农村与城市的差异 自我报告的参与 糖尿病 自我管理 教育
Emma Boswell1, Jan Probst, Peiyin Hung
1Rural and Minority Health Research Center, (Ms Boswell and Drs Probst and Crouch); Department of Health Services Policy and Management, Arnold School of Public Health, (Drs Hung and Crouch); and College of Nursing, University of South Carolina, Columbia, South Carolina (Dr Herbert).
患有糖尿病的农村成年人不太可能接受自我管理教育 (DSME). 即使考虑到其他因素,这种差异仍然存在,这凸显了改善农村地区糖尿病护理的有针对性的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 美国农村地区的糖尿病 (糖尿病) 和相关死亡率较高.
- 糖尿病自我管理教育 (DSME) 可以改善血糖控制,但在农村地区更难获得.
- 在DSME获取方面的差异有助于农村人口的糖尿病不良结果.
研究的目的:
- 确定获得DSME.的城市成年人与农村成年人的比例.
- 分析DSME可用性减少对农村环境中糖尿病管理的影响.
- 为了确定影响DSME在不同成年人群中接收的因素.
主要方法:
- 采用来自29个州的2019年行为风险因素监测系统 (BRFSS) 数据进行的横截面研究.
- 样本包括居住在城市 (大都市) 或农村 (非大都市) 县的28179名糖尿病成年人.
- 使用调查权重的物流回归分析了基于居住和社会人口统计因素的DSME收款概率.
主要成果:
- 总体而言,54.5%的参与者表示接受DSME;农村居民 (50.4%) 的比例低于城市居民 (55.5%).
- 在对共变量进行调整后,DSME收益的农村差异仍然很大 (AOR=0.79;95% CI,0.71-0.89).
- 与非西班牙裔白人和已婚/结婚人士相比,西班牙裔和单身人士报告DSME收款的可能性较低.
结论:
- 农村和城市人口之间在DSME访问方面存在显著的差异.
- 有针对性的干预措施至关重要,以满足那些有可能错过糖尿病教育计划的个体的需求.
- 减少农村糖尿病并发症的努力必须考虑并改善对DSME的访问.
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