社会经济因素与PSA测试在基于人口的有组织测试计划和常规医疗保健中的关联:对50岁男性的基于登记册的研究
Emil Järbur1,2, Erik Holmberg3,4, Thomas Björk-Eriksson3,4
1Department of Clinical Sciences, Urology, University of Gothenburg Sahlgrenska Academy, Goteborg, Sweden.
BMJ oncology
|January 31, 2025
概括
社会经济因素显著影响前列腺癌测试参与瑞典的有组织计划和机会性查. 简单地提供测试是不够的,以确保公平的早期检测所有男性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症查 癌症查
背景情况:
- 组织前列腺癌检测 (OPT) 计划于2020年在瑞典启动.
- 在此背景下,社会经济因素对前列腺癌检测的影响在很大程度上是未知的.
研究的目的:
- 检查社会经济因素与参与OPT之间的联系.
- 调查社会经济因素与非组织性前列腺特异性抗原 (PSA) 测试之间的关系.
主要方法:
- 在Västra GötalandOPT计划 (2020-2021) 中,分析了21174名50岁以上的男性的数据.
- 包括来自西瑞典研究机会性前列腺癌查的非组织PSA测试 (2013-2014) 的区域数据.
- 社会经济数据 (收入,教育,同居,出生国) 来自瑞典统计局.
- 用Poisson回归计算PSA测试的发病率比率 (IRR),按社会经济类别划分.
主要成果:
- 参与OPT与所有调查的社会经济因素有关,包括收入,家庭状况,教育和出生国家.
- 非组织的PSA测试显示,与低收入和单身家庭身份有负面关联.
- 低教育程度和非北欧出生国家与非组织的PSA测试没有显著的负面关联.
结论:
- 社会经济差异影响前列腺癌检测在有组织和无组织环境中的普及.
- 仅仅是积极提供检测是不足以实现早期前列腺癌检测的社会经济平等.
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