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肺癌风险和筛查中的社会差异。

Social Disparities in Lung Cancer Risk and Screening.

机构信息

Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27710, USA.

Surgery, Temple University Hospital, 3401 N. Broad Street, Zone C, 4th Floor, Philadelphia, PA 19140, USA. Electronic address: https://twitter.com/ValedaYongMD.

出版信息

Thorac Surg Clin. 2022 Feb;32(1):23-31. doi: 10.1016/j.thorsurg.2021.09.011.

Abstract

Significant disparities exist in lung cancer incidence and screening. Geographic, racial, gender, and socioeconomic disparities affect lung cancer incidence. As the leading cause of lung cancer, smoking varies among different racioethnic groups, genders, and socioeconomic statuses. In addition, environmental pollutants, such as radon, industrial toxins, and air pollution, are significant risk factors for lung cancer development that is disproportionately seen in working-class communities, as well as underserved and disabled populations. Lung cancer incidence depends on diagnosis. Literature examining lung cancer incidence and screening disparities have its limitations, as most studies are methodologically limited and do not adjust for important risk factors.

摘要

肺癌的发病率和筛查存在显著差异。地理、种族、性别和社会经济差异影响着肺癌的发病率。作为肺癌的主要病因,吸烟在不同的种族群体、性别和社会经济地位中存在差异。此外,环境污染物,如氡、工业毒素和空气污染,也是肺癌发展的重要危险因素,在工人阶级社区以及服务不足和残疾人群体中更为常见。肺癌的发病率取决于诊断。检查肺癌发病率和筛查差异的文献存在其局限性,因为大多数研究在方法学上存在局限性,并且没有调整重要的风险因素。

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