米国におけるがん死亡率と地域がんセンターの関連に関する生態学的分析
Nataki Duncan1, Chimaraije Amu-Nnadi2, Kelsey B Montgomery3
1Piedmont Macon Medical Center, Macon, GA, United States.
まとめ
都市部にあるがんセンターは 癌による死亡率の減少と関連しています がんセンターがこれらの地域の人口の健康に 与える影響を理解するには さらに研究が必要です
科学分野:
- 公衆衛生
- 癌 研究
- 医療サービス研究
背景:
- がんセンターは 個々の結果を改善しますが 地域への影響は不明です
- この研究は,米国保健サービスエリア (HSA) でのがんセンターの存在とがんによる死亡率との関連を調査しています.
研究 の 目的:
- 地域保健医療市場 (HSA) におけるがんセンターの存在とがんによる死亡率の関係を調べる.
主な方法:
- 地理空間分析は,がんセンターと死亡率を HSA にマッピングしました.
- 多変量空間遅延モデルで,後期的なプレゼンテーション,社会的脆弱性,環境負荷,および農村部に調整されています.
- 結果は95%信頼区間 (CI) を用いた10万人あたりの死亡数として示されています.
主要な成果:
- 940人のHSAの43パーセントが がんセンターを持っています
- がんセンターを持つHSAでは,死亡率が低い (死亡者158人/100,000人) であった.
- 都市部にあるがんセンターの死亡者数は4. 4人減ったが,都市部以外のHSAでは有意な違いはなかった. 末期発症と環境への負担は 高い死亡率と相関しています
結論:
- 大都市保健医療市場におけるがんセンターの存在は,がんによる死亡率のわずかな減少と関連しています.
- 患者ケアやコミュニティの健康促進を含む都市部でのこの効果のメカニズムを調査することが正当化されています.
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