健康的负面社会决定因素与肺癌查,利用不足和不充分利用有关
Vuong V Do1, Eduardo R Núñez2, Fatima G Wilder3
1Center for Tobacco Control Research and Education, University of California, San Francisco, CA, USA.
Lung cancer management
|November 5, 2025
概括
健康的社会决定因素 (SDOH) 显著影响肺癌查率. 面临多种不利SDOH的个人,如缺乏保险或住房不安全,使用LCS服务的几率较低.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症查 癌症查
背景情况:
- 健康的社会决定因素 (SDOH) 越来越多地被认为是影响健康结果的关键因素.
- 肺癌查 (LCS) 对于早期检测至关重要,但在许多人群中,利用率仍然低于最佳水平.
- 了解SDOH和LCS吸收之间的相互作用对于减少癌症差异至关重要.
研究的目的:
- 研究各种健康社会决定因素 (SDOH) 与肺癌查 (LCS) 的利用之间的关联.
- 确定特定的SDOH因素,独立预测符合条件的个人中LCS吸收的几率较低.
主要方法:
- 来自2022年行为风险因素监测系统调查的15957名符合LCS条件的个人数据的分析.
- 使用多变量逻辑回归来评估12个不良SDOH因素与LCS结果之间的关系 (终身查和会议建议).
- 对人口统计学变量,先前存在的呼吸系统疾病 (喘/COPD) 和感知到的一般健康状况进行控制.
主要成果:
- 具有较高负荷不良SDOH的个人表现出经历过LCS的几率显著降低,并且与推的查保持最新.
- 报告有五个或更多不良SDOH因素的患者的终身LCS几率大大降低 (AOR=0.58),并且符合查建议 (AOR=0.49).
- 与较低的LCS利用率独立相关的特定SDOH因素包括生活不满,缺乏社会支持,住房不安全,缺乏医疗保险和医疗保健成本障碍.
结论:
- 健康的不良社会决定因素与肺癌查利用率的下降密切相关.
- 诸如生活不满,社会支持不足,住房不稳定,缺乏保险和医疗保健成本障碍等关键因素显著阻碍了LCS的普及.
- 解决这些SDOH对于改善公平获得肺癌查和减少健康差异至关重要.
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