解决空间准入到肺癌查的不平等问题
Jonathan Simkin1, Edwin Khoo2, Maryam Darvishian2
1BC Cancer, Provincial Health Services Authority, Vancouver, BC V5Z 4C2, Canada.
Current oncology (Toronto, Ont.)
|September 27, 2023
概括
公平的肺癌查获取受到旅行时间的挑战,特别是农村人口. 社会经济因素显著增加了旅行负担,突出了需要有针对性的支持,以确保公平.
科学领域:
- 公共卫生 公共卫生
- 地理空间分析的研究.
- 健康 公平 卫生 公平
背景情况:
- 实施公平的肺癌查需要了解可访问性障碍.
- 地理空间因素显著影响患者获得查服务.
研究的目的:
- 评估加拿大不列颠哥伦比亚省肺癌查站点的空间可达性.
- 检查城市化和社会经济贫困对前往查地点的旅行时间的影响.
主要方法:
- 利用地理空间绘图和车辆从住宅邮政编码到查站点的行程时间分析.
- 分析了肺癌病例作为可接受查的人口的代理.
- 加拿大统计局的加拿大多重贫困指数.
主要成果:
- 到达最近的查地点的平均行程时间为11.7分钟.
- 城市化与明显缩短的行车时间相关 (p < 0.001).
- 增加的旅行时间 (≥60分钟) 主要在农村地区被观察到,并且与社会人口和经济贫困密切相关.
结论:
- 农村和偏远地区的人口面临着更大的挑战,因为较长的旅行时间,他们更容易获得肺癌查.
- 驾驶时间受到社会经济因素的重大影响,这表明特定人群需要支持公平获取.
- 解决旅行时间差异对于成功实施公平的肺癌查计划至关重要.
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