Sự chênh lệch chủng tộc trong tỷ lệ tử vong và chẩn đoán mắc ung thư nội mạc tử cung giữa người da đen và người da trắng tại Nam Carolina

Cancer Causes & Control - Tập 27 Số 4 - Trang 503-511 - 2016
Babatunde, Oluwole A.1,2, Adams, Swann Arp1,2,3, Eberth, Jan M.1,2, Wirth, Michael D.1,2,4, Choi, Seul Ki2,5, Hebert, James R.1,2,4
1Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, USA
2South Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, USA
3School of Nursing, University of South Carolina, Columbia, USA
4Connecting Health Innovations LLC, Columbia, USA
5Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, Columbia, USA

Tóm tắt

Ung thư nội mạc tử cung (EC) thể hiện sự chênh lệch chủng tộc rõ rệt với tỷ lệ tử vong cao hơn ở người da đen so với người da trắng. Tỷ lệ tử vong trên số ca mắc bệnh (MIR) cung cấp một thước đo trên dân số về khả năng sống sót, tính đến tỷ lệ mắc bệnh. Mục tiêu của nghiên cứu này là xác định MIR ung thư nội mạc tử cung theo chủng tộc cho tám khu vực sức khỏe trong bang Nam Carolina (SC) và lập biểu đồ tỷ lệ mắc bệnh ung thư theo chủng tộc và mức độ ở bốn giai đoạn bệnh. Dữ liệu về tỷ lệ mắc bệnh và tử vong được thu thập từ Mạng lưới Tiếp cận Cộng đồng SC (SCAN), hệ thống truy vấn dữ liệu trực tuyến do Sở Y tế và Kiểm soát Môi trường SC (DHEC) cung cấp. Dữ liệu cơ bản cho SCAN được tạo ra từ Đăng ký Ung thư Trung ương SC và các Hồ sơ Vital của SC DHEC và được sử dụng để xây dựng các MIR. Phần mềm ArcGIS 10.1 đã được sử dụng để lập bản đồ MIR ung thư nội mạc tử cung theo chủng tộc cho tám khu vực sức khỏe tại SC. Bốn danh mục MIR đã được thiết lập sử dụng MIR quốc gia cho ung thư nội mạc tử cung ở người da trắng làm danh mục tham chiếu. Người da đen có tỷ lệ khối u phân loại kém cao hơn ở tất cả các giai đoạn, đồng thời có tỷ lệ mắc bệnh và tỷ lệ tử vong cao hơn. Tại cả tám khu vực sức khỏe, người da đen đều nằm trong danh mục MIR cao nhất. Ngược lại, MIR của người da trắng được phân bố đều hơn trên bốn danh mục. MIR đã chứng minh hữu ích trong việc xác định sự chênh lệch về tỷ lệ mắc bệnh và tử vong ung thư nội mạc tử cung giữa phụ nữ da đen và da trắng ở SC. Các chương trình giám sát ung thư có thể sử dụng MIR để theo dõi sự chênh lệch giữa các nhóm chủng tộc/dân tộc và các vùng địa lý trong tương lai. MIR có tiềm năng trở thành một chỉ thị cho sự thành công lâu dài của các chương trình giám sát ung thư.

Từ khóa

#ung thư nội mạc tử cung #tỷ lệ tử vong #tỷ lệ mắc bệnh #chênh lệch chủng tộc #Nam Carolina

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