在大流行期间的脆弱性和结肠直肠查
Roopa S Bhat1, Suzanne Brodney1, Yuchiao Chang1
1Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Preventive medicine reports
|January 16, 2024
概括
随着COVID-19大流行,整体来说,结肠直肠癌 (CRC) 查率有所降低,但意外地,在不同社会脆弱的社区中,查患病率均等. 这表明,疫情暂时掩盖了CRC查获取现有的差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 美国各个社区的结肠直肠癌 (CRC) 查差异存在,可能是由于社会不平等.
- 社区的社会脆弱性可能会阻碍获得和完成CRC查等预防性卫生服务.
研究的目的:
- 为了确定社区的社会脆弱性是否与COVID-19大流行期间波士顿CRC查患病率的变化有关.
- 调查疫情对CRC查率的影响,与社会脆弱性指数 (SVI) 相比.
主要方法:
- 对来自马萨诸塞州波士顿35家初级保健机构的50-74岁成年CRC查数据的分析.
- 利用社会脆弱性指数 (SVI) 来评估社区层面的社会因素.
- 2020年3月至2022年3月的查流行情况比较.
主要成果:
- 整体CRC查患病率从2020年的74.9%降至2022年的67.4% (p < 0.001).
- 在查流行率的变化和SVI之间没有发现显著的关联.
- 在较低的SVI社区,查减少了5.5%,而在较高的SVI社区,查减少了3.6% (p = 0.79).
结论:
- 尽管之前存在差异,但COVID-19大流行暂时使波士顿地区社区的CRC查流行率相提并论.
- 促进公平参与CRC查的战略对于疫情恢复和健康公平至关重要.
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