在黑人和白人乳腺癌患者中存在结构性种族主义和治疗延迟
Katherine E Reeder-Hayes1,2, Bradford E Jackson1, Tzy-Mey Kuo1
1Lineberger Comprehensive Cancer Center, University of North Carolina-Chapel Hill, Chapel Hill, NC.
概括
结构性种族主义 (SR) 与黑人患者更长的乳腺癌治疗延迟有关. 较高的县级SR得分与延迟的增加相关,突出了癌症治疗中的种族差异.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症研究 癌症研究
背景情况:
- 结构性种族主义 (SR) 被怀疑是健康不平等的原因之一.
- 量化SR对癌症结局的影响仍未得到充分研究.
研究的目的:
- 制定一个多维的县级结构性种族主义 (SR) 衡量标准.
- 在黑人和白人患者中调查SR和乳腺癌 (BC) 治疗延迟之间的关联.
主要方法:
- 创建了一个SR综合指数 (SRCI),使用县级关于社会决定因素种族差异的数据.
- 分析了来自北卡罗来纳州 (2004-2017年) 32,095名I-III期BC患者的数据.
- 使用多级逻辑回归来评估SRCI对治疗延迟的影响,分层按种族分类.
主要成果:
- 该SRCI得分从21到75不等.
- 对黑人患者来说,SRCI增加10个单位与延迟的几率增加25%有关 (aOR,1.25).
- 在白人患者中,SRCI和治疗延迟之间没有发现显著的关联.
结论:
- 由SRCI测量的县级SR与黑人患者中BC治疗延迟的几率增加有关.
- 较高的SR与治疗延迟的黑白差异扩大有关.
- 需要进一步的研究来完善SR测量,并探索其在其他癌症护理不平等中的作用.
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