在罗德岛的无家可归人群中进行癌症查和查障碍
Boris Martinez1, Pamela Jennings1, Matt Strik1
1Brown University Health, Providence RI.
Rhode Island medical journal (2013)
|February 25, 2026
概括
在无家可归的人群中,癌症查率较低. 改善获得初级保健提供者 (PCP) 和医疗保险的机会对于增加这一脆弱人群的癌症查普及至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 癌症流行病学 癌症流行病学
背景情况:
- 与普通人群相比,无家可归的人群的癌症死亡率更高.
- 在无家可归的人群中,癌症查的接受率存在显著差异.
- 在这个人口群体中,吸烟和饮酒等癌症风险因素的患病率很高.
研究的目的:
- 确定罗德岛无家可归人群中乳腺癌,宫癌和结直肠癌的癌症查吸收率.
- 确定无家可归者在获得癌症查时所面临的障碍.
- 探索影响癌症查遵守率的人口因素.
主要方法:
- 对502名无家可归的参与者进行了横截面调查.
- 后勤回归分析以确定查状态和人口特征之间的关联.
- 对开放式反应进行定性分析,以阐明自我识别的障碍.
主要成果:
- 乳腺癌 (27%),子宫癌 (58%) 和结直肠癌 (39%) 的查率低于全国平均水平.
- 关键障碍包括缺乏初级保健提供者 (PCP),交通挑战,恐惧和后勤问题.
- 与没有PCP (18%) 相比,PCP的无家可归男性的结直肠癌查率 (52%) 显着更高.
结论:
- 加强无家可归社区的癌症查是关键的公共卫生优先事项.
- 改善获得初级保健提供者 (PCP) 的机会是提高查率的关键策略.
- 医疗保险和可访问的医疗保健服务对于解决无家可归人口癌症查差异至关重要.
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