在有或没有智力和发育障碍的成年人中,乳腺癌查率的差异
Muhammad Muntazir Mehdi Khan1, Usama Waqar1,2, Muhammad Musaab Munir1
1Division of Surgical Oncology, Department of Surgery, The Urban Meyer III and Shelley Meyer Chair for Cancer Research, The Ohio State University, Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.
Annals of surgical oncology
|October 19, 2023
概括
智力和发育障碍 (IDD) 患者的乳腺癌查率较低. 社会脆弱性进一步增加了这些人的风险,突出了进入障碍.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
- 在瘤学瘤学.
背景情况:
- 智力和发育障碍 (IDD) 的人遇到医疗保健接入障碍,影响癌症查.
- 关于这一群体中乳腺癌查率的数据有限.
研究的目的:
- 评估智力和发育障碍 (IDD) 与乳腺癌查率之间的关联.
- 确定影响IDD个体查差异的因素.
主要方法:
- 对2018-2020年医疗保险标准分析文件的分析.
- 包括65-79岁的有资格接受查的成年人,没有先前的乳腺癌诊断.
- 多变量回归用于比较IDD和没有IDD的个体之间的查率.
主要成果:
- 在9,383,349名医疗保险受益者中,0.1%的人患有IDD.
- IDD与乳腺癌查的几率降低有关 (OR 0.77,95% CI 0.74-0.80).
- 社会脆弱性和少数群体地位进一步降低了IDD患者的查率.
结论:
- 患有IDD的人面临着乳腺癌查的重大障碍.
- IDD和社会脆弱性的交集构成了癌症查不足的高风险.
- 需要有针对性的干预措施来改善IDD的弱势群体对癌症查的准入.
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