独特的乳腺癌查差异在安全网卫生系统中的差异
Benjamin G Allar1, Micaela Torres2, Rumel Mahmood3
1Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
在某些患者群体中,乳腺癌查率较低. 了解社会人口统计学因素是减少差距和改善所有女性查机会的关键.
科学领域:
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
- 在瘤学瘤学.
背景情况:
- 乳腺癌查 (BCS) 的差异不成比例地影响着服务不足的人群,导致健康结果较差.
- 确定导致这些差异的特定患者和卫生系统因素对于有针对性的干预至关重要.
研究的目的:
- 探索乳腺癌查 (BCS) 与患者社会人口统计因素之间的细粒度关联.
- 调查患者特征和提供者属性如何影响城市安全网卫生系统中的BCS率.
主要方法:
- 城市安全网卫生系统中50-74岁的11,962名女性患者的回顾性审查 (2019年数据).
- 分析包括患者社会人口统计数据,健康特征以及提供者性别/专业.
- 使用了双变量分析和多变量逻辑回归.
主要成果:
- 总体BCS率为69.7%. 这是一个很好的结果.
- 白人种族,英语能力和医疗保险的患者显示BCS率较低.
- 有限的英语水平,严重的精神疾病和物质使用障碍与较低的查几率有关.
- 大多数非白人种族群体和非英语语言使用者与白人英语使用者相比,查的几率更高.
- 女性提供者和接受内部医学培训的提供者与更高的查率有关.
结论:
- 许多患者和卫生系统因素导致乳腺癌查差异.
- 了解这些复杂的相互作用对于制定政策和改善弱势群体的BCS接入至关重要.
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