肺癌死亡率趋势和差异:1999-2020年横截面分析
Sabrina Soin1, Ramzi Ibrahim1, Rebecca Wig1
1Department of Medicine, University of Arizona Tucson, Tucson, AZ, United States.
Cancer epidemiology
|August 28, 2024
概括
从1999年到2020年,肺癌死亡率在美国总体上下降,但人口群体之间仍然存在显著差异,这凸显了针对性干预措施解决这些不平等问题的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 癌症研究 癌症研究
背景情况:
- 肺癌是美国的主要死亡原因.
- 了解流行病学趋势对于开发有效干预措施至关重要.
- 这项研究研究了22年来肺癌死亡率趋势和人口差异.
研究的目的:
- 分析1999年至2020年美国肺癌死亡趋势.
- 识别和探索肺癌死亡率的人口差异.
- 评估肺癌死亡率的年度变化.
主要方法:
- 利用CDC广泛的在线数据用于流行病学研究 (1999-2020).
- 分析人口统计数据,包括年龄,性别,种族/民族和居住地.
- 采用了日志线性回归来评估时间趋势,并计算了年平均百分比变化 (AAPC) 和年龄调整的死亡率 (AAMR).
主要成果:
- 肺癌总死亡人数:3380830人.
- 整体年龄调整后的死亡率 (AAMR) 从 55.4 (1999) 降至 31.8 (2020).
- 男性,非西班牙裔 (NH) 人口和NH黑人人口的死亡率不成比例地高.
- 大都会地区和美国西部的死亡率相比,与非大都会地区和其他人口普查地区相比,死亡率下降幅度更大.
结论:
- 在美国,肺癌死亡率存在显著的不平等.
- 需要数据驱动的举措来改善医疗服务的获取和减少医疗保健差距.
- 关注公平护理的政策变化对于改善肺癌结果至关重要.
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