美国附属太平洋岛屿的宫癌发病率
Sameer V Gopalani1,2, Jin Qin1, Janos Baksa3
1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA oncology
|September 12, 2024
概括
美国附属太平洋岛屿 (USAPI) 的宫癌发病率仍然很高,特别是在马绍尔群岛共和国 (RMI) 和密克罗尼西亚联邦国家 (FSM). 有针对性的HPV疫苗接种和查对于减少这一公共卫生负担至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 世界卫生组织的目标是消除宫癌作为公共卫生问题.
- 准确的宫癌发病率数据对于监测进展和指导癌症控制策略至关重要.
- 目前对于美国附属太平洋岛屿 (USAPI) 缺乏此类数据.
研究的目的:
- 为了计算6个USAPI的年龄标准化宫癌发病率.
- 为了将这些利率与美国 (US) 的利率进行比较.
主要方法:
- 一项采用来自太平洋区域中央癌症登记处 (2007-2020) 的基于人口的数据进行的横截面研究.
- 纳入标准:20岁以上的妇女被诊断患有侵袭性宫癌.
- 分析涉及使用各种人口估计计算年龄标准化发病率和发病率比率.
主要成果:
- 在USAPI中,宫癌发病率在每10万女性中从21.7到22.1不等.
- 马绍尔群岛共和国 (RMI) 和密克罗尼西亚联邦 (FSM) 的利率最高,明显超过美国的利率.
- 在USAPI中,大多数病例 (68.2%) 是晚期诊断出来的.
结论:
- 宫癌在某些USAPI中是一个重要的公共卫生问题,其中RMI的发病率最高.
- 晚期诊断是常见的,突出了早期检测的挑战.
- 建议针对性干预侧重于HPV疫苗接种和查,以减轻USAPI的宫癌负担.
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