在前列腺特异性抗原查中的流行后趋势中的种族差异
Zhiyu Qian1,2, Jameshisa Alexander1,2, Danesha Daniels1,2
1Department of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
JNCI cancer spectrum
|March 28, 2024
概括
在COVID-19期间,前列腺癌查率下降. 与白人男性相比,黑人男性在查中恢复速度较慢,这凸显了持续的健康差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 随着COVID-19大流行,日常医疗保健服务,包括癌症查,受到严重破坏.
- 前列腺癌查对于早期检测和改善患者结果至关重要.
- 在获得医疗保健和医疗结果方面,现有的种族差异可能因大流行而加剧.
研究的目的:
- 检查COVID-19大流行之前,期间和之后黑人和白人男性中前列腺癌查率的趋势.
- 在前列腺癌查率的恢复中识别和量化种族差异.
- 了解社会经济因素和医疗保健准入对这些差异的潜在影响.
主要方法:
- 对2018年,2020年和2022年行为风险因素监测系统 (BRFSS) 数据的分析.
- 专注于45-75岁男性的前列腺特异性抗原 (PSA) 查率.
- 种族群体之间的查趋势的统计比较 (黑人与白人男性).
主要成果:
- 在疫情期间,黑人和白人男性的前列腺癌查率最初下降.
- 查率显示,在两组人群中,随后的流行病后复苏趋势.
- 康复的速度有显著差异,与黑人男性相比,白人男性在查率上表现出更快的反弹.
结论:
- 在前列腺癌查中,COVID-19大流行扩大了现有的种族差异.
- 社会经济因素,医疗保健准入和系统偏见可能导致黑人男性的查恢复速度较慢.
- 需要有针对性的干预措施来解决不平等问题,并确保公平获得前列腺癌预防护理.
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