[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-356256-105":59,"doc-detail-356256-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","intersectionality-of-cancer-disparities-in-south-asia","Intersectionality of cancer disparities in south Asia","","Member states of the South Asian Association for Regional Cooperation (SAARC) host over 2 billion people and face a disproportionate cancer burden shaped by heterogeneity in risk, access, and outcomes. Disparities are intensified by intersecting identities—gender, caste, religion, language, geography, and sexual or gender minority status—along with delayed diagnosis, rural barriers, structural exclusion, cultural beliefs, and language discordance. Financial toxicity and poverty persist despite emerging insurance schemes, requiring an intersectionality-informed agenda for equitable cancer control.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/intersectionality-of-cancer-disparities-in-south-asia/356256/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/intersectionality-of-cancer-disparities-in-south-asia/356256.png","ImageObject",300,407,{"name":92,"@type":93},"Patrick","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-27","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What factors drive cancer disparities across SAARC countries?","Question",{"text":112,"@type":113},"Cancer disparities are shaped by heterogeneity in risk, access, and outcomes, and are intensified by intersecting identities such as gender, caste, religion, language, geography, and sexual or gender minority status.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How do delays in diagnosis and access differ across populations?",{"text":117,"@type":113},"Women may experience delayed diagnosis due to low HPV vaccination and screening, rural communities face distance and cost barriers, and Dalit, indigenous, and refugee groups experience structural exclusion. Language discordance and cultural beliefs can further impede timely care.",{"name":119,"@type":110,"acceptedAnswer":120},"What approach does the paper propose to address inequities?",{"text":121,"@type":113},"The paper argues for an intersectionality-informed agenda: strengthening registries and national cancer control programmes with disaggregated data, expanding equitable financing and workforce deployment, embedding cultural competence and bias mitigation in clinical training, and prioritising research modelling intersecting risks.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},356256,1790185226,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},549758146520,"https://ap-avatar.wpscdn.com/avatar/80002397d8c0411e94?_k=1775819394049821470","Author Manuscr ipt Author Manuscr ipt Author Manuscr ipt Author Manuscript  \n\n| | HHS Public Access\u003Cbr>Author manuscript\u003Cbr>Lancet Glob Health. Author manuscript; available in PMC 2026 February 01. |\n| --- | --- |\n\nPublished in final edited form as:  \nLancet Glob Health. 2026 February ; 14(2): e272–e280 . doi:10.1016/S2214-109X(25)00444-9 .  \nIntersectionality of cancer disparities in south Asia  \nTara Pattilachan Menon,  \nAju Mathew, Puneeth Iyengar, Bishal Gyawali, CS Pramesh,  \nEdward Christopher Dee  \nVirginia Tech Carilion School of Medicine, Roanoke, VA, USA (T P Menon BS); Department of Hemato Oncology, MOSC Medical College, Kolenchery, Kerala, India (A Mathew MD); Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA (Prof P Iyengar MD PhD, E C Dee MD); Division of Cancer Care and Epidemiology, Cancer Research Institute, Queen’s University, Kingston, ON, Canada (B Gyawali MD PhD); Departments of Oncology and Public Health Sciences, Queen’s University, Kingston, ON, Canada (B Gyawali MD PhD); National Cancer Grid and Department of Surgical Oncology, Tata Memorial Hospital, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India (Prof C S Pramesh MD)  \nAbstract  \nMember states of the South Asian Association for Regional Cooperation (SAARC), home to over  \n2 billion people, carry a disproportionate cancer burden shaped by stark heterogeneity in risk, access, and outcomes. Beyond large proportions of people living in poverty in the context offrail infrastructure, inequities are compounded by intersecting identities, including gender, caste, religion, language, geography, and sexual or gender minority status. Commonly, women face delayed diagnosis amid low human papillomavirus vaccination and screening; rural communities confront distance and cost; Dalit, indigenous, and refugee groups experience structural exclusion;  \nand language discordance and cultural beliefs impede timely care. Financial toxicity is pervasive, pushing households into poverty despite emerging insurance schemes. Drawing on targeted literature from SAARC countries, we argue for an intersectionality-informed agenda: strengthen registries and national cancer control programmes with disaggregated data; expand equitable financing and workforce deployment; embed cultural competence and bias mitigation in clinical  \nThis is an Open Access article under the CC BY-NC-ND 4.0 license.  \nCorrespondence to: Edward Christopher Dee, Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA, [deee1@mskcc.org](deee1@mskcc.org).  \nContributors  \nTPM conceptualised and drafted the original manuscript and edited the manuscript. ECD conceptualised the project and provided critical review and validation. AM, PI, BG, and CSP reviewed and edited the manuscript. All authors contributed to manuscript development, approved the final version for submission, had access to all data and literature sources referenced in this Health Policy, and had final responsibility for the decision to submit for publication.  \nDeclaration of interests  \nWe declare no competing interests.  \nSee Online for appendix  \nAuthor Manuscr ipt Author Manuscr ipt Author Manuscr ipt Author Manuscript  \nMenon et al. Page 2  \ntraining; and prioritise research that models intersecting risks. Implementing context-appropriate strategies will be essential for achieving equitable cancer control across the region.  \nIntroduction  \nWith over 2·04 billion people, south Asia is a region of immense diversity in history, culture, traditions, languages, and religions. The South Asian Association for Regional Cooperation (SAARC) is composed of eight low-income and middle-income countries (LMICs): Afghanistan, Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, and Sri Lanka.1 Although this region accounts for 9·3%(2022 estimates: 1 846 963/19 859 817) of new cancer diagnoses globally, it bears 12%(1 269 675/10 064 733) of total c","cbCaicTMUErd3M5m","https://ap.wps.com/l/cbCaicTMUErd3M5m","pdf",420376,17,"English","# Abstract\n# Introduction\n## Cancer burden across SAARC\n## Intersecting identities and inequities\n## Financial toxicity and poverty\n# Authors and contributions","[{\"question\":\"What factors drive cancer disparities across SAARC countries?\",\"answer\":\"Cancer disparities are shaped by heterogeneity in risk, access, and outcomes, and are intensified by intersecting identities such as gender, caste, religion, language, geography, and sexual or gender minority status.\"},{\"question\":\"How do delays in diagnosis and access differ across populations?\",\"answer\":\"Women may experience delayed diagnosis due to low HPV vaccination and screening, rural communities face distance and cost barriers, and Dalit, indigenous, and refugee groups experience structural exclusion. Language discordance and cultural beliefs can further impede timely care.\"},{\"question\":\"What approach does the paper propose to address inequities?\",\"answer\":\"The paper argues for an intersectionality-informed agenda: strengthening registries and national cancer control programmes with disaggregated data, expanding equitable financing and workforce deployment, embedding cultural competence and bias mitigation in clinical training, and prioritising research modelling intersecting risks.\"}]","Intersectionality of cancer disparities in south Asia | PDF",1790124268,43]