Neighborhood homicide rate and odds of colorectal adenoma among adult patients seeking colonoscopy.

IF 3.4 Q2 ONCOLOGY
Alyshia Hamm, Evgenia Karayeva, Manoela Lima Oliveira, Nabil Kahouadji, Paul Grippo, Patricia G Wolf, Ece Mutlu, Lisa Tussing-Humphreys, Sage J Kim
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引用次数: 0

Abstract

Background: Chronic exposure to ambient stressors, including neighborhood crime, may have a detrimental impact on the body's stress response system with implications for colorectal carcinogenesis.

Methods: We examined associations between the mean neighborhood homicide rates from 2000 and 2018 and diagnosis of colorectal adenoma among patients at the University of Illinois Health and Hospital System in Chicago, Illinois, between 2015 and 2018.

Results: Of the 5,225 patients who underwent colonoscopy and were included in the analytic dataset, 60% had colorectal adenoma. Older age, male sex, and higher body mass index (BMI) were associated with greater odds of colorectal adenoma. The neighborhood homicide rate was associated with identifying as Black and Hispanic and higher BMI. A mediation analysis showed that the neighborhood homicide rate effects on colorectal adenoma were mediated through BMI.

Conclusion: The study concluded that older age, male sex, and higher BMI significantly increase the odds of colorectal adenoma, with neighborhood homicide rate indirectly influencing this risk through its association with BMI, particularly among Black and Hispanic individuals.

邻里凶杀率与寻求结肠镜检查的成年患者患结直肠腺瘤的几率。
背景:长期暴露于环境应激源(包括社区犯罪)可能会对人体的应激反应系统产生不利影响,并对大肠癌的发生产生影响:长期暴露于包括邻里犯罪在内的环境应激源可能会对人体的应激反应系统产生不利影响,从而对结直肠癌的发生产生影响:我们研究了伊利诺伊州芝加哥市伊利诺伊大学健康与医院系统的患者在2015年至2018年期间,2000年至2018年社区凶杀案平均发生率与结直肠腺瘤诊断之间的关联:在接受结肠镜检查并纳入分析数据集的5225名患者中,60%患有结直肠腺瘤。年龄越大、性别为男性、体重指数(BMI)越高,患结直肠腺瘤的几率越大。邻里凶杀率与黑人和西班牙裔以及较高的体重指数有关。中介分析表明,邻里凶杀率对结直肠腺瘤的影响是通过体重指数中介的:研究结论:年龄较大、男性和较高的体重指数会显著增加患结直肠腺瘤的几率,而邻里凶杀率则会通过与体重指数的关联间接影响这一风险,尤其是在黑人和西班牙裔人群中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JNCI Cancer Spectrum
JNCI Cancer Spectrum Medicine-Oncology
CiteScore
7.70
自引率
0.00%
发文量
80
审稿时长
18 weeks
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