全球难民癌症负担:系统性审查和元分析
Fantu Mamo Aragaw1,2, Angela Dawson1, Andrew Hayen1
1School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Journal of migration and health
|October 13, 2025
概括
由于累积暴露,难民面临显著的癌症风险. 这次审查发现了显著的癌症负担,包括难民人群中与非难民人群相比,宫癌和肝癌的发病率更高.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 难民经历独特的癌症风险从他们的起源,迁移,和主机环境.
- 了解难民群体癌症的流行病学负担对于有针对性的干预至关重要.
研究的目的:
- 系统地综合难民中总体癌症和特定地点癌症的全球流行病学负担.
- 确定难民人口中常见的癌症类型和发病率,流行率和死亡率的差异.
主要方法:
- 在OVID (Medline,Embase),CINAHL和Scopus数据库中进行了系统的文献搜索.
- 来自29项研究 (N=561,850名难民) 的数据使用随机效应模型进行了选和分析.
- 使用R软件估计了特定部位癌症的聚合比例.
主要成果:
- 乳腺癌是最常见的 (25.4%),其次是白血病 (16.9%),肺癌 (4.8%) 和中枢神经系统癌症 (7.0%).
- 与非难民人口相比,难民妇女的宫癌发病率更高,难民男性的肝癌死亡率更高.
- 包含的研究主要关注来自叙利亚和伊拉克的难民,他们在12个国家接受.
结论:
- 难民中存在相当大的癌症负担,患子宫癌和肝癌等特定癌症的风险增加.
- 有限的证据需要进一步的研究,以充分了解这一脆弱群体的癌症流行病学.
- 有针对性的跨学科倡议对于改善难民癌症护理连续性至关重要.
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