在城市的西班牙裔人口与SLE生殖健康讨论的差异:从现场的经验教训
Martha Delgado1, Jack Rodman2, Meredith Xepoleas3
1Keck School of Medicine, Department of Medicine Residency Program, University of Southern California, Los Angeles, California, USA.
Lupus science & medicine
|February 21, 2024
概括
在西班牙裔系统性红斑狼 (SLE) 患者的生殖健康讨论中存在差异. 讲英语的SLE患者报告说,与讲西班牙语的患者相比,他们更频繁地谈论避孕和计划怀孕.
科学领域:
- 类风湿病学 类风湿病学
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
背景情况:
- 系统性红斑狼 (SLE) 主要影响生育年龄的妇女,需要仔细的生殖健康管理.
- 服务不足,主要是患有SLE的西班牙裔人口面临更高的意外怀孕率和更差的疾病结果.
- 了解患者和医生的经验与生殖健康指南在这个人口是关键的.
研究的目的:
- 评估2020年美国风湿病学会 (ACR) 关于风湿病的生殖健康指南对计划怀孕和避孕讨论的影响.
- 调查SLE.在服务不足,主要是西班牙裔患者群体中进行的生殖健康对话.
- 确定这一群体在生殖健康讨论中的潜在差异.
主要方法:
- 基于2020年ACR生殖健康指南的调查以英语和西班牙语对151名SLE患者进行了调查.
- 该调查评估了患者对生殖健康讨论的信念,经验和局限性.
- 统计分析包括皮尔森的千平方或费舍尔对分类变量的精确测试和威尔科克森连续变量的排列和和测试.
主要成果:
- 与西班牙语患者相比,说英语的SLE患者更有可能讨论避孕,怀孕计划和周围药物的使用.
- 三分之二的受访患者将他们的风湿病学家作为生殖健康信息的主要来源.
- 在英语和西班牙语SLE患者群体之间的生殖健康对话频率中观察到显著的差异.
结论:
- 在英语和西班牙语SLE患者之间,生殖健康对话的差异在多个主题中很明显.
- 需要进行进一步的研究,以了解西班牙语SLE人口中生殖健康讨论频率较低的原因.
- 解决这些差异对于改善这一脆弱患者群体的生殖健康结果至关重要.
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