根据修订的美国预防服务工作组指南,肺癌查的采用:评估差异
Abdi T Gudina1, Charles S Kamen2, Kelly A Hirko3
1Department of Public Health Sciences at the University of Rochester School of Medicine and Dentistry, Rochester, New York.
概括
肺癌查 (LCS) 的普及率很低,只有17.24%的符合条件的个人进行了查. 基于年龄,保险和健康状况存在显著的差异,突出了提高肺癌查率的有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症查 癌症查
背景情况:
- 低剂量计算机断层扫描 (LDCT) 查可使高风险个体的肺癌死亡率降低20%.
- 尽管已证明有效,但肺癌查 (LCS) 的采用仍然不够理想.
- 了解当前的LCS率和差异对于改善公共卫生结果至关重要.
研究的目的:
- 在符合条件的美国人口中估计州级和全国LCS率.
- 确定与LCS吸收相关的社会人口统计学和健康相关因素.
- 评估各州LCS利用的地理差异.
主要方法:
- 利用了2022年行为风险因素监测系统 (BRFSS) 的数据.
- 采用多变量逻辑回归来分析LCS的预测因素.
- 检查了美国不同州的LCS变异性.
主要成果:
- 在28071名符合条件的参与者中,只有17.24%接受了LCS.
- 年长的成年人 (65-79岁) 更有可能接受查 (OR,1.75).
- 在女性,无保险人,没有初级保健提供者和患有或没有COPD的个人中观察到较低的吸收率,这表明存在显著的差异.
结论:
- 总体而言,LCS的吸收率很低,根据个体特征和居住状态有很大差异.
- 在社会人口统计学和与健康有关的因素之间,在LCS吸收方面存在显著的差异.
- 需要有针对性的干预措施来解决特定的子组和地理区域,以提高LCS率.
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