社会保护计划是否会影响乳腺癌和宫癌的负担? 一个系统的审查
Ligia Gabrielli1,2, Sheila M Alvim Matos2, Ana Luísa Patrão3
1Bahia State Centre for Diabetes and Endocrinology, SESAB, Salvador, Brazil.
Health policy OPEN
|May 23, 2024
概括
社会保护计划 (SPP) 对乳腺癌和宫癌死亡率没有直接影响. 然而,SPP对关键的风险和保护因素有积极的影响,这表明SPP对癌症预防有潜在的长期益处.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 社会科学 社会科学 社会科学
背景情况:
- 社会经济地位与乳腺癌和宫癌发病率和死亡率有显著的相关性.
- 社会保护计划 (SPP) 可以通过解决社会经济差异来影响癌症的结果.
研究的目的:
- 评估社会保护计划 (SPP) 对乳腺癌和宫癌结局的影响.
- 评估SPPs对癌症风险和保护因素的影响.
主要方法:
- 对SPP和乳腺/宫癌的定量研究的五个数据库进行系统审查.
- 纳入标准:同行评审的研究,比较SPP中的女性与非受试者.
- 独立审稿人的数据提取和偏差风险评估;收获图片可视化.
主要成果:
- 没有研究评估了乳腺癌和宫癌的初级结局 (发病率,存活率,死亡率).
- 所有43项研究都集中在二次结果上:查,分期,风险和保护因素.
- 较低风险的研究表明,SPP参与者体重,生育能力较低,性行为较晚,母乳养时间较长.
结论:
- 目前的证据不证实SPPs对乳腺癌和宫癌发病率,生存率或死亡率的直接影响.
- SPPs与这些癌症的关键可修改的风险和保护因素有积极的关联.
- 需要进一步的研究来确定SPPs对癌症结果的直接影响.
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