在肺癌查中通过潜在类分析揭示隐藏的边缘化人群
Toru Yoshino1, Sae X Morita2, Ralph G Zinner3
1Department of Internal Medicine, Nakagami Hospital, Okinawa, Japan.
Mayo Clinic proceedings
|December 25, 2025
概括
肺癌查率在不同的人群中差异很大. 识别边缘化群体和有限的护理机会对于开发有针对性的干预措施来减少查差异至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 肺癌查资格标准旨在识别高风险个体.
- 现有的研究往往忽视了影响查吸收的细微人口部分.
- 了解影响查的不同特征对于公平获得医疗保健至关重要.
研究的目的:
- 确定以前被忽视和边缘化的群体,具有影响肺癌查率的共同特征.
- 分析与肺癌查相关的人口,社会经济,地理和临床因素.
- 为服务不足的群体提供有针对性的干预措施的发展提供信息.
主要方法:
- 使用的行为风险因素监测系统数据 (2018-2021) 对11,096名符合条件的个人.
- 采用了多组隐性类分析,使用10个指标和种族/种族作为共同变量.
- 负责复杂的调查设计,以确保可靠的统计分析.
主要成果:
- 确定了11个潜在类别,其查概率各不相同.
- 查率最低的三个阶级 (人口的12%) (≤5%) 缺乏保险和初级保健服务.
- 尽管获得初级保健服务,但健康工作/退休人员 (53%) 的查率很低 (15-17%).
- 患有COPD和健康状况不佳的个体的查率较高 (16-41%).
结论:
- 对于肺癌查,需要一种超越个体因素的细微方法.
- 多种因素的复杂相互作用显著影响查差异.
- 调查结果为开发有效干预措施以解决查不平等问题提供了基础.
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