测量肺癌的种族差异:人口和数据来源的作用
Sheree Gibb1, Frederieke Sanne Petrović-van der Deen2, Melissa McLeod3
1Department of Public Health, University of Otago, Wellington, New Zealand. sheree.gibb@otago.ac.nz.
International journal for equity in health
|November 19, 2025
概括
在新西兰,肺癌的种族不平等是显著的. 研究表明,数据方法对毛利人的肺癌率和不平等措施产生影响,突出了对毛利人的变化指导的需要.
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:
- 新西兰肺癌的种族不平等非常明显,毛利人的病率是欧洲病率的三倍以上.
- 了解不同数据集和方法如何影响健康指标率是有限的.
- 这项研究调查了人口和种族数据来源对肺癌发病率测量的种族差异的影响.
研究的目的:
- 检查人口选择方法和种族数据来源如何影响肺癌登记率.
- 评估对种族差异的影响,特别是与单独欧洲群体相比,毛利人.
- 通过使用行政数据,为监测健康不平等的最佳实践提供信息.
主要方法:
- 利用综合数据基础设施 (IDI) 链接的数据集进行全人口分析.
- 通过新西兰癌症登记处识别肺癌登记.
- 计算了年龄标准化率和相对风险,比较了六种人口选择方法和四种种族数据来源.
主要成果:
- 无论是人口选择方法还是种族数据源,都独立地影响了肺癌的发病率和相对风险.
- 人口选择方法的变化比种族数据源的变化有更大的影响.
- 在不同方法和来源中,毛利率的差异为24.4%,欧洲的差异为11.7%.
结论:
- 数据选择中的方法选择显著影响肺癌率和不平等措施,特别是对毛利人.
- 方法的变化可能会掩盖趋势,并影响毛利人监测健康不平等的权利.
- 优先考虑透明度,数据方法的一致性,高质量的种族数据和毛利指导是至关重要的.
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