美国各州和县的PSA测试小区域估计
Benmei Liu1, John R Pleis2, Diba Khan2
1Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland.
概括
新的小区域模型提供了县级前列腺特异性抗原 (PSA) 测试估计,这对于了解前列腺癌查趋势和为公共卫生干预提供信息至关重要. 这些模型通过提供精确,地理特定的数据来增强癌症监测.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 美国预防服务特别工作组使用PSA测试对前列腺癌查的建议已经发展.
- 有限的县级数据阻碍了有效的癌症监测和干预计划.
研究的目的:
- 开发和验证用于估计州和县级前列腺特异性抗原 (PSA) 测试率的小区域模型.
- 为癌症监测提供可靠的数据,并为有针对性的公共卫生战略提供信息.
主要方法:
- 利用了来自国家健康访谈调查 (NHIS) 和行为风险因素监测系统 (BRFSS) (2012-2019) 的数据.
- 开发并验证了小区域模型,以估计州和县级的PSA测试率.
- 结合了NHIS和BRFSS数据,以利用这两项调查的优势提高精度.
主要成果:
- 基于模型的PSA测试率估计为所有美国州和3,142个县的2012-2016年和2018-2019年.
- 通过地图证明PSA测试率的地理差异.
- 观察到PSA测试率与前列腺癌发病率之间的中等正相关性.
结论:
- 开发的小面积模型提供了PSA测试率的精确,调整的估计.
- 将NHIS和BRFSS数据结合起来,提高了估计的可靠性和精度.
- 这些估计是癌症监测,干预计划和研究的宝贵资源.
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