糖尿病预防计划是否能接触到那些处于最危险的群体? 一个范围广泛的审查
Cara E Johnston1, Megan M MacPherson1, Mary E Jung1
1School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.
Canadian journal of diabetes
|December 1, 2024
概括
生活方式糖尿病预防计划有效地降低了2型糖尿病的风险,但往往排除了不同的群体. 本次审查确定了量身定制的计划,并提供了改善高风险人口所有人群的覆盖和获取策略.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 健康差异 在健康上的差异
背景情况:
- 生活方式糖尿病预防计划 (DPP) 在降低2型糖尿病 (T2D) 风险方面已被证明是有效的.
- 以前的审查主要关注白人人口,忽视了T2D对不同种族群体的不成比例影响.
- 对于代表性不足的人群来说,有必要理解和改进DPP.
研究的目的:
- 系统地审查和总结现有的针对不同种族的人口的定制DPP.
- 提供可行的建议,以提高DPP在多样化,高风险群体中的可访问性和影响力.
- 解决有关少数民族的T2D预防研究的差距.
主要方法:
- 这项研究是对DPP更广泛的范围审查的次分析.
- 在多个数据库中搜索了有关T2D风险和生活方式干预措施的研究.
- 系统地提取研究特征,使用干预描述和复制模板 (TIDieR) 检查清单.
主要成果:
- 在更大的审查中,在220个项目中,只有64个 (29%) 专门为种族多样化的人口提供服务.
- 还确定了另外10个针对不同群体的项目.
- 在量身定制的节目中,35%报告了具体的策略,62%关注文化上适当的内容和背景.
结论:
- 定制DPP内容和交付对于吸引多样化,资源不足的人口至关重要.
- 为程序开发人员提供建议,以增加访问和覆盖范围.
- 改善DPP的实施可以导致更好的健康结果和高风险个体的T2D减少.
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