人口普查公路农村,占主导地位的种族和民族,以及距离肺癌查设施的距离:一个生态研究
Solmaz Amiri1, Candice L Wilshire2, Clemma Jacobsen Muller1
1Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, Washington State University, Seattle, Washington (S.A., C.J.M., C.A., G.F.).
Annals of internal medicine
|January 13, 2025
概括
对肺癌查的准入因种族和种族而异. 美国印第安人/阿拉斯加原住民社区面临着最长的距离到查设施,即使考虑到农村地区.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 访问 访问
背景情况:
- 美国预防服务特别工作组建议每年对符合条件的成年人进行肺癌查.
- 确保公平获得LCS对于早期检测和改善结果至关重要.
研究的目的:
- 根据种族,种族和农村情况,调查地理上获得LCS设施的差异.
- 为了量化不同的人口群体到达LCS的旅行距离的差异.
主要方法:
- 一项横截面生态研究分析了美国人口普查数据.
- 计算和比较到最近的LCS设施的道路网络距离,跨种族/族群和农村水平.
- 普通最小平方回归模拟了距离和人口普查区特征之间的关联.
主要成果:
- 到最近的LCS设施的几何平均距离为6.5英里.
- 美国印第安人/阿拉斯加原住民 (AI/AN) 多数地区的距离比非西班牙裔白人 (NHW) 多数地区长5.26倍.
- 在亚洲,黑人和西班牙裔占多数的地区,距离较短,但在调整农村情况时,这些优势减少或逆转.
结论:
- 在地理上进入肺癌查设施方面存在显著的种族和民族差异.
- 农村仅部分解释了这些访问差异,强调了需要有针对性的干预措施,以改善服务不足的人口的LCS可访问性.
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