严重的住房成本负担和因癌症的过早死亡率
Wayne R Lawrence1, Neal D Freedman1, Jennifer K McGee-Avila1
1Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
JNCI cancer spectrum
|February 19, 2024
概括
严重的住房成本负担与更高的过早癌症死亡率有关. 在没有医疗补助扩张的州,这种关联可能会加剧,表明这是一个关键的公共卫生问题.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 负担不起的住房是健康的公认社会决定因素.
- 以前的研究表明,住房不稳定与不良健康结果之间存在联系.
- 严重的住房成本负担对过早癌症死亡率的具体影响需要进一步调查.
研究的目的:
- 检查严重的住房成本负担与癌症过早死亡率之间的联系.
- 根据州医疗补助扩张状况,探索该协会的潜在差异.
主要方法:
- 使用了县级数据,说明住房成本负担严重 (家庭在住房上花费收入的50%以上).
- 根据医疗补助扩张状态分类的州 (扩展,延迟扩展,未扩展).
- 在住房成本负担五分位数中估计的癌症死亡率与死亡率调整的比率.
主要成果:
- 与最低五分之一相比,住房成本负担最严重的县的癌症死亡率比最低五分之一高5%.
- 在所有住房成本负担五分之一的非医疗补助扩展州,癌症死亡率始终更高.
- 这种差异在住房成本负担的第四个五分位数中具有统计学意义.
结论:
- 严重的住房成本负担与早期癌症死亡率的增加显著相关.
- 住房负担能力对癌症死亡率的负面影响可能会在没有扩大医疗补助计划的州被放大.
- 调查结果强调,需要制定政策来解决住房负担能力和医疗保健准入问题,以减轻癌症差异.
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