从2005年到2020年,前列腺癌特定死亡率的县级种族差异
Samuel L Washington Iii1,2, Mary Fakunle1, Lufan Wang1
1Department of Urology, Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94143, United States.
JNCI cancer spectrum
|November 4, 2024
概括
前列腺癌死亡率的种族差异总体上缩小了,但一些县的黑人-白人差异恶化. 确定这些特定位置是开发针对前列腺癌结果的有针对性的干预措施的关键.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差距 研究 研究 研究 研究
背景情况:
- 当地的环境和社会经济因素显著影响前列腺癌的结果.
- 了解前列腺癌特异性死亡率中黑白差异的趋势,对于解决健康差异至关重要.
研究的目的:
- 为了检查与前列腺癌特异性死亡率差异相关的县级特征,黑人和白人男性在15年的时间.
- 确定推动这些差异在地方层面的因素.
主要方法:
- 将县级数据 (区域卫生资源文件) 与患者数据 (监测,流行病学和最终结果注册表) 链接到2005-2020年.
- 利用通用线性混合模型来评估种族和县级前列腺癌特异性死亡率之间的关联,调整人口统计和医疗保健准入变量.
主要成果:
- 2005-2020年间,前列腺癌特异性死亡率差异缩小,黑人和白人患者的死亡率显著减少.
- 然而,县级死亡率变化有很大差异,从2016年到2020年,黑人患者仍然面临更高的死亡风险.
- 辐射瘤学家的密度较高与死亡风险降低有关,而其他从业者密度没有显著的关联.
结论:
- 尽管总体情况有所改善,但特定的县在前列腺癌死亡率上呈现出种族差异的恶化.
- 对高差异地区的特定位置识别对于开发定制解决方案至关重要,以改善所有种族群体的前列腺癌结果.
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