地理空间分析和与加拿大阿尔伯塔省结直肠癌查参与相关的参与者特征:基于人口的横截面研究
Geneviève Jessiman-Perreault1, Jessica Law1, Kamala Adhikari2,3
1Provincial Population and Public Health, Alberta Health Services, Holy Cross Centre, 2210 2 St SW, Calgary, AB, T2S 3C3, Canada.
BMC health services research
|December 22, 2023
概括
阿尔伯塔省的结肠直肠癌查不足以达到最佳水平,因人口统计和地点而异. 许多阿尔伯塔人逾期或未接受查,特别是在北部和中部地区,这凸显了有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 癌症流行病学 癌症流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结肠直肠癌 (CRC) 是加拿大死亡的一个重要原因.
- 通过查及早检测对于预防CRC死亡至关重要.
- 阿尔伯塔省的CRC查率低于最佳,并受到各种因素的影响.
研究的目的:
- 了解与阿尔伯塔省CRC查相关的参与者和卫生系统特征.
- 识别已逾期或未对CRC进行查的个体的地理集群.
- 为改善CRC查参与的策略提供信息.
主要方法:
- 对与阿尔伯塔结肠直肠癌查计划数据库相关的行政健康数据的分析.
- 包括2019年12月31日年龄为52-74岁的阿尔伯塔人.
- 多变量后勤回归和热点分析 (Getis-Ord Gi*),以确定选差异和地理集群.
主要成果:
- 在919,939名阿尔伯塔人中,有65%的人在CRC查方面是最新的;21%的人逾期;14%的人没有记录.
- 年龄较大,缺乏通常的护理提供者,不使用卫生系统和生活在贫困地区与没有查记录有关.
- 在阿尔伯塔省的北部和中部地区,高比例未经查/未经查的人群集中在这些地区.
结论:
- 在阿尔伯塔省的社会人口统计学,卫生系统和地理因素之间,CRC查参与率存在显著差异.
- 阿尔伯塔省的特定地区显示,没有CRC查记录或查不足的个人的比例更高.
- 调查结果强调需要有针对性的干预措施来解决查不平等问题,并改善阿尔伯塔省的CRC预防.
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