社会环境负担和不平等与癌症筛查和死亡率的关系。

IF 2 3区 医学 Q3 ONCOLOGY Journal of Surgical Oncology Pub Date : 2024-12-17 DOI:10.1002/jso.28039
Shahzaib Zindani, Mujtaba Khalil, Zayed Rashid, Abdullah Altaf, Selamawit Woldesenbet, Timothy M Pawlik
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引用次数: 0

摘要

背景和目的:社会和环境的不公正可能影响卫生资源的可及性和利用,影响癌症患者的预后。我们试图评估社会环境不平等对乳腺癌、结肠癌和宫颈癌的癌症筛查和死亡率的影响。方法:分别从CDC PLACES和ATSDR中提取癌症筛查和环境正义指数社会和环境排名(SER)数据。使用CDC WONDER提取死亡率。筛查目标由《健康人群2030》确定。结果:在人口普查区中,有14 659个被划分为“低”,29 534个被划分为“中等”,15 474个被划分为“高”(高SER表示更大的社会环境不公正)。结肠癌、乳腺癌和宫颈癌的筛查目标分别达到31.1%、16.2%和88.6%。在结肠癌(OR: 0.06)、乳腺癌(OR: 0.24)和宫颈癌(OR: 0.05)中,与低SER束相比,高SER束达到筛查目标的可能性要小得多(均为p)。结论:社会环境差异对癌症筛查和死亡率有负面影响,强调需要通过公平的癌症筛查服务等措施减少环境不公正。
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Association of Socio-Environmental Burden and Inequality With Cancer Screening and Mortality.

Background and objectives: Social and environmental injustice may influence accessibility and utilization of health resources, affecting outcomes of patients with cancer. We sought to assess the impact of socio-environmental inequalities on cancer screening and mortality rates for breast, colon, and cervical cancer.

Methods: Data on cancer screening and environmental justice index social and environmental ranking (SER) was extracted from the CDC PLACES and ATSDR, respectively. Mortality rates were extracted using CDC WONDER. Screening targets were defined by Healthy People 2030.

Results: Among census tracts, 14 659 were classified as "low," 29 534 as "moderate," and 15 474 as "high" SER (high SER denoting greater socioenvironmental injustice). Screening targets were achieved by 31.1%, 16.2%, and 88.6% of tracts for colon, breast, and cervical cancers, respectively. High SER tracts were much less likely to reach screening targets compared with low SER tracts for colon (OR: 0.06), breast (OR: 0.24), and cervical cancer (OR: 0.05) (all p < 0.001). Median mortality rates for low and high SER were 16.7, and 21.0, respectively, for colon, 13.4, 14.75, respectively, for breast, and 1.0, 1.6, respectively, for cervical cancer (all p < 0.05).

Conclusion: Socioenvironmental disparities negatively influence cancer screening and mortality, underscoring the need to reduce environmental injustices through measures like equitable cancer screening services.

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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
期刊最新文献
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