退伍军人肺癌查中的种族差异,2013年至2021年
Neelima Navuluri1,2,3, Samantha Morrison4, Cynthia L Green4
1Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
JAMA network open
|June 16, 2023
概括
黑人退伍军人完成肺癌查的几率比白人退伍军人低34%,即使考虑到其他因素. 一个关键的问题是在转介后与LCS计划连接.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 肺癌查 (LCS) 的种族差异往往归因于进入障碍.
- 退伍军人事务 (VA) 系统尽量减少这些障碍,促使对系统内的差异进行调查.
研究的目的:
- 确定在达勒姆VA医疗保健系统 (DVAHCS) 中是否存在LCS完成的种族差异.
- 确定与退伍军人中查完成相关的因素,这些退伍军人被称为LCS.
主要方法:
- 在2013年至2021年期间,在DVAHCS进行LCS的退伍军人交叉截面研究.
- 分析包括自我报告的种族 (黑人与白人) 和人口/社会经济因素.
- 后勤回归模型评估了与查完成的关联 (定义为计算机断层扫描).
主要成果:
- 在4562名转介的退伍军人中,37.1%完成了LCS.
- 与白人退伍军人 (41.3%) 相比,黑人退伍军人 (30.5%) 的查完成率较低.
- 在对共变量进行调整后,黑人退伍军人完成LCS的几率降低了34%.
结论:
- 在VA系统中,在LCS完成方面存在种族差异.
- 在转介后无法与LCS程序连接是一个关键障碍.
- 这些发现可以为改善黑人退伍军人中LCS率的干预措施提供信息.
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