美国亚洲和太平洋岛屿居民癌症死亡率趋势
David T Zhu1, Isabella R Pompa2, David Qi2
1Medical Scientist Training Program, School of Medicine, Virginia Commonwealth University, Richmond.
JAMA network open
|November 4, 2024
概括
亚裔美国人和太平洋岛屿居民的癌症死亡率总体下降,但特定群体的子宫,大脑和结直肠癌的死亡率增加. 文化适应的干预措施对于解决这些差异至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 癌症研究 癌症研究
背景情况:
- 癌症是亚裔美国人和夏威夷原住民/太平洋岛民的主要死亡原因.
- 了解死亡率趋势对于有针对性的公共卫生战略至关重要.
研究的目的:
- 分析1999-2020年美国亚裔美国人和太平洋岛民人口的纵向癌症死亡率趋势.
- 为了识别癌症死亡率的人口变化.
主要方法:
- 使用CDC WONDER数据库 (1999-2020) 进行的横截面研究.
- 对年龄调整的癌症特异性死亡率 (CSM) 的分析.
- 加入点回归以估计趋势和平均年度百分比变化 (AAPC).
主要成果:
- 总体上,CSM率每年下降了1.5%.
- 男性的CSM下降幅度 (-1.8%) 比女性 (-1.1%) 更大.
- 在某些人口和地区,子宫,大脑,结直肠 (在特定年龄组),肝脏,肝脏内胆道和胰腺癌的死亡率增加.
结论:
- 尽管总体下降,但特定类型的癌症在亚裔美国人和太平洋岛民中死亡率上升.
- 根据性别,年龄,癌症类型和地区存在显著差异.
- 文化定制的干预措施是必要的,以减少癌症死亡率差异.
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