移民和非移民之间诊断癌症阶段的比较:一个元分析
Adam Harvey-Sullivan1, Sana Ali2, Parveen Dhesi3
1Wolfson Institute of Population Health, Queen Mary University of London, London, UK. adam.sullivan@qmul.ac.uk.
British journal of cancer
|November 12, 2024
概括
移民不太可能被诊断为早期癌症,由于医疗保健接入障碍,增加了风险. 需要进一步的研究,以了解移民人口中癌症诊断阶段的变化.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 移民遇到严重的医疗保健接入障碍,导致癌症诊断延迟.
- 延迟诊断与晚期癌症和降低生存率密切相关.
- 了解移民和非移民之间的癌症诊断阶段差异对于健康公平至关重要.
研究的目的:
- 系统地审查和比较移民和非移民人口之间的癌症诊断阶段.
- 识别早期癌症检测中的潜在差异.
主要方法:
- 2000年至2023年在经合组织国家发表的研究的系统审查和元分析.
- 包括的研究比较了移民和非移民个体在诊断时的癌症阶段.
- 超分析计算了早期 (I和II) 癌症诊断的几率比率.
主要成果:
- 包括41项研究,其中34项为分析做出了贡献.
- 移民被诊断患有早期癌症的可能性明显低 (OR 0.84;95% CI 0.78-0.91).
- 这种差异对于乳腺癌 (OR 0.78;95% CI 0.70-0.87) 和前列腺癌 (OR 0.92;95% CI 0.85-0.99) 是显著的.
结论:
- 有证据表明,与非移民相比,移民被诊断出晚期癌症.
- 根据癌症类型,研究地点和起源地区观察到的变异需要进一步调查.
- 需要有针对性的干预措施来解决诊断延迟和改善移民人口的癌症结果.
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