德克萨斯州癌症查相关的邻里因素:一个空间生态研究
Rutu Rathod1, Alaina Beauchamp2, Kathryn Shahan2
1Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Epidemiology, Fay W Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas; Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
American journal of preventive medicine
|December 26, 2024
概括
社区特征,如社会经济地位和种族封锁,会影响癌症查率. 需要基于地方的,文化敏感的干预措施,以改善服务不足社区的查普及率.
科学领域:
- 公共卫生 公共卫生
- 空间流行病学 空间流行病学
- 健康差异 在健康上的差异
背景情况:
- 癌症查率在不同地理和人口群体之间有很大差异.
- 了解社区特征的作用对于有针对性的公共卫生干预至关重要.
研究的目的:
- 检查邻居社会经济地位 (nSES),种族封锁和黑人隔离与乳腺癌,宫癌和结直肠癌查之间的关联.
- 为了确定德克萨斯州低癌症查率的地理空间集群.
主要方法:
- 生态研究设计利用德克萨斯州人口普查数据.
- 空间聚类分析 (本地Moran's I) 以确定选率较低的地区.
- 双项空间探针回归用于评估邻近因素和低选集群之间的关联,调整行为.
主要成果:
- 5.4% (结肠直肠),4.6% (宫) 和8.7% (乳房) 的通道位于低查集群中.
- 较高的nSES与低子宫癌查的几率降低有关.
- 西班牙裔和亚裔美国人群体显示,某些癌症的查率较低的几率增加.
- 高黑人隔离与低结直肠和乳腺癌查的几率降低有关.
结论:
- 癌症查吸收的地理空间集群与社区的社会经济地位和种族/民族组成有关.
- 基于地方的,文化敏感的干预措施是必要的,以解决查吸收的差异.
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