持续的贫困及其与种族的相互作用:它们对前列腺癌特定死亡率的影响
Daniel R Stelzl1, Zhiyu Qian2, Mansoo Cho2
1Department of Urology and Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Clinical genitourinary cancer
|February 28, 2026
概括
持续的贫困与更高的前列腺癌死亡率有关,特别是在黑人男性中. 随着时间的推移,前列腺癌结果的这些差异仍然存在,突出了根深蒂固的社会经济和种族不平等.
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:
- 种族和社会经济因素显著影响前列腺癌死亡率.
- 持续的贫困和种族对前列腺癌死亡率的综合影响仍未得到充分研究.
研究的目的:
- 为了检查持续的贫困和种族之间的关系,关于美国各县的前列腺癌特定死亡率.
- 确定前列腺癌死亡率的种族差异是否随着时间的推移而变化,与持续的贫困有关.
主要方法:
- 利用监测,流行病学和最终结果 (SEER) 计划数据 (1999-2020年) 进行年龄调整的前列腺癌死亡率.
- 与美国农业部县级持续贫困分类 (≥20%的贫困30年) 相关的死亡率数据.
- 采用定量回归,根据地区,城市地位和年份进行调整,并分析了贫困,种族和时间的相互作用术语.
主要成果:
- 县里持续的贫困与更高的前列腺癌死亡率有显著的关联.
- 与白人男性相比,黑人男性在县级死亡率明显高.
- 持续的贫困和种族之间的相互作用是显著的,扩大了贫困县的黑人-白人死亡率差距.
结论:
- 持续的贫困与前列腺癌死亡率的增加和种族差异的扩大有关.
- 前列腺癌的种族死亡率差距在持续贫困的县里仍然比较大,尽管总体下降.
- 结构性社会经济和种族不平等对人口水平前列腺癌的结果产生重大影响.
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