减少在结直肠癌查中的差异,实现健康公平
Abraham Segura1, Shazia Mehmood Siddique1,2
1Division of Gastroenterology, University of Pennsylvania.
Techniques and innovations in gastrointestinal endoscopy
|October 9, 2023
概括
结肠直肠癌查增加降低了疾病发病率,但在边缘化种族和民族群体中仍然存在差异. 解决这些查缺口对于实现健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 癌症流行病学 癌症流行病学
- 健康差异 在健康上的差异
背景情况:
- 结肠直肠癌 (CRC) 查在过去三十年中成功降低了疾病发病率.
- 在种族和少数民族人口中,在CRC查吸收率,发病率和死亡率上存在显著的差异.
- 医疗技术和政策的进步并没有消除这些持续的健康不平等.
研究的目的:
- 审查跨种族和种族群体的结肠直肠癌查吸收和测试选择的差异.
- 讨论影响CRC查遵守的已知障碍和促进因素.
- 突出旨在在CRC查中实现健康公平的框架.
主要方法:
- 在结直肠癌查中检查种族和民族差异的研究的文献综述.
- 分析影响查吸收和测试选择的因素.
- 综合现有与癌症查相关的健康公平框架.
主要成果:
- 记录了不同种族和民族群体的查率和测试偏好方面的差异.
- 确定了影响查的关键障碍 (例如社会经济因素,获得护理) 和促进者 (例如文化定制干预).
- 对促进公平CRC查的战略和政策建议的概述.
结论:
- 在结直肠癌查中持续存在的种族和民族差异需要有针对性的干预措施.
- 解决社会经济和系统性障碍对于改善服务不足社区的查率至关重要.
- 实施基于证据的框架可以在预防结直肠癌方面推进健康公平.
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