社会风险和不遵守美国成年人推的癌症查
Ami E Sedani1, Scarlett L Gomez2, Wayne R Lawrence3
1Department of Epidemiology, School of Public Health, University of Texas Health Sciences Center at Houston, Dallas.
JAMA network open
|January 3, 2025
概括
粮食不安全和缺乏支持等社会风险与癌症查遵守率较低有关,因查类型和性别而异. 需要有针对性的干预措施来解决癌症预防方面的这些差异.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 预防癌症 预防癌症
背景情况:
- 健康的社会驱动因素对遵循指南推的癌症查有重大影响.
- 个人层面的社会风险与癌症查不遵守之间的关联的确切程度需要进一步调查.
研究的目的:
- 调查个人层面的社会风险与未遵守指南推的癌症查之间的联系.
- 通过癌症查类型和性别来探索这些关联的变化.
主要方法:
- 采用2022年美国39个州和华盛顿特区的行为风险因素监测系统数据进行的横截面研究.
- 包括对结直肠癌,肺癌,宫癌和乳腺癌查有资格的成年人.
- 使用美国预防服务特别工作组 (USPSTF) 的定义评估了依从性,并使用修改后的波桑回归分析了关联.
主要成果:
- 生活不满与不遵守宫癌和乳腺癌查相关.
- 缺乏社会支持和社会孤立与不遵守结直肠和乳腺癌查有关.
- 粮食不安全增加了对结直肠,宫和乳腺癌查的不遵守风险. 交通不安全和医疗保健的成本障碍也与多种查类型的不遵守率增加有关,特别是在接受肺癌查的妇女中.
结论:
- 在基于查类型和性别的癌症查遵守方面存在显著差异.
- 社会风险,包括对生活的不满,缺乏支持,隔离,粮食不安全和运输障碍,都与遵守规则的减少有关.
- 对特定目标人群的进一步研究对于开发有效的以患者为中心的干预措施来提高癌症查率至关重要.
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