结构性种族主义,环境负担和癌症率之间的关联:美国县的生态研究
Joelle N Robinson-Oghogho1, Kassandra I Alcaraz2,3,4, Roland J Thorpe1,4
1Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Ethnicity & disease
|August 30, 2024
概括
结构性种族主义与黑人,亚洲/太平洋岛民和美洲印第安人/阿拉斯加土著人口中较高的癌症发病率和死亡率有关. 解决系统性歧视对于减少癌症差距至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 结构性种族主义显著影响健康结果,导致各种疾病的差异.
- 在美国,癌症发病率和死亡率在不同种族和族群之间有很大差异.
- 了解结构性种族主义等系统因素的作用对于开发有效的公共卫生干预措施至关重要.
研究的目的:
- 调查县级结构性种族主义与不同种族群体的癌症发病率和死亡率之间的联系.
- 在癌症差异分析中控制混因素,包括环境负担和社会经济地位.
主要方法:
- 用多个线性回归分析来检查这些关系.
- 数据来源包括县级结构性种族主义指数,美国癌症统计,县卫生排名,EPA的环境质量指数和美国人口普查局数据.
- 分析的重点是2015年至2019年的癌症发病率,控制人口和环境因素.
主要成果:
- 县级结构性种族主义与黑人和亚洲/太平洋岛民人口中较高的癌症发病率有显著的关联.
- 与白人相比,美国印第安人/阿拉斯加原住民,黑人和亚洲/太平洋岛民人口的癌症死亡率更高.
- 考虑到环境负担和其他相关的县级因素后,这些关联仍然存在.
结论:
- 结构性种族主义对少数民族的种族和民族群体的癌症结果产生不利影响.
- 缓解癌症差异需要解决使歧视延续的系统性政策,法律和规范.
- 公共卫生战略必须整合努力拆除歧视性系统,以改善癌症护理公平.
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