糖尿病患者的社会风险群体与不同眼睛护理利用率和视力结果的糖尿病患者
Cindy X Cai1, Dingfen Han2, Diep Tran1
1Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Translational vision science & technology
|March 18, 2024
概括
潜阶级分析在糖尿病患者中确定了不同的社会风险组,在社会需求和视力结果上有所不同. 这些发现可以指导有针对性的干预措施,以改善糖尿病患者的眼睛护理和视力.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康的社会决定因素 (SDoH) 显著影响健康结果,包括糖尿病患者的健康结果.
- 了解社会风险概况对于解决糖尿病眼科护理方面的差异至关重要.
研究的目的:
- 确定SDoH数据的隐性类别分析是否可以在糖尿病患者中识别出不同的社会风险组.
- 评估这些已识别的群体是否在不良SDoH和视力结果上有所不同.
主要方法:
- 对1006名糖尿病成年人进行前性队列研究,他们完成了SDoH调查.
- 隐性类别分析被用来将患者分为社会风险组.
- 评估了社会风险群体与糖尿病视网膜病变严重程度,护理失效和视力敏度之间的关联.
主要成果:
- 确定了三个不同的社会风险群体,它们在社会人口统计学特征和SDoH负担上有所不同.
- 1组 (较低的SDoH) 缺乏知识; 2组 (中等的SDoH) 面临财务不安全/运输问题; 3组 (最高的SDoH) 面临财务不安全/缺乏保险.
- 社会风险组与糖尿病视网膜病治疗失效的病史和视力恶化有显著的关联.
结论:
- 糖尿病视网膜病变患者中存在不同的社会风险群体,其特点是特定的社会需求和不同的眼睛护理使用情况.
- 识别这些群体对于开发有针对性的干预措施来缓解不良SDoH和增强糖尿病患者视力结果至关重要.
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