德克萨斯州东南部的社会经济地位和延迟的乳腺癌护理:一个回顾性队列研究
Jacob Thompson1, Abdullah Jamal2, Sunita Devi2
1Department of Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Science Center El Paso, El Paso, Texas, USA.
Proceedings (Baylor University. Medical Center)
|November 10, 2025
概括
社会经济地位显著影响乳腺癌治疗时间表. 诸如年龄,婚姻状况和保险类型等因素与开始护理的延迟有关,影响患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 乳腺癌是美国癌症死亡的主要原因.
- 及时启动治疗对于改善乳腺癌结果至关重要.
- 社会经济地位 (SES) 被认为是影响癌症治疗疗效的重要因素.
研究的目的:
- 调查社会经济地位与延迟启动乳腺癌治疗之间的关联.
- 分析不同治疗方式之间的这些关联.
- 确定与治疗延迟相关的特定社会经济和临床特征.
主要方法:
- 东南德克萨斯州609名乳腺癌患者的回顾性队列研究.
- 使用后勤回归模型来评估SES和治疗延迟之间的关联.
- 分析考虑了各种治疗方式,包括化疗,手术,放射,激素和免疫治疗.
主要成果:
- 整体治疗延迟与男性性别,未婚状态,年龄较小和医疗补助使用有关.
- 化学疗法 (Tricare),手术 (非洲裔美国人,年轻人,医疗补助),放射治疗 (离婚者,医疗补助/医疗补助),激素治疗 (年轻人,医疗补助) 和免疫治疗 (未婚状态) 观察到特定的延迟.
- 相反,女性性别,寡妇,年龄较大,高加索种族和医疗保险使用与某些治疗延迟的几率降低有关.
结论:
- 社会经济因素显著预测乳腺癌护理中的治疗延迟.
- 了解这些差异对于制定有针对性的干预措施至关重要.
- 解决与SES相关的障碍可以改善及时获得乳腺癌治疗的机会.
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