癌症死亡率的城市和农村差异:农村的运作化
Elizabeth S Davis1, Jeffrey A Franks2, Smita Bhatia3,4
1Department of Surgery, Boston University/Boston Medical Center, Boston, Massachusetts.
概括
数据驱动的农村定义显示,城市和农村癌症死亡率差距较小. 持续的农村化措施更好地捕捉了癌症死亡风险,强调了在研究和政策中需要细微的方法.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 农村健康差异 农村健康差异
背景情况:
- 在癌症死亡率方面,城乡差异显著.
- 现有的农村定义可能会影响观察到的差异.
- 准确的农村分类对于公共卫生干预至关重要.
研究的目的:
- 用各种农村定义来比较城市和农村癌症死亡率的差异.
- 评估已确定的与数据驱动的农村地区切割点的影响.
- 为了评估整个农村连续性的癌症死亡风险.
主要方法:
- 利用了监测,流行病学和最终结果 (SEER) 数据 (2000-2016).
- 在多个队伍中分析了成人查相关的癌症事件.
- 定义城市-农村状态,使用既定的代码,数据驱动的切割点和持续的措施.
主要成果:
- 数据驱动的切割点将更多的个人归类为农村,减少估计的城乡死亡率差异 (7%-14%).
- 随着持续的农村化措施 (4%-67%),癌症死亡风险增加.
- 不同的农村定义给出了不同的城乡差异估计.
结论:
- 农村地区的二元切割点引入死亡率差异估计的变化.
- 持续的农村化措施提供了对癌症死亡风险的更细致的理解.
- 调查结果支持在未来的研究和政策中使用持续的农村化措施.
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