文章：

使用个体社会经济地位指数分析结直肠癌筛查中的不平等现象

Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index

原文发布日期：25 November 2024

DOI: 10.3390/cancers16233940

类型: Article

开放获取: 是

英文摘要：

Background/Objectives:An individual socioeconomic status index (ISESI) was used to analyse inequalities in participation and colonoscopy acceptance in the Valencia Region Colorectal Cancer Screening Programme (VR-CRCSP).Methods:This is a cross-sectional study of men and women aged 50–69 who had been invited to participate in the VR-CRCSP as of February 2020 (N = 1,066,763). The variables included in the ISESI were nationality, employment status, disability, healthcare coverage, risk of vulnerability, and family size. The ISESI was categorised into quartiles (Qs), with Q4 corresponding to the lowest socioeconomic status (SES). Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using mixed logistic regression models.Results:The results showed that Q2 (OR = 1.30, CI = 1.28–1.33) and Q3 (OR = 1.07, CI = 1.05–1.09) are more likely to participate in the CRCSP than Q1 (the highest SES), and that Q4 (OR = 0.77, CI = 0.76–0.78) is less likely to participate than Q1. In addition, Q2 (OR = 2.03, CI = 1.78–2.32), Q3 (OR = 1.90, CI = 1.67–2.16), and Q4 (OR = 1.55, CI = 1.36–1.76) are more likely to accept a colonoscopy than Q1. The following socioeconomic characteristics were related to both non-participation and colonoscopy refusal: not Spanish, disabled, no family unit, at risk of social vulnerability, and private mutual health insurance.Conclusions:Inequalities were observed in VR-CRCSP participation and colonoscopy acceptance.

摘要翻译： 

背景/目的：本研究采用个体社会经济地位指数（ISESI）分析巴伦西亚大区结直肠癌筛查计划（VR-CRCSP）中参与率与结肠镜检查接受度的不平等现象。方法：采用横断面研究设计，纳入截至2020年2月受邀参与VR-CRCSP的50-69岁男女性人群（N=1,066,763）。ISESI涵盖的变量包括国籍、就业状况、残疾情况、医疗保障、社会脆弱性风险及家庭规模。将ISESI按四分位数（Qs）分组，其中Q4代表最低社会经济地位（SES）。采用混合逻辑回归模型估计比值比（OR）及其95%置信区间（CI）。结果：研究显示，与最高社会经济地位组（Q1）相比，Q2组（OR=1.30，CI=1.28-1.33）和Q3组（OR=1.07，CI=1.05-1.09）更可能参与筛查计划，而Q4组（OR=0.77，CI=0.76-0.78）参与可能性较低。在结肠镜检查接受度方面，Q2组（OR=2.03，CI=1.78-2.32）、Q3组（OR=1.90，CI=1.67-2.16）和Q4组（OR=1.55，CI=1.36-1.76）均较Q1组更可能接受检查。以下社会经济特征与不参与筛查及拒绝结肠镜检查均相关：非西班牙籍、残疾状态、无家庭单位、存在社会脆弱性风险以及拥有私人互助医疗保险。结论：VR-CRCSP的参与率与结肠镜检查接受度存在社会经济不平等现象。

原文链接：

Analysing Inequalities in Colorectal Cancer Screening Using an Individual Socioeconomic Status Index