دانلود رایگان مقاله لاتین مدل سازی نابرابری عامل خطر سرطان از سایت الزویر


عنوان فارسی مقاله:

مدل سازی نابرابری عامل خطر سرطان با توجه به منطقه جغرافیایی در شهرهای آمریکا


عنوان انگلیسی مقاله:

Modelling of geographic cancer risk factor disparities in US counties


سال انتشار : 2016



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مقدمه انگلیسی مقاله:

1. Introduction

The impact of cancer is enormous and takes a toll on both the individual and societal level. The total US economic impact of cancer in 2014 is estimated at $216.6 billion dollars, with nearly 13.7 million people living with cancer, over 1.6 million diagnoses, and more than half a million deaths (Howlander, Noone, & Krapcho, 2012; ACS, 2012). There is good news amidst the bad, however. Cancer incidence and mortality rates have been dropping in recent years according to the American Cancer Society (ACS) along with 5- year survival rates, due in part to lifestyle improvements, more advanced treatment options, and earlier detection of many cancer types (ACS, 2010). Although the overall impact of cancer in the US looks to be headed in the right direction, the effect is not felt equally among all groups in the US. Cancer disparities, defined by National Cancer Institute (NCI), as “adverse differences in cancer incidence, cancer prevalence, cancer death, cancer survivorship, and burden of cancer or related health conditions that exist among specific population groups in the United States”, are becoming an increasing focus (National Health Disparities Act, 2000). As a result, NCI funded programs and research initiatives have aimed at the lack of cohesive analysis and clear frameworks by which disparities are assessed (Harper & Lynch, 2010). This paper proposes both a theoretical framework as well as a method of analysis intended to fill this identified gap. In order to effectively address the cancer health disparities issue, a theoretical model is proposed that takes a more holistic approach to the assessment of social and economic constructs as they relate to cancer outcomes. This approach builds on previous research, which has concentrated predominantly on socioeconomic status (SES), race, ethnicity and gender differences as they relate to cancer outcomes (Calo, Suarez, Soto-Sal, gado, Quintana, & Ortiz, 2015; Cook et al., 2015; Hess, Lee, Fish, Daly, Cress, & Mayadev, 2015; Rizzo, Sherman & Arciero, 2015; Kim, Paik, Yoon, Lee, Kim & Sung, 2015). Additional studies investigate the interaction of societal variables that exists across communities and how other health behaviors influence specific cancer outcomes (Goovaerts et al., 2015; Kuo, Mobley & Anselin, 2011; Oliver, Smith, Siadaty, Hauck,Pickle, 2006; Xiao, Gwede & Milla, 2007). Using a geographic approach in the analysis of disparities, the aim of this research is ultimately on the identification of regional trends and changes in societal influence that lead to these differential impacts across all cancer types.



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کلمات کلیدی:

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