食物沙漠对妇科癌症存活率的影响
Nicole Lugo Santiago1, Philip H G Ituarte2, Adrian Kohut1
1City of Hope, Department of Surgical Oncology, Division of Gynecologic Surgery.
Gynecologic oncology reports
|July 8, 2024
概括
生活在食物沙漠中增加了妇科癌症患者的死亡风险. 解决食物获取问题可能有助于减少这些癌症差异.
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:
- 食物沙漠是公认的负面健康风险,与更高的癌症死亡率有关.
- 有限的研究存在于食物沙漠对妇科癌症结果的影响.
- 了解这种关联对于解决健康差异至关重要.
研究的目的:
- 描述生活在食物沙漠中的妇科癌症患者.
- 为了确定生活在食物沙漠是否与增加妇科癌症死亡率有关.
主要方法:
- 利用2013-2019年加利福尼亚癌症注册表 (CCR) 检查子宫内膜,卵巢和宫癌病例.
- 将患者住所数据与2015年美国农业部食品获取研究图表 (USDA Food Access Research Atlas) 的食物沙漠数据联系起来.
- 使用考克斯比例危险分析分析了5年疾病特异性存活率.
主要成果:
- 确定了40,340例妇科癌症病例;6.8%的人生活在食物沙漠中.
- 生活在食物沙漠中与更高的子宫内膜,卵巢和宫癌的特定疾病死亡率显著相关.
- 危险比率 (HR) 表示所有研究的妇科癌症类型的死亡风险增加.
结论:
- 食物沙漠中的患者在妇科癌症的疾病特异性存活率较差.
- 食物获取是一个可修改的风险因素,可以减轻妇科癌症差异.
- 针对食物获取的干预措施可以改善生存结果并减少健康不平等.
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