邻居层面的贫困和肺癌患者的生存率
Kathleen Kennedy1, Ignacio Jusue-Torres2, Ian D Buller3,4
1Department of Hematology Oncology, University of Illinois College of Medicine in Chicago, Chicago, IL, USA.
BMC cancer
|August 6, 2024
概括
社区贫困与肺癌死亡率的增加有关. 更高的社区贫困指数 (NDI) 与更短的生存期和更高的死亡率相关,即使经过关键因素调整.
科学领域:
- 在瘤学瘤学.
- 社会流行病学 社会流行病学
- 基因组学就是基因组学.
背景情况:
- 肺癌存活率差异在社会弱势群体中仍然存在.
- 社区贫困指数 (NDI) 可能会影响肺癌的结果.
- 了解这些差异对于公平的癌症护理至关重要.
研究的目的:
- 确定社区贫困对肺癌死亡率的影响.
- 评估NDI,生存率和DNA甲基化之间的关系.
- 确定导致肺癌健康差异的因素.
主要方法:
- 173名非小细胞肺癌患者的多中心回顾性队列研究.
- 国家贫困指数 (NDI) 计算在美国人口普查部门层面,分为低贫困和高贫困.
- 根据年龄,疾病阶段,种族和DNA甲基化调整的统计分析.
主要成果:
- 高NDI组的生存时间明显较短 (p=0.02).
- 黑人患者的NDI更高 (p=0.003).
- 在调整后,高贫困群体的死亡率增加了1.81倍 (95% CI:1.03-3.19).
结论:
- 社区贫困增加与肺癌存活时间缩短和死亡率提高有关.
- 社区贫困可能会影响液体活检DNA甲基化模式.
- 纳入NDI的政策变化可以改善肺癌存活率的公平性.
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