癌症是一个与全球显著的发病率和死亡率相关联的重大公共卫生问题。癌症根源于基因变异，但社会经济、环境和地理因素影响选定人群亚群的癌症结果。卫生保健传递的不平等影响到从早期预防到临终关怀的癌症管理的方方面面。为解决社会经济弱势人群在卫生保健方面的不平等问题，世界卫生组织定义了社会健康决定因素（SDOH），即人们出生、生活、工作和老化的条件。这些因素在不同人群间的癌症负担中起到重要作用。SDOH与风险因素负担、筛查方式、诊断测试、治疗选择和患癌患者的生活质量的不均衡有关。本文旨在描述对癌症患者采用更全面和综合的方法，并解决由于其社会经济背景而产生的不平等问题。© 2023年。外科肿瘤协会。

Cancer is a major public health issue that is associated with significant morbidity and mortality across the globe. At its root, cancer represents a genetic aberration, but socioeconomic, environmental, and geographic factors contribute to different cancer outcomes for selected population subsets. The disparities in the delivery of healthcare affect all aspects of cancer management from early prevention to end-of-life care. In an effort to address the inequality in the delivery of healthcare among socioeconomically disadvantaged populations, the World Health Organization defined social determinants of health (SDOH) as conditions in which people are born, live, work, and age. These factors play a significant role in the disproportionate cancer burden among different population groups. SDOH are associated with disparities in risk factor burden, screening modalities, diagnostic testing, treatment options, and quality of life of patients with cancer. The purpose of this article is to describe a more holistic and integrated approach to patients with cancer and address the disparities that are derived from their socioeconomic background.© 2023. Society of Surgical Oncology.