在北卡罗来纳州的美洲印第安人群中描述癌症负担
Lisa P Spees1,2, Bradford E Jackson2, Yadurshini Raveendran3
1Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, UNC-CH, Chapel Hill, North Carolina.
概括
北卡罗来纳州的美国印第安人 (AI) 种群面临着巨大的癌症差异,与白人种群相比,肝癌,前列腺癌和胃癌的发病率和死亡率更高. 针对性的干预措施对于解决这些健康不平等至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在北卡罗来纳州,美国印第安人 (AI) 人口对印度卫生服务的有限访问.
- 与国家估计相比,独特的癌症负担和差异的潜力.
- 需要描述AI癌症人口并检查AI-White差异.
研究的目的:
- 描述北卡罗来纳州的美国印第安人 (AI) 癌症人口.
- 为了检查AI和白人人口之间的癌症发病率和死亡率差异.
- 评估AI人群中癌症诊断的地理分布.
主要方法:
- 利用北卡罗来纳州中央癌症登记处的数据 (2014-2018) 对成年AI和白色癌症病例.
- 根据种族,估计的发病率和死亡率比率 (IRR和MRR).
- 对临床和社会人口统计特征的相对频率差异 (RRF) 的计算比例.
主要成果:
- 人工智能人口比白人人口更有可能居住在农村地区并获得医疗补助.
- 人工智能的人群表现出更高的肝癌发病率和更高的前列腺癌,胃癌和肝癌死亡率.
- 女性乳腺,前列腺和肺/支气管癌在AI人群中发生率最高.
结论:
- 多模式干预是必要的,以减少前列腺癌,胃癌和肝癌在AI人群中的差异.
- 干预措施应针对风险因素,加强查,改善治疗机会.
- 研究结果可以为改进北卡罗来纳州AI癌症结果的有针对性的策略提供信息.
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