美国结肠直肠癌查中的种族/民族差异
1Department of Medicine, Cooper Medical School of Rowan University, 501 Fellowship Rd, Ste 101, Mt Laurel, NJ 08054.
The American journal of managed care
|August 19, 2025
概括
美国结肠直肠癌 (CRC) 查中的种族和民族差异是由人口统计学和社会经济因素解释的. 然而,亚洲人的结肠镜检查使用率持续较低.
科学领域:
- 公共卫生 公共卫生
- 癌症流行病学 癌症流行病学
- 健康差异 在健康上的差异
背景情况:
- 在美国,结肠直肠癌 (CRC) 查率的种族和民族差异是一个持续的问题.
- 了解导致这些差异的因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 评估2021年CRC查是否存在种族/民族差异.
- 确定人口和社会经济因素在多大程度上解释了这些差异.
主要方法:
- 分析2021年国家健康访谈调查数据,针对50-75岁的成年人.
- 跨种族/族群的CRC查率的计算.
- 多变量后勤回归以控制年龄,性别,移民身份,教育和保险状况.
主要成果:
- 根据种族/种族,CRC查率各不相同,非西班牙裔白人个体的比例最高,亚裔个体的比例最低.
- 在调整人口和社会经济因素后,在整体CRC查中显著的种族/民族差异在很大程度上消失了.
- 与其他组相比,亚洲人持续使用更低的结肠镜检查,即使在调整后.
结论:
- 在CRC查中观察到的种族/民族差异主要归因于人口和社会经济特征的差异.
- 可能需要有针对性的干预措施来解决亚洲人群中低结肠镜使用的具体问题.
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