在拉丁裔糖尿病患者中影响眼科查遵守的因素:一种定性研究
Christian Pelayo1, Maria Mora Pinzón2, Loren J Lock1
1Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Translational vision science & technology
|December 7, 2023
概括
拉丁克斯人面临糖尿病视力损失的高率. 解决个人,卫生系统和社区障碍是改善糖尿病人眼部查遵守率和预防失明的关键.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 眼科医生 眼科 眼科
背景情况:
- 拉丁裔人口在美国的视力障碍和失明率不成比例地高.
- 糖尿病视网膜病变是导致失明的首要原因,在这些社区中往往没有被诊断出来.
研究的目的:
- 确定影响拉丁裔患者遵守糖尿病眼部查的因素.
- 了解个人,卫生系统和社区层面对查参与的影响.
主要方法:
- 进行了半结构化的个人采访,对20名拉丁裔患者进行了采访,这些患者被诊断患有2型糖尿病,位于威斯康星州丹县.
- 使用了归纳和演编码,并建立了分析的研究框架.
- 从西班牙语转录和翻译采访到英语.
主要成果:
- 关键的个人障碍包括低眼睛健康素养,缺乏保险,以及降低糖尿病管理的自我有效性.
- 卫生系统的促进者涉及到初级保健提供者的建议和非书面的患者教育.
- 社区的障碍包括社会孤立,男性主义,移民问题以及担心成为他人负担的恐惧.
结论:
- 多个个体,卫生系统和社区因素显著影响拉丁裔人口的糖尿病眼睛查遵守.
- 针对解决这些多方面的障碍的有针对性的战略对于有效的干预至关重要.
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