研究动态
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社会保护计划会影响乳腺癌和宫颈癌的负担吗?系统回顾。

Do social protection programmes affect the burden of breast and cervical cancer? A systematic review.

发表日期:2024 Dec
作者: Ligia Gabrielli, Sheila M Alvim Matos, Ana Luísa Patrão, Emanuelle F Góes, Maria da Conceição C Almeida, Greice M S Menezes, Isabel Dos-Santos-Silva, Gulnar Azevedo E Silva, Maria Teresa Bustamante-Teixeira, Mauricio L Barreto, Srinivasa Vittal Katikireddi, Alastair H Leyland, Luana Ferreira Campos, Ester Maria Dias Fernandes de Novaes, Daniela de Almeida Pereira, Elvira Rodrigues Santana, Fernanda Rodrigues Gonçalves Zeferino, Ana Cleide da Silva Dias, Fábio G Fernandes, Ana Cristina de Oliveira Costa, Estela M L Aquino
来源: TROPICAL MEDICINE & INTERNATIONAL HEALTH

摘要:

社会经济状况与乳腺癌和宫颈癌的发病率和死亡率模式密切相关;因此,社会保护计划(SPP)可能会影响这些癌症。本研究旨在评估 SPP 对乳腺癌和宫颈癌结果及其风险/保护因素的影响。检索了五个数据库,查找评估 PPS 参与度以及发病率、生存率、死亡率(主要结果)、筛查、诊断分期的文章以及这些癌症的风险/保护因素(次要结果)。仅纳入了接受 SPP 的女性与未领取福利的符合资格的女性进行同行评审的定量研究。独立审稿人选择文章、评估资格、提取数据并评估偏倚风险。收获图代表纳入的研究,并显示效果方向、样本量和偏倚风险。在检索到的 17,080 份文件中,有 43 项研究纳入了评价。没有研究评估主要结果。他们都研究了 SPP 和筛查之间的关系,以及风险和保护因素。收获图显示,在偏倚风险较低的研究中,SPP 的参与者体重和生育能力较低,首次性行为年龄较大,母乳喂养婴儿的时间更长。尚未有研究评估 SPP 对乳腺癌和宫颈癌发病率的影响,生存或死亡;然而,现有证据表明对风险和保护因素有积极影响。© 2024 由 Elsevier B.V. 出版
Socioeconomic conditions are strongly associated with breast and cervical cancer incidence and mortality patterns; therefore, social protection programmes (SPPs) might impact these cancers. This study aimed to evaluate the effect of SPPs on breast and cervical cancer outcomes and their risk/protective factors.Five databases were searched for articles that assessed participation in PPS and the incidence, survival, mortality (primary outcomes), screening, staging at diagnosis and risk/protective factors (secondary outcomes) for these cancers. Only peer-reviewed quantitative studies of women receiving SPPs compared to eligible women not receiving benefits were included. Independent reviewers selected articles, assessed eligibility, extracted data, and assessed the risk of bias. A harvest plot represents the included studies and shows the direction of effect, sample size and risk of bias.Of 17,080 documents retrieved, 43 studies were included in the review. No studies evaluated the primary outcomes. They all examined the relationship between SPPs and screening, as well as risk and protective factors. The harvest plot showed that in lower risk of bias studies, participants of SPPs had lower weight and fertility, were older at sexual debut, and breastfed their infants for longer.No studies have yet assessed the effect of SPPs on breast and cervical cancer incidence, survival, or mortality; nevertheless, the existing evidence suggests positive impacts on risk and protective factors.© 2024 Published by Elsevier B.V.