罗德岛州对结直肠癌查实践的评估,2011-2021年
Yaideliz M Romero-Ramos1, William Goedel2, Matthew Boudreau3
1School of Public Health, Brown University, 121 South Main Street, Box G-S121-2, Providence, RI, 02912, USA. yaideliz_romero-ramos@alumni.brown.edu.
Cancer causes & control : CCC
|February 10, 2026
概括
在罗德岛,结肠直肠癌 (CRC) 查方法存在差异,受性别,经济地位和提供者类型的影响. 需要有针对性的干预措施,以确保对所有成年人进行公平的CRC查.
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:
- 定期的结肠直肠癌 (CRC) 查对于预防至关重要,补充了生活方式的修改.
- 识别查差异对于开发公平的医疗保健实践至关重要.
研究的目的:
- 从2011年到2021年,分析罗德岛成年人中CRC查方式的趋势和差异.
- 为公平的CRC查提供有针对性的干预信息.
主要方法:
- 利用HealthFacts RI (2011-2021) 的无人身份医疗保险索赔数据.
- 采用多变量GEE回归模型来评估查方式和结肠镜程序的变化.
- 检查了与性别,保险状况,年龄,提供者类型和社区经济负担的关联.
主要成果:
- 分析了超过65万次CRC查;结肠镜和FOBT是最常见的方法.
- 与男性相比,女性对CT结肠镜的几率较高,但对FOBT的几率较低.
- 经济不利地区的个人对CT结肠镜的几率更高,对mt-sDNA查的几率更低.
结论:
- 根据性别,经济因素和提供者类型,观察到CRC查方式的显著差异.
- 这些发现强调了为促进公平的CRC查获取和利用提供量身定制策略的必要性.
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