国家公共援助支出和癌症成年人的生存率
Justin M Barnes1, Kenton J Johnston2, Kimberly J Johnson3
1Department of Radiation Oncology, Washington University School of Medicine, St Louis, Missouri.
JAMA network open
|September 5, 2023
概括
增加的州公共援助支出,包括医疗补助,与更好的癌症存活率有关,特别是在黑人和白人个体. 这凸显了健康的社会决定因素在癌症护理中的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 癌症流行病学 癌症流行病学
背景情况:
- 健康的社会决定因素显著影响癌症的结果差异.
- 国家公共援助计划可以提高照顾的机会,并减轻边缘化群体的食物和住房不安全等障碍.
研究的目的:
- 研究国家级公共援助支出与癌症患者的整体存活率 (OS) 之间的关联.
- 分析这一关联的整体性,并按种族和种族分层.
主要方法:
- 一项使用美国监测,流行病学和最终结果 (SEER) 数据从2007年至2013年的队列研究,随访到2019年.
- 包括2,035,977名新诊断癌症的成年人,分析差异性的国家公共援助支出作为暴露.
- 主要结果是6年生存期,调整以人口统计学,社会经济学和癌症特异性因素为准.
主要成果:
- 较高的州公共援助支出与6年后的社会保障增加 (0.09%每100美元/人) 显著相关.
- 这种关联在非西班牙裔黑人 (0.29%) 和非西班牙裔白人 (0.12%) 个人中尤为明显.
- 敏感性分析表明,非医疗补助支出与非西班牙裔黑人个人中改善的3年生存率有关.
结论:
- 国家公共援助支出,包括现金援助和医疗补助,与改善癌症患者生存率相关.
- 投资公共援助计划是解决健康的社会决定因素和提高癌症结果的潜在策略.
- 进一步研究公共援助在癌症幸存者的作用是有必要的.
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