头癌发病率和耳鼻喉科医生的分布之间的地理比较
Henry C Ideker1, Ahmad Odeh1, Angela Mazul2
1Saint Louis University School of Medicine, Department of Otolaryngology, St Louis, MO, United States of America.
American journal of otolaryngology
|April 23, 2025
概括
头癌 (HNC) 的发病率在地理位置上有所不同,老年人群,白人和黑人社区以及吸烟者较多的地区的发病率更高. 耳鼻喉科医生的分布与这些HNC风险因素不一致.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,头癌 (HNC) 的发病率正在上升.
- 识别高风险人群和了解HNC的地理差异对于有针对性的干预至关重要.
研究的目的:
- 调查县级人口因素与头癌 (HNC) 发病率之间的关系.
- 检查耳鼻喉科劳动力分布与HNC发病率之间的关联.
主要方法:
- 利用了来自监测,流行病学和最终结果 (SEER),区域健康资源文件 (AHRF) 和美国社区调查 (ACS) 数据库的数据.
- 进行了多变量分析,以确定与县级HNC发病率相关的风险因素.
- 评估了各县耳鼻喉科医生密度和HNC发病率之间的相关性.
主要成果:
- 地理上HNC的发病率分布不均,与年龄较大,白人和黑人种族以及更高的吸烟率相关.
- 耳鼻喉科工作人员和HNC发生率之间存在显著的反向关系.
- 与没有耳鼻喉科医生相比,拥有11名或更多耳鼻喉科医生的县的HNC发病率明显较低.
结论:
- 目前耳鼻喉科医生的分布没有优化,以解决头癌 (HNC) 发病率的地理差异.
- 在HNC的地理空间差异需要更公平地分配专业医疗保健提供者.
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