社会人口学因素与自我报告的糖尿病视网膜病变之间的关联:基于人口的横截面分析
Michele Zaman1, Chris Zajner2, Jim Xie3
1From the Department of Medicine (M.Z.), Queen's University, Kingston, Ontario, Canada.
American journal of ophthalmology
|November 18, 2024
概括
社会人口学因素显著影响糖尿病视网膜病变 (DR) 的患病率. 解决健康的社会决定因素对于有效的DR查和护理策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病视网膜病变 (DR) 是糖尿病患者视力丧失的主要原因.
- 了解健康的社会决定因素 (SDH) 对DR患病率的影响对于有针对性的干预至关重要.
研究的目的:
- 检查社会人口统计学因素,医疗保健准入和糖尿病视网膜病变 (DR) 患病率之间的联系.
- 确定与美国DR相关的健康关键社会决定因素 (SDH).
主要方法:
- 2017年国家卫生访谈调查 (NHIS) 的基于人口的横截面分析.
- 使用后勤回归分析了26699名参与者中DR流行率和SDH之间的关系.
- 检查的因素包括健康状况,残疾,就业,地理区域,通常的护理来源和性别.
主要成果:
- 1.0%的参与者自我报告了DR诊断.
- 较高的DR患病率与较差的健康状况,残疾,失业和居住在美国南部地区有关.
- 相反,与通常的医疗保健提供者和女性相比,与自我报告的DR有负面关联.
结论:
- 多种社会人口统计因素与自我报告的糖尿病视网膜病变 (DR) 有显著的关联.
- 医疗保健提供者和政策制定者必须在开发整体DR查和护理模型时考虑SDH.
- 针对这些因素的定制干预措施可以改善DR管理和结果.
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