农村小时工人群中的健康查:北卡罗来纳州SERVIRE项目
Ashley E Burch1, Elisabeth Lee2, Linda P Bolin3
1Department of Health Services & Information Management, East Carolina University, Greenville, North Carolina; Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
一项针对农村小时工人的基于工作场所的新型健康查发现了高比例的未被诊断的糖尿病和高血压. 这种方法改善了慢性疾病的检测和医疗保健的机会,为这个服务不足的人群.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 农村小时工人面临医疗保健接入障碍.
- 糖尿病和高血压等慢性疾病在这个人群中很普遍,而且往往没有被诊断出来.
- 基于工作场所的干预措施可以改善健康查的可访问性.
研究的目的:
- 评估与企业合作的,基于工作场所的医疗保健接入模式的可行性.
- 确定农村小时工人中未被诊断的糖尿病和高血压的患病率.
- 在查的人群中识别中风和睡眠呼吸暂停的风险.
主要方法:
- 与29家企业合作,选了1114名农村小时工人.
- 进行健康查,包括A1c,血压,功能测试和风险问卷.
- 预糖尿病,糖尿病,高血压,病,中风 (CHA2DS2-VASc) 和睡眠呼吸暂停 (STOP-Bang) 的评估风险.
主要成果:
- 36%的查结果为糖尿病前期或糖尿病呈阳性;其中70.4%未被诊断.
- 62.4%的人血压升高;其中65.4%的人没有被诊断为高血压.
- 21.6%的人患上中风风险增加,23.7%的人患上睡眠呼吸暂停风险增加.
结论:
- 基于工作场所的查方法有效地发现了农村小时工人中未被诊断的慢性疾病的高率.
- 这种模式促进了早期检测,并改善了与医疗保健系统的接触.
- 工作场所的干预措施有望改善服务不足的劳动力中长期的公共卫生结果.
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