN WP2 study team; Sousa Uva, MafaldaOver the last decades, cancer incidence has been increasing in Europe, being cancer one the leading causes of death. Meaningful differences persist in cancer incidence and mortality between Western and Eastern European countries, highlighting regional differences regarding risk factors (e.g., smoking habits). Cancer Primary Prevention (CPP) aims to tackle these modifiable factors and to decrease individual risk of cancer. Yet, implementing CPP goes beyond the actions of the governments, and involves a complexity of actions from different stakeholders in society. In this study, we use mixed methods to characterize CPP stakeholders of public sector, academia/research, private sector, media and civil society. We also aim to get a deeper understanding on the regional differences in cancer incidence and mortality. Descriptive statistics were performed to analyze survey results - relative frequencies (%) were computed for each variable, and are presented for the total sample and stratified by country group (Western and Eastern). Data from interviews were analyzed by thematic analysis
- Characterizing stakeholders for cancer primary prevention: An exploration of opportunities and challenges using a penta-helix frameworkPublication . Roxo, Luis; 4P-CAN TeamBackgroung: -Cancer remains a major public health concern, being associated with meaningful mortality, disability and economic costs. -Upward trend in the number of new cases of cancer in Europe. -Cancer Primary Prevention is cost-beneficial approach with a large potential of reducing incidence and mortality. - Individual lifestyle actions (e.g., smoking cessation). -○ Regulatory actions (e.g., taxation of beverages) -Other policies at the populational level (e.g., reducing air pollution) - The full potential of cancer primary prevention does not seem to be developed.
- Characterizing stakeholders in cancer primary prevention in European countries: an exploration of challenges and opportunities using a penta-helix frameworkPublication . Roxo, Luis; Carvalho da Silva Santos, Ana João; Girvalaki, Charis; Geantă, Marius; 4P-CAN WP2 study team; Sousa Uva, MafaldaObjectives: Cancer incidence has been increasing in Europe, with stark disparities between Western and Eastern regions. Cancer primary prevention (CPP) is a cost-effective strategy tackling lifestyle and risk factor exposure, but its implementation goes beyond the actions of the governments. This study aims to characterize stakeholders’ role in CPP, using a penta-helix approach, with the objective of shedding a new light in the Iron Curtain of Cancer Cases. Methods: We followed a mixed-methods approach, with quantitative and qualitative data from CPP stakeholders from the public sector, academia/research, private sector, media and civil society. Snowball sampling was used to distribute a survey where participants (n = 110) were asked which sector was the main driver of change, the most proactive and the most influential. Purposive sampling was used for semi-structured interviews (n = 33), where stakeholders were asked about their CPP activities, motivations, barriers and opportunities, and the role of other sectors. Countries were coded as Western or Eastern. Descriptive analysis was used for quantitative data, while thematic analysis was used for qualitative data. Results: The public sector is viewed as the main driver of change, and the most proactive and influential in both Western and Eastern Europe. However, Eastern European countries emphasize the role of other sectors in CPP more strongly. Thematic analysis identified key roles and themes for the public sector (Strategy: “Looking after citizen’s health,” “Making the system work,” “Operational Engagement”), academia/research (Knowledge: “Scientific credibility,” “Diversity of approaches,” “Getting out of the lab,” “Life in academia/research”), private sector (Responsibility: “Profit-oriented,” “Resources and operational activities,” “Ethics and responsibility”), media (Dissemination: “Capacity to reach people,” “Diversity and scope,” “Information and dissemination”) and civil society (Engagement: “Proximity to people,” “Advocacy and voice,” “Do what others do not do”). Although no meaningful differences were identified between Western and Eastern countries, the results highlight opportunities for Eastern countries to reduce regional disparities. Conclusion: Overall, results point to the complementary role of the sectors, emphasizing that involving different stakeholders and promoting adequate collaborations between them is crucial to unravel the full potential of CPP.