农村地区持续贫困地区的肺癌差异:二次数据分析
Veronica Bernacchi1, Kelly Hirko2, Eric Adjei Boakye3
1Michigan State University College of Nursing, 1355 Bogue St, East Lansing, MI, 48823, USA. bernacc3@msu.edu.
BMC public health
|March 5, 2025
概括
肺癌发病率在贫困持续的农村地区是最高的. 这些高风险社区迫切需要有针对性的干预措施,以减少吸烟和死亡率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 农村卫生 农村卫生
背景情况:
- 肺癌负担不成比例地影响美国农村和持续贫困的县.
- 了解整个县类型的肺癌风险因素,发病率和死亡率至关重要.
研究的目的:
- 通过农村和持续的贫困来定义的四种县类型来研究肺癌 (吸烟) 风险,发病率和死亡率.
- 为了确定与更高的肺癌负担相关的特定县特征.
主要方法:
- 县特征和肺癌数据的二次分析.
- 根据农村 (农村-城市连续码) 和持续贫困 (≥20%的贫困率超过30年) 分类的县.
- 使用回归模型计算了各县类型中成年吸烟率 (2019年),肺癌发病率 (2015-2019年) 和死亡率 (2015-2019年) 的平均值.
主要成果:
- 无论是农村地区还是持续贫困的县都有最高的吸烟率,肺癌发病率和死亡率.
- 农村和持续的贫困都与肺癌风险,发病率和死亡率的增加有关.
- 在持续的贫困和农村生活之间,在吸烟流行率和肺癌死亡率方面观察到显著的相互作用.
结论:
- 肺癌负担最高的地区集中在农村和持续贫困的县.
- 在这些高风险社区,迫切需要针对性肺癌预防和控制战略.
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