Internal migration seeking medical care for prostate cancer.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Salud Publica De Mexico Pub Date : 2024-11-27 DOI:10.21149/16102

Jesús Gibran Hernández-Pérez, Hortensia Reyes-Morales, Martín Lajous, Paola Arenas, Francisco Rodríguez-Covarrubias, Hugo Manzanilla-García, Alejandro Mohar, Luisa Elvira Torres-Sánchez

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引用次数: 0

Abstract

Objective: To characterize the migratory flow of Mexican men affiliated to Seguro Popular (SP) seeking medical care for prostate cancer (PC).

Materials and methods: The administrative base for the treatment of incident CP (5 526 men) funded by the SP (2012-2016) was used. Oncological risk at diagnosis (low, intermediate, high) was estimated based on prostate-specific antigen, Gleason score, and clinical stage. Spatial network analysis and centrality measures were used to identify the health migratory flow.

Results: 1 369 men sought treatment outside their state of residence, all of them with a diagnosis of PC (25%), mainly <65 years of age, high-risk PC, and residents of highly marginalized municipalities. Throughout the study period, Mexico City (closeness-in=0.34) received the largest number of patients (importance-in=1 082) from 26 different states (degree-in=26). This flow was more evident in patients with a high-risk PC, mainly towards hospitals with a high degree of specialization in cancer.

Conclusions: A centralized migration (with two potential migration patterns) in search of treatment for PC was observed, mainly in men with high-risk PC.

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因前列腺癌寻求医疗服务的国内移民。

目的：了解墨西哥Seguro Popular （SP）下属的男性因前列腺癌（PC）寻求医疗服务的迁移流动特征。材料与方法：使用SP资助的突发CP治疗管理基地（5 526名男性）（2012-2016）。诊断时的肿瘤风险（低、中、高）是根据前列腺特异性抗原、Gleason评分和临床分期来评估的。采用空间网络分析和中心性测度对健康迁移流进行识别。结果：1 369名男性在其居住地外寻求治疗，均诊断为PC(25%)，主要是结论：为寻求PC治疗而集中迁移（有两种可能的迁移模式），主要是高危PC男性。

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

Salud Publica De Mexico PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.30

自引率

21.70%

发文量

审稿时长

34 weeks

期刊介绍： Salud Pública de México se crea en 1959 y comienza a publicarse bimestralmente a partir de 1961; en 1988 inicia una nueva época en la que se refuerza su carácter de publicación científica con evaluación por pares. Es una revista publicada por el Instituto Nacional de Salud Pública (INSP), organismo descentralizado de la Secretaría de Salud de México, dedicado a la investigación, docencia y difusión del conocimiento en salud pública. El INSP, de acuerdo con la normatividad internacional, otorga a la revista independencia editorial.