结构性种族主义和肺癌风险:一个范围审查
Sidra N Bonner1,2, Richard Curley3, Kyra Love4
1Department of Surgery, University of Michigan, Ann Arbor.
JAMA oncology
|November 30, 2023
概括
结构性种族主义通过增加对污染和烟草等风险因素的暴露,特别是少数民族社区的风险因素,推动了肺癌差异. 解决这些系统性问题对于公平的肺癌预防和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 健康差异 在健康上的差异
背景情况:
- 结构性种族主义延续了美国种族和少数民族群体的重大健康不平等.
- 这些不平等现象表现为由于暴露于风险因素的差异,导致肺癌风险差异.
研究的目的:
- 审查结构性种族主义如何导致跨种族和种族群体的肺癌风险不平等.
- 确定结构性种族主义影响肺癌风险的特定领域.
主要方法:
- 2010-2022年美国英语研究的范围审查.
- 在PubMed,Embase和MedNar数据库中进行了搜索.
- 评估领域包括住房,职业,医疗保健,经济机会,工业,压力和刑事司法.
主要成果:
- 少数群体因住房和就业不平等而面临更高的空气污染,致癌物质,杀虫剂,二氧化和石棉的暴露.
- 有针对性的烟草营销和对医疗保健和戒烟服务的有限访问加剧了风险.
- 刑事司法参与与烟草使用不平等有关,特别是在黑人和西班牙裔人口中.
结论:
- 结构性种族主义是造成肺癌风险分布不平等的一个根本因素.
- 需要进一步的研究来了解机制,并制定定制的预防干预措施.
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