美国宫癌消除时间框架的差异:一个比较建模研究
Emily A Burger1,2, Erik E L Jansen3, Daniël de Bondt3
1Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Journal of the National Cancer Institute
|January 11, 2025
概括
国家宫癌消除目标可能会隐藏差异. 高查率和HPV疫苗接种率加速了22年的消除,而低吸收率则延迟了27年.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 宫癌 (CC) 消除目标是针对一般人群的.
- 在实现CC消除方面,子群体的差异可能会被国家平均值掩盖.
研究的目的:
- 通过查和人类乳头瘤病毒 (HPV) 接种疫苗的不同层次估计CC消除的时间框架.
- 为了确定在美国各个人口子组之间的CC消除成就的潜在差异.
主要方法:
- 利用了三个独立的癌症干预和监测建模网络 (CISNET) 模型.
- 分析了国家调查数据,以确定相关查和HPV疫苗接种的七个层.
- 模拟时间到CC消除 (每10万女性<4例) 对于每个吸收层.
主要成果:
- 高吸收层比平均人口早22年或更早地实现了CC消除.
- 极低吸收层面面临的CC消除延迟≥27年.
- 考虑到相关吸收,对人口平均时间框架 (≤1年) 的影响最小.
结论:
- 消除CC的全国平均时间框架掩盖了各亚种群的显著差异.
- 解决CC控制中的不平等问题对于公平及及时消除至关重要.
- 建议补充国家监测,跟踪亚种群的进展情况.
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