健康的社会决定因素和在SIGHT研究中对玻璃眼查和检测
Paula Anne Newman-Casey1, Lisa A Hark2, Ming-Chen Lu1
1Department of Ophthalmology and Visual Sciences, W. K. Kellogg Eye Center University of Michigan, Ann Arbor, MI.
Journal of glaucoma
|April 4, 2024
概括
有针对性的青光眼查发现,高贫困,非裔美国人和西班牙裔/拉丁裔社区的青光眼和疑似青光眼的发病率为27%. 这一比例是全国平均水平的三倍,突显了社区眼科护理计划的急需.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 玻璃眼不成比例地影响着服务不足的人群,需要有针对性的查策略.
- 基于社区的查计划对于早期检测风险群体至关重要,因为他们获得眼科护理的机会有限.
研究的目的:
- 在多种人群中识别邻居级别的社会风险因素,以进行青光眼查.
- 为高风险社区设计和实施有效的,有针对性的青光眼查和后续计划提供信息.
主要方法:
- 在SIGHT研究中,利用远程医疗和社区设置,在高风险人群中选青光眼.
- 从美国三个不同地点的2379名参与者收集了数据.
主要成果:
- 确诊的青光眼和青光眼疑似的患病率为27%,是全国平均水平的三倍.
- 参与者主要是40岁以上 (91%),女性 (64%),并且包括相当多的非洲裔美国人 (60%) 和西班牙裔/拉丁裔 (19%) 个人.
- 参与者中普遍存在高贫困率,较低的教育程度和缺乏医疗保险.
结论:
- 在高贫困,少数民族严重地区的有针对性的查显示,青光眼的患病率显著增加.
- 在地理上多样化的研究地点中,研究结果一致,这凸显了对这些干预措施的广泛需求.
- 这项研究强调了社区查在识别贫困人口中青光眼的有效性.
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