南达科他州与结肠直肠癌的战斗:1999年至2020年的死亡率趋势使用CDC WONDER数据库
Rafia I Waheed1, Gulzar Ahmed1, Hareem Tahir1
1University of South Dakota Sanford School of Medicine.
概括
南达科他州的结肠直肠癌 (CRC) 死亡人数从1999年到2020年大幅下降. 然而,男性,农村地区和老年人仍然有较高的死亡率,需要改善查和获得医疗保健.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 结肠直肠癌 (CRC) 仍然是美国癌症死亡的主要原因.
- 尽管查取得了进展,但了解死亡率趋势对于有针对性的干预至关重要.
- 本研究分析了南达科他州在1999-2020年期间的CRC死亡率.
研究的目的:
- 为了检查南达科他州结肠直肠癌死亡率趋势.
- 为了确定CRC相关死亡的人口差异.
- 为有针对性的公共卫生战略强调高风险人群.
主要方法:
- 使用了CDC WONDER数据库 (1999-2020年) 进行CRC死亡 (ICD-10代码C18.0-C18.9).
- 每10万人口的年龄调整后死亡率 (AAMR) 计算.
- 雇员加入点回归分析趋势,按年龄,性别,种族/种族和地理位置分层.
主要成果:
- 总的CRC死亡人数:3686;平均AAMR:16.8 (AAPC: -2.85%). 这是一个非常严重的疾病.
- AAMR从22.4 (1999年) 降至12.1 (2020年) 的情况.
- 男人,农村人口和老年人群的死亡风险更高. 非西班牙裔白人显示显著下降;其他种族数据有限.
结论:
- 南达科他州的CRC死亡率呈现下降趋势 (1999-2020年).
- 在男性,农村居民和老年人中存在持续的差异.
- 加强查,早期检测和公平获得医疗保健对于降低CRC死亡率至关重要.
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