在有或没有粮食不安全的医疗保险受益者之间,乳腺癌查的趋势
Yeunkyung Kim1, Jihye Kim2, Sungchul Park3
1Department of Healthcare Administration and Policy, University of Nevada, Las Vegas, Las Vegas, Nevada.
AJPM focus
|September 25, 2025
概括
直到2021年,粮食不安全没有影响女性医疗保险受益人的乳腺癌查率. 在2021年,粮食不安全的个体的查率明显降低,突出了针对性干预的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于粮食不安全对乳腺癌查差异的影响的数据有限.
- 了解这些趋势对于公平获得医疗保健至关重要.
研究的目的:
- 检查与或没有粮食不安全的女性医疗保险受益者乳腺癌查率的国家趋势.
- 根据粮食安全状况,确定COVID-19大流行是否破坏了对乳腺癌查的准入.
主要方法:
- 对2018-2021年医疗保险当前受益者调查数据的重复横截面分析.
- 包括非机构化女性医疗保险受益者,加权分析代表超过1.19亿受益者年.
- 后勤回归模型用于评估随着时间的推移对查收件的差异.
主要成果:
- 在2018-2020年期间,粮食不安全和粮食安全受益者之间的查率没有统计学上显著的差异.
- 2021年,粮食不安全受益者与粮食安全受益者相比,其查率较低8.1个百分点.
- 这种差异出现在研究期间的最后一年.
结论:
- COVID-19 流行病可能加剧了与粮食不安全相关的现有健康差异.
- 在临床环境中,识别面临粮食不安全和错过查风险的个体至关重要.
- 需要采取积极的措施,以确保在流行后获得公平的乳腺癌查机会.
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