在2型糖尿病成年人中识别具有最高社会风险的个体,使用物件响应理论
Leonard E Egede1,2, Rebekah J Walker3,4, Sebastian Linde5
1Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. legede@mcw.edu.
Journal of general internal medicine
|April 2, 2024
概括
社区犯罪和评级有效选2型糖尿病成年人的社会风险. 这些因素可以识别需要支持的个体,改善健康结果.
科学领域:
- 健康的社会决定因素
- 健康差异 在健康上的差异
- 初级保健研究研究初级保健研究
背景情况:
- 社会风险因素对患有2型糖尿病的成年人健康状况产生重大影响.
- 现有的选工具可能不够节或有效.
- 识别高社会风险对于有针对性的干预至关重要.
研究的目的:
- 开发一种简洁的查工具,以检测2型糖尿病的成年人是否存在高社会风险.
- 利用项目响应理论 (IRT) 来识别关键的歧视性社会风险因素.
- 评估特定社会决定因素在区分风险水平方面的有用性.
主要方法:
- 对来自初级保健诊所的615名糖尿病成年人的横截面分析.
- 使用经过验证的尺度,评估经济,社区,教育,食品,社会和心理风险因素.
- 在12个社会决定因素上应用了双参数物流项目响应理论 (IRT) 模型.
主要成果:
- 邻居犯罪 (歧视3.13) 和邻居评分 (歧视4.02) 显示了最高的项目歧视.
- 这些因素有效地区分了高社会风险与低社会风险的参与者.
- 每个因素的项目难度参数也被计算出来.
结论:
- 犯罪和社区评级是选社会风险最有效的单一项目.
- 使用犯罪和邻里评级的两个问题屏幕可以节地识别高社会风险.
- 这种工具可以帮助识别需要社会支持干预的2型糖尿病患者.
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