中西部癌症发病率的城乡差异
Christine M Prissel1, Brandon R Grossardt2, Lila J Finney Rutten3
1Division of Epidemiology, Department of Quantitative Health, Mayo Clinic, Rochester, MN; Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN.
Mayo Clinic proceedings
|May 31, 2025
概括
在农村和城市地区,癌症的患病率各不相同. 孤立的农村居民患霍奇金淋巴瘤的比例更高,而农村妇女患结直肠,门和卵巢癌的风险增加.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 癌症患病率研究往往简化了地理分类.
- 了解城市和农村范围内的癌症差异对于有针对性的干预至关重要.
研究的目的:
- 调查沿城乡连续线的癌症患病率变化.
- 确定某些癌症风险较高的特定地理区域和人群.
主要方法:
- 利用罗切斯特流行病学项目的27个县的明尼苏达州和威斯康星州地区居民的数据.
- 使用农村-城市通勤区 (RUCA) 代码分类的住宅 (城市核心,大城镇,小城镇,孤立的农村).
- 使用后勤回归,根据年龄,性别,种族,种族和吸烟情况进行调整.
主要成果:
- 在孤立的农村居民中,霍奇金淋巴瘤的患病率更高 (OR, 1.77).
- 在大城市男性中增加了喉癌的患病率 (OR,1.57).
- 农村妇女的结直肠,门和卵巢癌的患病率更高.
结论:
- 癌症差异存在于城市和农村的连续性,需要细微的方法.
- 超越城市和农村的二元分类对于有效的癌症控制策略至关重要.
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