美国西班牙裔群体的癌症死亡率按出生地 (2003-2017)
Yuelin He1,2, Paulo S Pinheiro3, Osika Tripathi2,4,5
1Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
概括
在美国的西班牙裔族群中,癌症死亡率差异很大,波多黎各出生的波多黎各人和古巴出生的古巴人经历了最高的死亡率. 总的来说,癌症死亡率在美国出生和外国出生的西班牙裔人口中都在15年内下降.
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:
- 美国的西班牙裔人口是多元化的,包括多个不同来源的多个种族.
- 在西班牙裔人口中,癌症死亡率可能因出生国而异.
- 了解这些差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 根据出生地 (美国出生的与外国出生的) 来调查基于癌症死亡率的分类西班牙裔族群之间的差异.
- 分析15年 (2003-2017) 的癌症死亡率趋势.
主要方法:
- 分析了228,197名墨西哥,波多黎各,古巴和中美洲或南美洲的去世者中与癌症有关的死亡情况.
- 专注于七种主要的癌症类型,这些癌症类型对西班牙裔的死亡率有很大影响.
- 根据年龄调整的死亡率和标准化死亡率的计算,以外国出生的为参考.
- 结点回归的应用用于趋势分析.
主要成果:
- 波多黎各出生的波多黎各人,古巴出生的古巴人和美国出生的墨西哥人表现出明显高的癌症死亡率.
- 出生在国外的西班牙裔人通常比美国出生的西班牙裔人患癌症的死亡率更高,墨西哥人是例外.
- 美国出生和外国出生的西班牙裔群体都显示,随着时间的推移,癌症死亡率普遍下降.
结论:
- 在不同的西班牙裔群体中,癌症死亡率存在显著的异质性.
- 这些发现强调了需要量身定制的方法来解决快速增长的西班牙裔人口中的癌症负担.
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