在德克萨斯的城市化中调查癌症不平等,并提供合理的推理
1O'Donnell School of Public Health, University of Texas Southwestern Medical Center, USA.
概括
这项研究揭示了结肠直肠癌 (CRC) 发病率的空间不平等日益增加,这是由于城市化和对查结肠镜检查的不平等准入造成的. 可信推理 (PR) 为分析这些复杂的健康差异提供了一个框架.
科学领域:
- 地理方法的地理方法.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 现有的现实主义和反思性的科学研究框架.
- 需要强大的方法来分析健康差异.
- 了解大肠直肠癌 (CRC) 负担的种族差异.
研究的目的:
- 提出一个可信推理 (PR) 认识论作为科学研究的补充框架.
- 应用公关原则来调查在休斯顿和达拉斯-沃斯堡的CRC负担种族差异的原因.
- 分析1999年至2019年间影响CRC负担的地理和社会变化.
主要方法:
- 介绍基于哈罗德·杰弗里斯和乔治·波利亚的公关证据理论.
- 对非实验性研究设计的PR原则的推断.
- 使用实证问题对种族隔离区,城市化和癌症不平等进行调查.
主要成果:
- 在CRC发病率中出现了与阶级相关的显著不平等.
- 历史边缘化地区以外的CRC发病率总体种族差异的增加.
- 从1999年到2019年,CRC负担的空间不平等总体加剧.
结论:
- 在CRC负担的变化归因于查结肠镜在两极分化城市化中的不均传播.
- 基本原因理论和批判性城市研究为了解这些健康不平等提供了信息.
- 公共关系方法有效地将宏观结构和政治经济纳入空间健康数据分析中.
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