癌症风险行为在县级持续贫困的发生率
Jennifer L Moss1, Casey N Pinto2, Chan Shen3
1Department of Family and Community Medicine, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, USA; Department of Public Health Sciences, Penn State College of Medicine, The Pennsylvania State University, Hershey, PA, USA.
Cancer epidemiology
|December 22, 2024
概括
美国各县的持续贫困与更高的吸烟率,肥胖,身体不活动和睡眠不足有关. 这些癌症风险行为可能会导致这些地区癌症死亡率更高.
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:
- 与非持续贫困县相比,癌症死亡率在持续贫困的美国县显著更高.
- 持续的贫困是影响健康结果和癌症差异的关键因素.
研究的目的:
- 评估美国县持续贫困的关键癌症风险行为在美国县的流行率.
- 了解持续的贫困与可修改的癌症风险因素之间的联系.
主要方法:
- 县被归类为"持续的贫困" (≥20%的贫困,1990-2017/21) 或"不持续的贫困".
- 多变量线性回归模型分析了抽烟,过度饮酒,肥胖,身体不活动和睡眠不足的县级流行情况.
- 对人口和社会经济变量进行控制的分析,以隔离贫困影响.
主要成果:
- 持续贫困县的吸烟 (24.3%对18.5%),肥胖 (42.5%对36.8%),身体不活动 (34.3%对25.8%) 和睡眠不足 (38.6%对34.0%) 的患病率较高.
- 在持续贫困地区,过度饮酒率较低 (14.3%对17.2%).
- 经过调整后的分析证实,除了睡眠不足之外,所有行为都存在显著差异.
结论:
- 在持续贫困地区,多种癌症风险行为更高的患病率可能会导致癌症死亡率升高.
- 有针对性的公共卫生干预措施对于解决这些差异和减少弱势群体癌症负担至关重要.
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