一种新的方法来分析结肠直肠癌查和死亡率的差异
Michael D Honaker1, Ashley E Burch2, Jan H Wong3
1Division of Surgical Oncology, Department of Surgery, Brody School of Medicine at East Carolina University, Greenville, North Carolina.
The Journal of surgical research
|April 25, 2024
概括
北卡罗来纳州的结肠直肠癌 (CRC) 查率与提供者可用性和农村地区有关. 社会经济和教育因素影响CRC死亡率,高等教育降低了风险.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 减少结肠直肠癌 (CRC) 查和死亡率的差异是一个关键的公共卫生目标.
- 以前的缓解策略在减少这些差异方面取得了有限的成功.
- 了解与CRC查和死亡率相关的医疗保健利用变量至关重要.
研究的目的:
- 为了确定与北卡罗来纳州结肠直肠癌 (CRC) 查率和死亡率相关的变量.
- 探索医疗保健利用率,社会经济因素和CRC结果之间的关系.
- 为减少CRC差异提供有针对性的干预信息.
主要方法:
- 公共可用的北卡罗来纳州数据的横截面分析.
- 应用变量减小技术和集群分析.
- 多变量分析以评估已识别的因素与CRC查/死亡率之间的关联.
主要成果:
- CRC查率与社会经济教育指数和农村提供者指数有关.
- 这两个指数的增加与CRC查率的6.8%增加有关.
- 农村CRC死亡率与农村提供者指数和社会经济因素有关,改善的社会经济因素将死亡风险降低10.9%.
结论:
- 北卡罗来纳州的CRC查率受到供应商可用性和农村地区的相互作用的影响.
- 乳腺癌死亡率与社会经济,经济和教育变量有关.
- 针对社会经济和与提供者相关的因素,可能有助于减少CRC差异.
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