在面临MASLD风险的人群中对健康的社会决定因素的查:一个范围审查
Rebecca G Kim1, April Ballantyne1, Molly B Conroy2
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Utah, Salt Lake City, UT, United States.
Frontiers in public health
|April 25, 2024
概括
健康的社会决定因素 (SDoH) 对代谢功能障碍相关的脂肪性肝病 (MASLD) 有影响. 本次审查强调了在MASLD患者中进行临床SDoH查的必要性,以解决差异并改善结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 健康的社会决定因素 (SDoH) 与代谢功能障碍相关的脂肪性肝病 (MASLD) 的各种结果有关.
- 在MASLD人群中需要有效的SDoH临床查,但最佳方法尚不清楚.
- 本范围审查审查审查了临床环境中对MASLD患者及其风险因素的SDoH查的当前文献.
研究的目的:
- 描述临床环境中健康查的社会决定因素的现有文献.
- 识别患有MASLD或患有MASLD风险的个体所报告的查方法和结果.
- 为未来的研究和临床实践提供有关MASLD中SDoH评估的信息.
主要方法:
- 在MEDLINE,Embase和CINAHL完整数据库中进行了系统的文献搜索,截至2023年7月.
- 包括的研究是那些在患有或有MASLD风险的个体中进行临床SDoH查,报告临床结果的研究.
- 包括的结果集中在MASLD风险因素的变化上,例如糖尿病和高血压.
主要成果:
- 涉及148,151名患者的10项研究 (8篇手稿,2篇摘要) 符合纳入标准.
- 查主要发生在初级保健机构,使用各种工具.
- 通常评估的SDoH包括财务稳定,医疗保健准入,粮食不安全和运输;较高的SDoH负担与较差的临床结果相关,如HbA1c升高和血压升高.
结论:
- 很少有研究详细介绍临床SDoH对MASLD风险因素的查,而对于MASLD患者则没有,尽管已有指导方针.
- 实时,全面的SDoH评估对于患有MASLD或有MASLD风险的患者至关重要.
- 优先考虑SDoH查可以帮助缓解疾病的进展,并减少MASLD的健康差异.
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