未满足的社会需求与二型糖尿病患者中的甲福林使用的关联
Connor Drake1,2, Jorge Morales Alfaro1, Dan V Blalock2,3
1Department of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Diabetes care
|September 27, 2023
概括
住房和医疗保健等社会需求显著降低了2型糖尿病 (T2D) 的成年人对甲胺的坚持. 解决这些健康的社会决定因素对于改善糖尿病管理至关重要.
科学领域:
- 健康的社会决定因素
- 糖尿病管理 糖尿病管理
- 健康差异 在健康上的差异
背景情况:
- 甲胺是2型糖尿病 (T2D) 的第一线治疗方法.
- 社会需求可能会影响药物服药和健康结果.
- 了解社会需求与甲福林使用之间的联系对于有效的T2D护理至关重要.
研究的目的:
- 调查T2D成年人的社会需求和甲福林坚持之间的联系.
- 为了确定最显著影响药物坚持的特定社会需求.
主要方法:
- 对722名患有T2D的成年人进行前性队列研究.
- 连接电子健康记录与处方数据.
- 评估了患者报告的社会需求,并使用覆盖日数的比例计算了甲福林的坚持.
主要成果:
- 两个或两个以上的社会需求与较低的甲胺使用有关.
- 缺乏保险,住房不稳定,医药/医疗保健供不应求,都与遵守规则的减少有关.
- 社会需求负担显著降低了甲的坚持.
结论:
- 社会需求,特别是住房和医疗保健的准入,是影响T2D患者对甲福林的坚持的关键因素.
- 需要解决健康的社会决定因素的干预措施,以改善药物坚持和糖尿病的结果.
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