西班牙肺癌死亡率的社会经济不平等:一项全国性研究,使用基于地区的贫困
Daniel Redondo-Sánchez1,2,3, Pablo Fernández-Navarro4,5, Miguel Rodríguez-Barranco6,4,7
1Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, 18012, Spain. daniel.redondo.easp@juntadeandalucia.es.
International journal for equity in health
|August 2, 2023
概括
西班牙的肺癌死亡率显示出显著的社会经济差异. 富裕地区的女性的死亡率高于贫困地区的男性,这凸显了有针对性的公共卫生干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 肺癌是全球和西班牙癌症死亡的主要原因之一.
- 以前关于肺癌死亡率的社会经济不平等的研究往往集中在局部地区.
- 这项研究针对西班牙的肺癌死亡率差异,基于社会经济贫困和性别.
研究的目的:
- 分析西班牙肺癌死亡率.
- 研究肺癌死亡率,性别和社会经济贫困之间的关系.
- 确定肺癌死亡的地理和社会经济模式.
主要方法:
- 2011-2017年西班牙所有注册肺癌死亡病例的分析.
- 利用国家统计局的死亡率数据和西班牙流行病学学会的小区域贫困指数.
- 按性别,贫困五分位数和市政类型计算的原始和年龄标准化率 (ASR-E),绘制死亡率.
主要成果:
- 观察到148425例肺癌死亡,其中男性占80.7%.
- 男性的肺癌死亡率比女性高五倍 (ASR-E比率=5.3).
- 在最贫困地区的妇女的死亡率高 (ASR-E = 22.2) 比在最贫困地区的妇女 (ASR-E = 13.2);男性的死亡率相反 (ASR-E = 99.0在Q5和86.6在Q1).
结论:
- 社会经济地位显著影响肺癌死亡率,男性和女性的模式相反.
- 死亡率在最贫困地区的妇女和最贫困地区的男性中最高.
- 根据社会经济地位对肺癌死亡率的系统监测对于评估公共卫生干预措施以减少癌症不平等至关重要.
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