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社会脆弱性和肺恶性瘤死亡率

Ramzi Ibrahim1, Lewjain Sakr2, Jennifer A Lewis3

  • 1Department of Medicine, University of Arizona - Banner University Medical Center, Tucson, AZ, USA.

Journal of cancer policy
|November 17, 2023
PubMed
概括

社会脆弱性显著影响肺癌死亡率,特别是在男性和某些族群中. 针对弱势群体的干预措施对于改善肺癌结果至关重要.

关键词:
不平等的差异 差异的差异流行病学上的流行病学.肺癌是一种肺癌.死亡率 死亡率 死亡率社会脆弱性指数是指社会脆弱性指数.

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科学领域:

  • 公共卫生 公共卫生
  • 流行病学 流行病学
  • 健康的社会决定因素

背景情况:

  • 肺癌是美国主要的死亡原因之一.
  • 健康的社会决定因素 (SDOH) 影响肺癌的治疗和预后.
  • 社会脆弱性指数 (SVI) 量化了SDOH.

研究的目的:

  • 调查SVI对肺癌死亡率的影响.
  • 利用描述性流行病学来分析SVI和肺癌死亡率.

主要方法:

  • 使用了疾病预防控制中心 (2014-2018) 对肺部恶性瘤的死亡数据.
  • 从疾病预防控制中心有毒物质和疾病注册局获得SVI数据.
  • 针对SVI四分位数和人口亚组的年龄调整后死亡率 (AAMR) 的计算.

主要成果:

  • 有最高SVI的县 (SVI-Q4) 的累积AAMR比最不脆弱的县 (SVI-Q1) 高 (4.48多余死亡/100,000人/年).
  • 与SVI-Q1相比,SVI-Q4中的男性的AAMR显著更高 (9.96个多余死亡/100,000人年);女性没有差异.
  • 在西班牙裔和非西班牙裔人口中观察到SVI-Q4的更高的AAMR,但不包括美洲印第安人/阿拉斯加土著群体. 大都会和非大都会地区的趋势.

结论:

  • SVI是肺癌死亡率的一个重要因素.
  • 针对社会弱势群体的干预措施是有必要的,以减少肺癌死亡.
  • 解决SDOH对于改善肺癌预后至关重要.