肠癌查参与的地理和空间变化,澳大利亚,2015-2020年
Paramita Dasgupta1, Jessica K Cameron1,2, Belinda Goodwin1,3
1Cancer Research Centre, Cancer Council Queensland, Brisbane, Queensland, Australia.
PloS one
|July 20, 2023
概括
澳大利亚的肠癌查参与率很低,特别是在偏远和弱势地区. 解决地理差异可能会显著增加查普及率,改善公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在肠癌查计划中的低参与率是全球关注的问题.
- 了解查普及率的地理差异对于有针对性的干预至关重要.
- 本研究检查了澳大利亚2015-2020年国家肠癌查计划 (NBCSP) 参与的空间模式.
研究的目的:
- 描述澳大利亚肠癌查参与的小区域和广泛的地理模式.
- 通过偏远和区域级的劣势来量化选模式.
- 为了确定查吸收的空间异质性.
主要方法:
- 利用通用线性模型来分析NBCSP的人口级参与数据.
- 采用贝叶斯空间模型来估计2,247个小区域的参与.
- 使用最大化过量事件测试评估空间异质性.
主要成果:
- 在研究期间,总体查参与率平均约为44%.
- 偏远和处于不利地位的地区的参与率始终较低,类别内有显著的差异.
- 观察到强有力的证据表明持续的参与空间差异,随着时间的推移变化最小.
结论:
- 参与的实质性空间差异强调需要考虑区域特征.
- 确定地理差异的驱动因素是实现公平获取和更高的查普及的关键.
- 以地理分析为基础的有针对性的干预措施可以提高NBCSP的有效性.
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