美国拉丁裔人口构成变化与综合癌症中心
U.S. Latino population composition change and comprehensive cancer centers.
作者信息
Flores Ann Marie, Jeffery Diana D, Miller Barry A
机构信息
Department of Orthopaedics and Rehabilitation and School of Nursing at Vanderbilt University Medical Center, Medical Center East, South Tower, Suite 4460, Nashville, TN 37232-8828, USA.
出版信息
J Health Care Poor Underserved. 2009 May;20(2):346-63. doi: 10.1353/hpu.0.0133.
BACKGROUND
We describe a typology characterizing population trends of U.S. Latinos/Hispanics from 1990 to 2000 with respect to National Cancer Institute-designated comprehensive cancer centers (CCCs) and corresponding consolidated metropolitan statistical or metropolitan statistical areas (CMSA/MSAs).
METHODS
Using U.S. Census Bureau data, we constructed population pyramids to analyze population growth and composition for each CMSA/MSA with a CCC.
RESULTS
We identified four types of population growth and composition: Type I--Very Fast and Unstable; Type II--Fast and Unstable; Type III--Somewhat Fast and Stable; Type IV--Slow and Stable.
CONCLUSIONS
The CCCs in areas with Types I and II population growth face the greatest challenges because of the lack of infrastructure for reaching medically underserved Latinos. In contrast, CCCs in areas with Types III and IV population growth may have significant infrastructure but must quickly develop interventions to reach and provide access to aging Latinos to reduce health disparities in cancer mortality and morbidity.
背景
我们描述了一种类型学，其刻画了1990年至2000年美国拉丁裔/西班牙裔人群相对于美国国立癌症研究所指定的综合癌症中心（CCC）以及相应的综合大都市统计区或大都市统计区（CMSA/MSA）的人口趋势。
方法
利用美国人口普查局的数据，我们构建了人口金字塔，以分析每个设有CCC的CMSA/MSA的人口增长和构成情况。
结果
我们确定了四种人口增长和构成类型：I型——非常快速且不稳定；II型——快速且不稳定；III型——较快且稳定；IV型——缓慢且稳定。
结论
I型和II型人口增长地区的CCC面临着最大的挑战，因为缺乏为医疗服务不足的拉丁裔人群提供服务的基础设施。相比之下，III型和IV型人口增长地区的CCC可能拥有完善的基础设施，但必须迅速制定干预措施，以覆盖并为老龄化的拉丁裔人群提供服务，从而减少癌症死亡率和发病率方面的健康差距。
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