This study examines the relationship between levels of democracy and the quality of national cancer control Plans (NCCPs) across 40 countries. Using data on cancer policy design and democratic indicators, the analysis found that more democratic systems tend to produce policies that are more comprehensive, equitable, inclusive, and evidence-based. Countries with higher democracy scores showed stronger results in areas such as screening, research, and equity, as well as more transparent policy processes. The findings highlight democracy as a key political determinant of health, suggesting that safeguarding democratic governance is essential for advancing effective cancer control policies and improving health outcomes worldwide.
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