绿色空间和乳腺癌老年妇女的生存率:美国SEER-Medicare相关数据库中的区域差异
Jean C Bikomeye1, Emily L McGinley1, Yuhong Zhou1
1Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
JACC. Advances
|August 19, 2025
概括
居住在城市绿地附近可以改善乳腺癌的生存率. 更大的树冠与较低的全因和乳腺癌死亡率有关,但存在区域差异.
科学领域:
- 在瘤学瘤学.
- 环境健康 环境健康
- 心脏病学 心脏病学
背景情况:
- 乳腺癌是美国女性最常见的癌症.
- 心血管疾病是乳腺癌幸存者的首要死亡原因.
- 绿色空间对乳腺癌存活率的影响尚不清楚.
研究的目的:
- 为了研究城市绿地与美国老年乳腺癌幸存者的生存之间的关联.
- 检查绿地与生存关系的区域差异.
主要方法:
- 利用了2010-2017年监测,流行病学和最终结果-医疗保险乳腺癌队列 (N=86,300) 的数据.
- 按人口普查区测量的绿地百分比树冠四分之一.
- 评估所有原因死亡率 (ACM),乳腺癌特异性死亡率 (BCSM) 和心血管疾病特异性死亡率 (CVDSM).
主要成果:
- 更高的树冠与ACM (HR:0.90) 和BCSM (HR:0.90) 的减少有关.
- 观察到区域差异;在加利福尼亚州,新泽西州和密歇根州的ACM,加利福尼亚州和新泽西州的BCSM和CVDSM的绿色空间效益更为明显.
- 一些地区显示不显著或不一致的结果.
结论:
- 绿色空间是乳腺癌存活率的一个重要因素,特别是在心脏瘤学结果方面.
- 具体地点的研究对于制定有针对性的干预措施至关重要.
- 需要对区域差异进行进一步的研究,以改善生存结果.
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