了解癌症幸存老年人经济困难中的种族差异
Elizabeth S Davis1, Michael R Poulson1, Alaina A Yarbro2
1Department of Surgery, School of Medicine, Boston University, Boston, Massachusetts, USA.
Cancer
|June 18, 2024
概括
经济困难不成比例地影响了年长的种族/少数民族癌症幸存者. 较低的收入和地区贫困在很大程度上导致了这些差异,强调了有针对性的干预措施的必要性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 老年癌症患者,特别是种族/少数民族,尽管有医疗保险覆盖,但经济困难是常见的.
- 社会人口统计学,临床和区域层面的因素可能会影响这种差异.
- 以前的研究没有量化这些因素对种族/种族经济困难差异的贡献.
研究的目的:
- 评估个人和地区层面的因素在多大程度上导致老年癌症幸存者经济困难的种族差异.
- 确定这一群体经济困难的关键驱动因素.
主要方法:
- 一项对721名老年癌症患者 (白人和黑人) 的调查,他们被诊断出患有常见癌症 (乳腺癌,前列腺癌,肺癌,结肠直肠癌,淋巴瘤).
- 在物质,心理和行为领域评估财务困难.
- 应用非线性Blinder-Oaxaca分解来量化各种因素对种族差异的影响.
主要成果:
- 与白人患者相比,黑人患者报告收入较低,区域贫困指数得分较高.
- 黑人患者的整体,物质和心理困难率明显更高.
- 观察到的特征,特别是收入和地区贫困,解释了51%的经济困难的种族差异.
结论:
- 确定收入和地区贫困是导致老年癌症幸存者经济困难的种族差异的主要原因.
- 调查结果可以为制定针对性干预措施和为高风险人群分配资源提供信息.
- 解决社会经济决定因素对于减轻癌症护理的经济困难至关重要.
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