在2型糖尿病患者中选择并发症和并发症的种族差异
Caitlin M Hackl1, Wei-Chen Lee2, Hanaa S Sallam3,4
1John Sealy School of Medicine (JSSM), University of Texas Medical Branch (UTMB), Galveston, TX 77555, USA.
Healthcare (Basel, Switzerland)
|April 26, 2024
概括
与白人和西班牙裔患者相比,患有2型糖尿病的黑人患者面临更高的严重并发症和肥胖的风险. 解决社会经济因素对于减少这些健康差异至关重要.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 健康差距 研究 研究 研究 研究
背景情况:
- 2型糖尿病 (T2D) 不成比例地影响种族和少数民族,突出显著的公共卫生问题.
- 疾病控制和预防中心 (CDC) 强调评估差异是减少糖尿病不平等结果的关键一步.
- 了解这些差异对于开发有针对性的干预措施和改善患者护理至关重要.
研究的目的:
- 分析和比较不同种族和种族群体中被诊断患有T2D的微血管和宏血管并发症,肥胖和胰岛素依赖率.
- 确定种族和民族少数群体在T2D结果中的特定差异.
- 为制定旨在减轻T2D相关健康不平等的战略提供信息.
主要方法:
- 从2012年1月1日至2017年3月31日期间,对20680名被诊断患有T2D的成年患者的电子健康记录进行了回顾性分析.
- 微血管 (脏,眼科,神经) 和宏血管 (高血压,缺血病,中风) 并发症的原始和年龄标准化率的比较.
- 在非西班牙裔白人,非西班牙裔黑人和西班牙裔患者群体中评估相关肥胖 (I或II阶段) 和治疗方式 (胰岛素与口服低血糖药物).
主要成果:
- 与非西班牙裔白人和西班牙裔患者相比,黑人患者的宏血管和微血管并发症率显著更高.
- 与白人和西班牙裔患者相比,黑人患者的I或II期肥胖的患病率更高.
- 黑人患者比白人和西班牙裔患者更有可能接受胰岛素治疗,而不是口服低血糖药.
结论:
- 在2型糖尿病并发症中存在种族差异,黑人患者面临更高的微血管和宏血管问题的负担.
- 观察到的差异可能与社会经济劣势有关,导致黑人人口糖尿病管理较差.
- 迫切需要有针对性的预防策略,以减少种族少数群体中T2D并发症的发生率,并促进健康公平.
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