社会经济地位对结肠直肠癌发病率和亚裔美国人中临床结果差异的影响:系统性审查
Amy Sakazaki1, Austin Lui1, Melody Wang1
1College of Osteopathic Medicine, Touro University California, Vallejo, USA.
Cureus
|June 10, 2025
概括
美国亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚裔亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚亚 了解这些不同的趋势对于有针对性的预防和查策略至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 结肠直肠癌 (CRC) 是美国亚裔美国人和太平洋岛民 (API) 癌症死亡的主要原因.
- 社会经济地位 (SES) 和种族影响CRC结果,但这种关系在不同的API子组中是复杂的.
研究的目的:
- 系统地审查不同亚裔美国人亚组中CRC发病率,临床结果和SES之间的关系.
- 为了突出API群体中关于CRC的异质性.
- 为目标公共卫生干预和查建议提供信息.
主要方法:
- 在主要数据库 (PubMed,Scopus,EMBASE,Cochrane,CINAHL,Web of Science) 中使用PRISMA协议进行系统的文献搜索.
- 包括2225个已识别的文章中的14项研究.
- 分析的重点是CRC发病率,死亡率和存活率与SES和特定的亚裔美国人种族相关.
主要成果:
- 四项研究发现,亚裔美国人中SES和CRC发病率之间没有一致的关联.
- 在八项研究中,有七项报告说,在API群体中CRC死亡率下降,生存率增加,不论SES.
- 在不同SES水平的特定子组 (例如,中国人,日本人,韩国人,菲律宾裔美国人) 中观察到CRC发病率和死亡率的显著变化.
结论:
- 将API归类为一个单一的种族群体是误导性的,因为CRC中具有显著的分组特异性趋势.
- 乳腺癌的发病率和结果是多因素的,可能受到查率,教育和文化因素的影响.
- 强调需要在API社区进行详细的种族分类和有针对性的CRC查.
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