在美国西班牙裔/拉丁裔人口中确定结肠直肠癌查干预的优先事项
R Blake Buchalter1, Mariana C Stern1, Joel Sanchez Mendez1
1R. Blake Buchalter is with the Center for Populations Health Research, Department of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH. Mariana C. Stern and Joel Sanchez Mendez are with the Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA. Michelle K. Kim is with the Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic. Johnie Rose is with the Center for Community Health Integration, Case Western Reserve University School of Medicine, Cleveland. Cathy D. Meade and Clement K. Gwede are with the Department of Health Outcomes and Behavior, Division of Population Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL. Jane C. Figueiredo is with the Department of Medicine, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles. Stephanie L. Schmit is with the Genomic Medicine Institute, Lerner Research Institute, Cleveland Clinic.
本研究确定了在西班牙裔/拉丁裔社区需要更好的结肠直肠癌 (CRC) 查的领域. 有针对性的干预措施可以提高美国优先区域的查率.
科学领域:
- 公共卫生 公共卫生
- 预防癌症 预防癌症
- 健康差异 在健康上的差异
背景情况:
- 在许多美国人群中,结肠直肠癌 (CRC) 查率仍然低于最佳水平.
- 西班牙裔/拉丁裔 (H/L) 社区面临着对CRC查的独特障碍.
- 地理和人口因素影响CRC查差异.
研究的目的:
- 确定人口普查区级优先区域,以改善不同西班牙裔/拉丁裔 (H/L) 群体中CRC查的普及率.
- 根据地区或原产国指导针对特定H/L子组的有针对性的本地预防干预.
- 为减少CRC查差异的公共卫生战略提供信息.
主要方法:
- 利用了2021年疾病控制和预防中心 (CDC) 的PLACES和美国社区调查数据.
- 应用了地理加权回归和Getis-Ord Gi*热点分析.
- 根据H/L人口百分比和CRC查率之间的反向关联定义优先区域,调整社会经济因素.
主要成果:
- 确定了6,519个 (墨西哥),3,477个 (波多黎各),3,522个 (中美洲/南美洲),1,069个 (多米尼加) 和1,424个 (古巴) 的人口普查区CRC选优先区域.
- 在H/L组的优先区域中观察到显著的空间异质性.
- 根据地区的不同H/L子组,在优先区域中发现了可变的地理重叠.
结论:
- 调查结果突出了需要地理定制的干预措施,以促进在特定的H/L社区的CRC查.
- 交互式网页地图是利益相关者有效地定位资源的工具.
- 干预措施可以增加符合指南的CRC查普及率,并减少美国的差异.
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