癌と経済的健康における人種差の関連:全国的なコホート研究
Joshua N Herb1, Chung-Yuan Hu2, Naveen V Manisundaram3
1Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
まとめ
癌の診断は黒人の経済的苦悩を大きく悪化させ 医療費と治療の順守における 既存の人種差を悪化させます 長期にわたる経済的困難に直面している 黒人の癌の生存者にとって 標的を絞った介入は極めて重要です
科学分野:
- 医療サービス研究
- 健康 の 格差
- 腫瘍学
背景:
- 癌の診断は 経済的幸福に 影響を及ぼします
- 経済的毒性の人種差はよく理解されていません.
- 癌の生存者は多くの場合 莫大な経済的負担に直面します
研究 の 目的:
- 癌歴のある人とない人の 経済的苦悩の人種差を比較する
- がんが人種間の経済的幸福に与える影響を 特徴づける.
- 多様な集団における治療関連の経済的毒性を調査する.
主な方法:
- 国立健康インタビュー調査 (2010年−2018年) を用いた遡及コホート研究.
- 医療費の心配など 経済的困難の指標の分析
- 多変数ロジスティック回帰は,人種とがん歴の相互作用条件で
主要な成果:
- 癌を生き延びた人は 経済的困難が 多いと報告しています
- 黒人の癌の生存者は 癌のない黒人と癌のない白人と比べると 経済的苦悩が著しくひどかったのです
- 癌の診断は 薬の服用,医療費の支払,医療費の支払に 黒人と白人の格差を大きくしました
結論:
- 癌の診断は 医療費の不平等を悪化させます
- 黒人がんの生存者の長期的経済的困難を軽減するために,政策とシステムレベルの介入が必要である.
- 経済的有毒性に対処することは 公平ながん治療の成果に不可欠です
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