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口腔がんの診断と治療の間の時間の違いを持つ個人の社会的脆弱性の横断的分析:横断的研究,ブラジル,2011-2020
João Victor Alves Alencar1, Davi Peixoto Craveiro Carvalho1, Hebert Garcia Umeno1
1Universidade Federal de Goiás, Faculdade de Medicina, Goiânia, GO, Brazil.
まとめ
ブラジルの口腔がん治療のスケジュールには 社会統計学的プロファイルが大きく影響している. 医療へのアクセスと口腔がん患者の間に合った介入の格差が顕著です.
科学分野:
- 腫瘍学
- 公衆衛生
- 流行病学
背景:
- 口腔がんは 世界的に大きな公衆衛生上の課題です
- 口腔がん患者のアウトカムを改善するには,治療の早期開始が不可欠です.
- 医療へのアクセスの不平等は 癌治療の開始を遅らせます
研究 の 目的:
- ブラジルの口腔がん患者の社会人口学的プロファイルと診断と治療開始の間の時間間の関連性を調査する.
- 口腔がんの治療に遅れがある特定の患者グループを特定する.
主な方法:
- 2011年から2020年までのブラジルの国立がん研究所 (Sis-RHC/INCA) のがん病院登録情報システム (Cancer Hospital Registry Information System) のデータを活用した横断的な研究.
- 社会人口学的プロフィールは,2段階のクラスター分析を用いて決定された.
- マルチノミアルロジスティック回帰を用いて関連性を推定し,オッズ比 (OR) と95%信頼区間 (95%CI) を報告した.
主要な成果:
- この研究では25169人の口腔がん症例を分析し,4つの社会統計学的特徴を特定した.
- 黒人の未亡人女性 (プロファイルD) と比較すると,結婚した白人男性 (プロファイルA) は診断後 ≥91日後に治療を開始する確率は61. 5%低かった.
- 結婚した黒人男性 (プロファイルBとC) も,プロファイルDと比較して治療開始が遅れた確率は著しく低下しました.
結論:
- ブラジルの口腔がんの治療開始までの間に 顕著な社会統計学的特徴が関連している.
- これらの発見は,口腔がんの適切な治療へのアクセスにおいて, 異なる集団の間で存在する格差を強調しています.
- これらの格差を克服することは 治療の成果を向上させ 口腔がんの負担を軽減するために不可欠です
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