社会经济特征,癌症死亡率和全民健康覆盖:全球分析
Chenran Wang1, Yadi Zheng1, Zilin Luo1
1Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Med (New York, N.Y.)
|May 18, 2024
概括
全民健康覆盖 (UHC) 与改善癌症结局有关. 在全球范围内,更高的UHC有效覆盖率与较低的癌症死亡率相关,跨越多种社会人口统计指数设置.
科学领域:
- 全球健康 全球健康
- 癌症流行病学 癌症流行病学
- 卫生政策 卫生政策
背景情况:
- 全民健康覆盖 (UHC) 旨在为所有人提供可访问,负担得起的医疗保健.
- 癌症仍然是一个重大的全球健康挑战,不同地区的死亡率各不相同.
- 了解UHC和癌症结局之间的相互作用对于公共卫生战略至关重要.
研究的目的:
- 分析与社会人口统计指数 (SDI) 设置相关的全球癌症死亡率模式和趋势.
- 量化普遍健康覆盖 (UHC) 的有效覆盖率与癌症死亡率之间的关联.
- 提供支持UHC作为改善癌症结果的战略的证据.
主要方法:
- 利用了2019年全球疾病负担研究和我们的世界数据中的数据.
- 计算了UHC有效覆盖率指数,以评估卫生系统的性能.
- 使用估计年度百分比变化 (EAPC) 来确定癌症年龄标准化死亡率 (ASMR) 的趋势.
- 应用了通用线性模型来分析ASMR和UHC水平之间的关联.
主要成果:
- 在1990年至2019年期间,癌症死亡率在高和高中等SDI地区下降最快.
- 全民健康有效覆盖率指数显示,从高SDI到低SDI五分位数的有效覆盖率显著增加.
- 在全癌,胃癌,乳腺癌,宫癌,唇腔/口腔癌和鼻癌中,较高的UHC水平和ASMR之间观察到负相关性.
结论:
- 这些发现强化了UHC在减少癌症死亡率方面的关键作用.
- 实现UHC是改善全球癌症控制和患者结果的可行策略.
- 建议进一步投资和扩大UHC,以减轻癌症的负担.
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