多発性硬化症における性別と人種的アイデンティティに関連した遅れた診断の横断的研究

Amy Li Safadi¹, Brian D Barry², Robert K Shin³

¹Department of Neurology, Inova Health System, Fairfax, VA, USA. Amy.Safadi@inova.org.

Journal of racial and ethnic health disparities

|September 5, 2025

まとめ

多発性硬化症 (MS) の男性や黒人は診断が遅れる. 男性は評価から診断までの時間が長くなり,黒人患者は最初の神経科診察を遅らせ,MS治療に影響を与えました.

科学分野:

神経学
臨床研究
健康の格差

背景:

以前の研究では多発性硬化症 (MS) の男性や黒人の予後が悪いことが示されています
診断と評価の遅延がこれらの格差に寄与する役割はまだ十分に調査されていない.

研究の目的:

男性と黒人患者における多発性硬化症 (MS) の評価と診断における潜在的な遅延を調査する.
MSの診断と治療の遅延に伴う人口統計的要因を特定する.

主な方法:

2019年から2021年に1つの機関で実施された調査に基づく調査です.
多発性硬化症 (pwMS) の成人患者は,症状の発現,最初の神経科診察,およびMS診断の時間について調査されました.

主要な成果:

男性は,症状発現からMS診断までの期間 (女性5ヶ月) に比べて,平均的にかなり長かった.
MSの黒人の患者は,白人の患者と比較して,症状の発現と最初の神経診察の間の≥6ヶ月の遅延を示しました.
黒人と白人のpwMSでは,症状の発症や最初の神経診察の年齢の有意な差は認められなかったが,診断時の男性はより年上であった.

結論:

男性では,MSの評価と診断に重大な遅延が認められた.
症状発現後の神経学的評価が遅れた可能性が高い.
これらの人口特有の遅延に対処することは,MSの成果と健康の公平性を改善するために極めて重要です.

キーワード:

診断の遅延性別について健康の格差マイノリティ多発性硬化症

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