历史红线和当今社会脆弱性与癌症查的关联
Zorays Moazzam1, Selamawit Woldesenbet, Yutaka Endo
1From the Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH.
Journal of the American College of Surgeons
|June 15, 2023
概括
历史上的红线显著降低了乳腺癌,结肠癌和宫癌的癌症查率. 通过政策解决结构性种族主义对于公平获得预防性护理至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症流行病学 癌症流行病学
背景情况:
- 健康人2030年制定了国家癌症查目标.
- 历史上的红线和当前的社会脆弱性可能会影响这些目标.
- 本研究探讨了过去歧视性住房政策与当前癌症查率之间的联系.
研究的目的:
- 评估历史红线和当今社会脆弱性与癌症查目标之间的关联.
- 调查历史红线如何影响乳腺,结肠和宫癌查.
- 了解红线和选之间的关系中介因素.
主要方法:
- 使用CDC PLACES和人口普查区域的社会脆弱性指数数据.
- 分配房屋所有者贷款公司 (HOLC) 给人口普查区分 (A-D) 的等级.
- 雇员混合效应物流回归和调解分析,调整社会脆弱性和获得护理.
主要成果:
- 红线线路 (HOLC等级C和D) 的癌症查目标明显不太可能达到.
- 满足目标的几率比率在红线区域的乳腺癌 (0.76),结肠癌 (0.34) 和子宫癌 (0.21) 中较低.
- 贫困,教育程度和英语水平调解了红线对查的负面影响.
结论:
- 作为结构性种族主义的代理,历史上的红线继续阻碍癌症查.
- 促进边缘化社区平等获得预防性癌症护理的政策是公共卫生优先事项.
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