社会剥夺和糖尿病病:一个欧洲的观点
Caoimhe Casey1,2, Claire M Buckley2, Patricia M Kearney2
1Centre for Diabetes, Endocrinology and Metabolism, Galway University Hospitals, Galway, Ireland.
Journal of diabetes investigation
|January 27, 2024
概括
社会剥夺与糖尿病病 (DKD) 的并发症有关. 本综述强调了社会经济因素与欧洲的DKD之间的联系,强调了有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 社会流行病学 社会流行病学
背景情况:
- 健康方面的社会梯度得到了充分证据,越来越多的证据将社会贫困与糖尿病并发症联系起来.
- 糖尿病病 (DKD) 显著增加了糖尿病患者的死亡率.
- 社会经济贫困被认为既是病风险因素的修饰因素,也是独立的风险因素.
研究的目的:
- 审查欧洲关于社会剥夺和糖尿病病 (DKD) 之间的关系的文献.
- 探索将剥夺与DKD联系在一起的潜在机制.
- 突出需要更大的临床意识和对这个问题的关注.
主要方法:
- 系统审查欧洲研究的社会剥夺和DKD.
- 分析与微专尿和明显脏病的关联.
- 探索调解因素,如健康行为,获得医疗保健和压力.
主要成果:
- 大多数研究发现,社会剥夺与微专尿症之间存在关联,微专尿症是一种早期的DKD标志物.
- 许多研究也表明,贫困和公开的病在欧洲各国之间存在联系.
- 健康行为,风险因素控制,获得医疗保健,健康素养和压力被确定为潜在的调解因素.
结论:
- 在欧洲,社会贫困与糖尿病病有很大关系.
- 虽然健康行为和风险因素起着作用,但其他因素,如医疗保健和压力也很重要.
- 需要有针对性的干预措施,公平的技术接入和灵活的护理模式,以解决与剥夺相关的DKD.
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