阿拉伯裔和犹太裔以色列妇女妇科恶性肿瘤发病率的种族差异:一项为期 10 年的研究(2010-2019 年)。

IF 3.1 Q1 OBSTETRICS & GYNECOLOGY
Therapeutic advances in reproductive health Pub Date : 2023-12-30 eCollection Date: 2024-01-01 DOI:10.1177/26334941231209496
Roie Alter, Adiel Cohen, Paul-Adrien Guigue, Raanan Meyer, Gabriel Levin
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引用次数: 0

摘要

背景:即使人群具有相同的环境因素和医疗保健基础设施,医疗保健结果中的种族差异依然存在。妇科恶性肿瘤是一个重大的健康问题,因此有必要探讨这些差异在不同种族群体中的发病率表现:调查阿拉伯裔和犹太裔以色列妇女妇科恶性肿瘤发病率的种族差异:我们的研究采用纵向、基于人群的回顾性队列设计:从国家登记处获得了 2010 年至 2019 年以色列人口妇科癌症诊断数据。计算了疾病发病率和年龄标准化。对阿拉伯患者和犹太患者进行了比较,并使用泊松回归模型分析了显著的发病率变化:在犹太妇女中,妇科恶性肿瘤的年龄标准化比率(ASR)从 288 降至 251(P = 0.802)。在研究期间,犹太妇女的卵巢癌发病率明显下降(p = 0.042),而阿拉伯妇女的发病率保持稳定(p = 0.102)。子宫癌的发病率也呈类似趋势。从 2017 年到 2019 年,犹太妇女中 CIN III(宫颈上皮内瘤变 3 级)的 ASR 显著增加,年增长率为 43.3%(p p 结论:我们的研究结果表明,以色列阿拉伯妇女的妇科癌症发病率较低,值得进一步研究其保护因素。两个种族群体都有效利用了宫颈筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ethnic disparities in the incidence of gynecologic malignancies among Israeli Women of Arab and Jewish Ethnicity: a 10-year study (2010-2019).

Background: Ethnic disparities in healthcare outcomes persist, even when populations share the same environmental factors and healthcare infrastructure. Gynecologic malignancies are a significant health concern, making it essential to explore how these disparities manifest in terms of their incidence among different ethnic groups.

Objective: To investigate ethnic disparities in the incidence of gynecologic malignancies incidence among Israeli women of Arab and Jewish ethnicity.

Design: Our research employs a longitudinal, population-based retrospective cohort design.

Method: Data on gynecologic cancer diagnoses among the Israeli population from 2010 to 2019 was obtained from a National Registry. Disease incidence rates and age standardization were calculated. A comparison between Arab and Jewish patients was performed, with Poisson regression models being used to analyze significant rate changes.

Results: Among Jewish women, the age-standardized ratio (ASR) for gynecologic malignancies decreased from 288 to 251 (p < 0.001) between 2014 and 2019. However, there was no significant change in the ASR among Arab women during the same period, with rates going from 192 to 186 (p = 0.802). During the study period, the incidence of ovarian cancer decreased significantly among Jewish women (p = 0.042), while the rate remained stable among Arab women (p = 0.102). A similar trend was observed for uterine cancer. The ASR of CIN III (Cervical Intraepithelial Neoplasia Grade 3) in Jewish women notably increased from 2017 to 2019, with an annual growth rate of 43.3% (p < 0.001). A similar substantial rise was observed among Arab women, with an annual growth rate of 40.5% (p < 0.001). In contrast, the incidence of invasive cervical cancer remained stable from 2010 to 2019 among women of both ethnic backgrounds.

Conclusion: Our findings indicate that Arab women in Israel have a lower incidence rate of gynecologic cancers, warranting further investigation into protective factors. Both ethnic groups demonstrate effective utilization of cervical screening.

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