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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Challenges of using nationally representative, population-based surveys to assess rural cancer disparities
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Challenges of using nationally representative, population-based surveys to assess rural cancer disparities

机译：使用全国代表，基于人口的调查来评估农村癌症差异的挑战

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Population-based surveys provide important information about cancer-related health behaviors across the cancer care continuum, from prevention to survivorship, to inform cancer control efforts. These surveys can illuminate cancer disparities among specific populations, including rural communities. However, due to small rural sample sizes, varying sampling methods, and/or other study design or analytical concerns, there are challenges in using population-based surveys for rural cancer control research and practice. Our objective is three-fold. First, we examined the characterization of "rural" in four, population-based surveys commonly referenced in the literature: 1) Health Information National Trends Survey (HINTS); 2) National Health Interview Survey (NHIS); 3) Behavioral Risk Factor Surveillance System (BRFSS); and 4) Medical Expenditures Panel Survey (MEPS). Second, we identified and described the challenges of using these surveys in rural cancer studies. Third, we proposed solutions to address these challenges. We found that these surveys varied in use of rural-urban classifications, sampling methodology, and available cancer-related variables. Further, we found that accessibility of these data to non-federal researchers has changed over time. Survey data have become restricted based on small numbers (i.e., BRFSS) and have made rural-urban measures only available for analysis at Research Data Centers (i.e., NHIS and MEPS). Additionally, studies that used these surveys reported varying proportions of rural participants with noted limitations in sufficient representation of rural minorities and/or cancer survivors. In order to mitigate these challenges, we propose two solutions: 1) make rural-urban measures more accessible to non-federal researchers and 2) implement sampling approaches to oversample rural populations.
机译：基于人口的调查提供了关于癌症护理连续体的癌症相关的健康行为的重要信息，从预防到生存，告知癌症控制努力。这些调查可以在特定人群中阐明癌症差异，包括农村社区。然而，由于农村样本小，不同的采样方法和/或其他研究设计或分析问题，在利用基于人口的农村癌症控制和实践的挑战存在挑战。我们的目标是三倍。首先，我们审查了“农村”的特点，在文学中常见的四个，基于人口的调查：1）健康信息国家趋势调查（提示）; 2）国家健康面试调查（NHI）; 3）行为风险因素监测系统（BRFS）; 4）医疗支出面板调查（MEP）。其次，我们确定并描述了在农村癌症研究中使用这些调查的挑战。第三，我们提出解决这些挑战的解决方案。我们发现，这些调查在使用农村城市分类，采样方法和可用的癌症相关变量时变化。此外，我们发现这些数据的可访问性与非联邦研究人员已经改变了时间。调查数据基于少数（即，BRFS）已受到限制，并且仅在研究数据中心（即NHIS和MEPS）中仅提供农村城市措施。此外，使用这些调查的研究报告了对农村少数群体和/或癌症幸存者的充分代表中的局限性的不同比例。为了减轻这些挑战，我们提出了两种解决方案：1）非联邦研究人员更加易于获得农村城市措施，2）为过采样的农村人口实施抽样方法。

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