Mối Quan Hệ Giữa Tình Trạng Kinh Tế - Xã Hội Khu Vực và Việc Sàng Lọc Ung Thư Vú, Cổ Tử Cung và Đại Tràng: Một Tổng Quan Hệ Thống
Tóm tắt
Giới thiệu: Mặc dù có nhiều nghiên cứu đã xem xét mối liên hệ giữa tình trạng kinh tế - xã hội khu vực (SES) và việc sàng lọc ung thư sau khi đã kiểm soát SES cá nhân, các phát hiện vẫn không đồng nhất. Một tổng quan hệ thống về các nghiên cứu hiện có là cần thiết để xác định các hạn chế về khái niệm và phương pháp cũng như cung cấp cơ sở cho những hướng nghiên cứu và chính sách trong tương lai.
Mục tiêu: Mục tiêu là (a) mô tả thiết kế nghiên cứu, cấu trúc, phương pháp và các thước đo; (b) mô tả mối liên hệ độc lập giữa SES khu vực và việc sàng lọc ung thư; và (c) xác định các lĩnh vực nghiên cứu còn bỏ ngỏ.
Phương pháp: Chúng tôi đã tìm kiếm sáu cơ sở dữ liệu điện tử và thực hiện tìm kiếm thủ công các bài báo đã được trích dẫn và đang được trích dẫn. Các nghiên cứu đủ tiêu chuẩn được công bố trước năm 2008 trong các tạp chí đánh peer bằng tiếng Anh, đại diện cho dữ liệu chính về những cá nhân từ 18 tuổi trở lên ở các quốc gia phát triển, và đo lường mối liên hệ giữa SES khu vực và cá nhân với việc sàng lọc ung thư vú, cổ tử cung hoặc đại trực tràng.
Kết quả: Trong 19 nghiên cứu đủ tiêu chuẩn, phần lớn đo lường việc sàng lọc ung thư vú. Các nghiên cứu có sự khác biệt lớn về thiết kế nghiên cứu, định nghĩa và thước đo SES, hành vi sàng lọc ung thư và các biến đồng mắc. Tám nghiên cứu sử dụng hồi quy logistic đa cấp, trong khi phần còn lại phân tích dữ liệu bằng hồi quy logistic đơn cấp tiêu chuẩn. Phần lớn các nghiên cứu đo lường một hoặc hai chỉ số của SES khu vực và cá nhân; các chỉ số thường gặp ở cả hai cấp độ này là nghèo đói, thu nhập và giáo dục. Không có mô hình nhất quán trong mối liên hệ giữa SES khu vực và việc sàng lọc ung thư.
Từ khóa
#tình trạng kinh tế - xã hội #mối liên hệ #sàng lọc ung thư #nghiên cứu tổng quan #nghiên cứu phương phápTài liệu tham khảo
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