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探索巴西州肺癌死亡率的区域差异:一个横截面的生态研究
Vlaudimir Dias Marques1, Miyoko Massago1, Mariana Teixeira da Silva1
1Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil.
PloS one
|June 23, 2023
概括
肺癌死亡率在巴西帕拉纳州呈现出明显的空间模式. 社会经济和医疗保健准入差异与更高的肺癌 (LC) 死亡率有关,特别是在南部地区.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 地理空间分析的研究.
背景情况:
- 肺癌 (LC) 是巴西的主要死亡原因.
- 地理,社会经济和医疗保健接入因素影响了LC的发展.
- 了解LC死亡率的空间差异对于有针对性的干预至关重要.
研究的目的:
- 调查巴西帕拉纳州 (2015-2019) 肺癌死亡率的地理空间分布.
- 确定与LC死亡率相关的社会经济和卫生服务因素.
- 为减少LC死亡差异的公共卫生战略提供信息.
主要方法:
- 使用的死亡率和人口数据 (≥40岁),瘤中心的可访问性,诊断率,烟草生产和市政绩效指数.
- 用于空间分布分析的全球莫兰索引和空间协会的本地指标.
- 应用普通最小平方和地理加权回归来评估LC死亡率和解释变量之间的关联.
主要成果:
- 在肺癌死亡率中观察到显著的空间自相关性.
- 在帕拉纳州南部确定了一个突出的高LC死亡率集群.
- 发现所有分析的独立变量与市级LC死亡率之间存在直接关系.
结论:
- 在帕拉纳州,肺癌死亡率存在显著差异.
- 社会经济不平等和有限的医疗保健机会与较高的LC死亡率有关.
- 这些发现可以指导卫生管理人员将资源集中在脆弱地区,以检测和治疗LC.
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