巴西乳腺癌病例的种族差异:检查基于人口的注册表的发现
Jessé Lopes da Silva1, Lucas Zanetti de Albuquerque2, Mariana Espírito Santo Rodrigues2
1Division of Clinical Research and Technological Development, Brazilian National Cancer Institute (INCA), 37 Andre Cavalcanti Street, 5 Floor, Annex Building, Rio de Janeiro, 20231050, Brazil. jesse.silva@inca.gov.br.
Breast cancer research and treatment
|April 21, 2024
概括
白人女性的乳腺癌发病率更高,但黑人女性的死亡率增加得更快. 需要有针对性的政策来解决巴西黑人妇女在早期检测和治疗机会方面的差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 乳腺癌 (BC) 在全球范围内是一个重大的健康问题.
- 癌症发病率和结果的种族差异已经得到了充分的证据.
- 了解巴西的这些差异对于有效的公共卫生干预至关重要.
研究的目的:
- 调查巴西白人和黑人女性的乳腺癌发病率和死亡率.
- 确定与乳腺癌诊断和结果相关的社会人口统计因素.
- 为减少乳腺癌差异制定有针对性的战略提供信息.
主要方法:
- 利用巴西基于人口的癌症注册表 (2010-2015年) 来获取发病率数据.
- 分析了来自医院癌症注册表的临床和社会人口统计数据 (2000-2019).
- 来自国家死亡信息系统的死亡数据 (2000-2020年).
主要成果:
- 白人女性 (101.3/100,000) 的BC发病率高于黑人女性 (59.7/100,000).
- 黑人女性面临更高的晚期诊断率,生活在更为服务不足的地区.
- 在这两组中,BC特异性死亡率显著增加,黑人女性的死亡率上升得更快 (AAPC 2.3%).
结论:
- 在巴西,乳腺癌发病率,诊断和死亡率存在显著的种族差异.
- 有针对性的政策对于改善黑人妇女的早期发现和治疗机会至关重要.
- 解决社会经济和区域不平等问题是减少乳腺癌生存差距的关键.
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