社会环境负担和不平等与癌症查和死亡率的关联
Shahzaib Zindani1, Mujtaba Khalil1, Zayed Rashid1
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, USA.
Journal of surgical oncology
|December 17, 2024
概括
社会环境的不公正大大阻碍了癌症查,增加了乳腺癌,结肠癌和宫癌的死亡率. 解决环境差异对于公平的健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 癌症流行病学 癌症流行病学
背景情况:
- 社会和环境的不公正可能会阻碍医疗保健资源的获取和使用.
- 这些差异可能会对癌症患者的治疗结果产生负面影响.
研究的目的:
- 评估社会环境不平等如何影响癌症查和死亡率.
- 专注于乳腺,结肠和宫癌查和结果.
主要方法:
- 利用了CDC PLACES的癌症查和ATSDR的社会和环境排名 (SER) 指数的数据.
- 通过使用CDC WONDER提取死亡率.
- 根据健康人2030指南定义了查目标.
主要成果:
- 人口普查区分为低,中等和高的SER,高的SER表明更大的社会环境不公正.
- 高SER通道显示,与低SER通道相比,对结肠,乳腺和宫癌的查目标的实现明显较低.
- 对于所有三种研究的癌症类型,高 SER 区域的中位死亡率都更高.
结论:
- 社会环境差异明显加剧了癌症查率,增加了死亡率.
- 极其需要减轻环境不公正,促进公平的癌症查服务,改善患者的治疗结果.
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