糖尿病心血管并发症的社会和结构决定因素
Portia Mensah1,2, Kelly Valdez1,2, Ankita Gyawali1
1Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Mail Stop F547, Aurora, CO, 80045, USA.
Current diabetes reports
|May 2, 2024
概括
患有糖尿病的种族和民族少数群体由于健康的社会和结构性决定因素,面临更高的心血管疾病死亡率. 解决这些不平等问题对于改善健康结果至关重要.
科学领域:
- 心血管健康 心血管健康
- 糖尿病管理 糖尿病管理
- 健康 公平 卫生 公平
背景情况:
- 心血管疾病 (CVD) 是糖尿病患者的主要死亡原因.
- 患有糖尿病的种族和民族少数群体往往对心血管风险因素的管理较差,导致死亡率增加.
- 健康的社会和结构性决定因素显著影响一个人采取健康行为的能力.
研究的目的:
- 审查糖尿病患者心血管并发症.
- 检查这些并发症与健康的社会决定因素 (SDOH) 之间的关系.
主要方法:
- 在糖尿病人群中对心血管并发症的文献综述.
- 分析社会和结构决定因素对糖尿病患者心血管健康的影响.
主要成果:
- 尽管在糖尿病治疗方面取得了进展,但在种族和民族少数群体的治疗能力方面仍然存在差异.
- 在获得这些不平等的机会有助于持续的不平等心血管疾病的结果.
- 心血管疾病的种族/种族差异与系统性问题有关,包括经济机会,教育,健康素养,社区状况和医疗保健准入,所有这些都受到结构性种族主义的影响.
结论:
- 健康的社会和结构性决定因素是影响糖尿病患者心血管结果的关键因素.
- 解决系统性不平等问题对于降低糖尿病少数群体心血管疾病死亡率至关重要.
相关概念视频
Pathophysiology of Diabetes
922
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
922
Diabetes: Symptoms, Diagnosis, and Complications
526
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
526
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.8K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.8K
Diabetes Mellitus: Type 2 and Gestational
2.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Diabetes Mellitus: Overview and Type I Subtype
2.6K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.6K


