对歧视,种族主义和2型糖尿病之间的关系的系统审查 黑人美国人的医疗保健结果
Sandra B Anim1, Roxanne Spurlark2, Ruth-Alma Turkson-Ocran3
1DePaul University School of Nursing, Chicago, IL, USA.
Journal of racial and ethnic health disparities
|August 14, 2023
概括
种族主义和医疗保健提供者对黑人美国人的2型糖尿病 (T2DM) 护理和结果产生负面影响. 解决提供者的行为对于改善T2DM管理和减少健康差异至关重要.
科学领域:
- 健康差异 在健康上的差异
- 糖尿病研究研究 糖尿病研究
- 社会医学科学 社会医学科学
背景情况:
- 2型糖尿病 (T2DM) 不成比例地影响黑人美国人,导致与白人美国人相比,护理和并发症的差异.
- 现有的研究表明,需要探索歧视和种族主义对T2DM护理和黑人美国人口中的结果的影响.
研究的目的:
- 检查对黑人美国人的歧视,种族主义和T2DM护理和结果之间的关联.
- 确定影响T2DM管理和这一人口群体的结果的提供者级因素.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 六篇原创研究文章符合纳入标准,其中包括三个定量和三个定性研究.
主要成果:
- 医疗保健专业人员对人际歧视和种族主义的看法与影响黑人美国人T2DM结果的患者行为有关.
- 提供者沟通,假设,态度,信息共享,共享决策和疾病管理行为被确定为对T2DM结果的潜在影响.
结论:
- 最佳的T2DM管理和减少健康差异需要文化敏感,没有歧视的治疗关系.
- 针对提供者层面的因素和被视为种族主义或歧视行为的干预措施对于改善黑人美国人的T2DM健康结果至关重要.
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