孕期健康和糖尿病的社会决定因素
Christine Field1, Xiao-Yu Wang1, Maged M Costantine1
1Department of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
健康的社会决定因素 (SDOH) 影响怀孕,增加糖尿病风险和不良结果. 解决这些系统性因素的干预措施对于改善孕产妇健康平等和糖尿病孕妇结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 健康的社会决定因素 (SDOH) 涵盖了影响整个生命周期健康的条件.
- SDOH是导致人口健康结果差异的系统因素.
- SDOH可以在个人 (iSDOH) 和社区 (nSDOH) 层面进行评估.
研究的目的:
- 检查不良SDOH和妊娠糖尿病之间的关联.
- 调查SDOH对糖尿病患者血糖控制和怀孕结果的影响.
- 强调需要多层次干预措施来缓解SDOH和改善孕产妇健康公平.
主要方法:
- 对SDOH和怀孕结果现有证据的审查.
- 分析个人级别的SDOH (iSDOH) 和社区级别的SDOH (nSDOH).
- 探索不良SDOH和糖尿病发展,血糖控制和不良妊娠结果之间的关联.
主要成果:
- 不良的iSDOH和/或nSDOH与怀孕期间患糖尿病的可能性更高有关.
- 患有不良SDOH的糖尿病孕妇面临更差的血糖控制和更频繁的不良结果.
- 有证据表明,SDOH和糖尿病孕妇的负面健康轨迹之间存在显著的关系.
结论:
- 健康的不良社会决定因素显著恶化了糖尿病孕妇的结果.
- 针对SDOH的多层次干预是必要的,以促进公平的孕产妇护理.
- 未来的研究应该专注于评估改善这一群体健康公平和结果的干预措施.
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