社会资本与美国老年女性查性乳房造影之间的联系
Tracy Huang1, Christine C Ekenga1
1Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Preventive medicine reports
|March 31, 2025
概括
较高的县社会资本,特别是社区和机构健康,与老年妇女乳房镜检查率的增加有关. 这些发现在非大都市地区最为明显,这表明公众的信任可以改善癌症查.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 查性乳房造影对于在老年妇女中早期发现乳腺癌至关重要.
- 社会资本,包括社区信任和参与,可能会影响健康行为.
- 了解影响查率的因素对于公共卫生干预至关重要.
研究的目的:
- 检查县级社会资本与美国老年女性乳房扫描查率之间的关联.
- 确定社会资本的特定维度,与更高的查吸收相关.
主要方法:
- 美国2765个县的横截面生态研究,使用2018年的数据.
- 结果:67-69岁妇女的县级查乳房扫描率.
- 从社会资本项目中使用了社会资本指数 (家庭团结,机构健康,集体效率,社区健康).
- 对共变量进行控制的多变量逻辑双项回归分析;根据大都市/非大都市地位进行了分层分析.
主要成果:
- 乳房扫描查率差异很大 (平均为41%).
- 较高的社会资本与高的乳房扫描率积极相关 (Q4与Q1:aPR=2.29).
- 社区健康 (aPR=1.99) 和机构健康 (aPR=4.31) 维度显示出显著的积极关联,在非大都会县最强.
结论:
- 县级社会资本,特别是社区和机构健康,与更高的乳房扫描查率有很大关系.
- 研究结果表明,加强公众信任和社区参与可能会改善癌症查行为.
- 未来的研究应该探索社会资本在不同癌症查和多个层面的作用.
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