种族隔离和基因组学相关的知识,自我效能,感知重要性,以及医疗服务不足的患者之间的沟通
Jemar R Bather1,2, Melody S Goodman1,2, Kimberly A Kaphingst3,4
1Department of Biostatistics, New York University School of Global Public Health, New York, NY.
Genetics in medicine open
|December 13, 2024
概括
种族隔离对缺乏服务的患者的基因组学知识和家族史沟通产生影响. 了解这些结构因素是减少健康差异和改善遗传服务获取的关键.
科学领域:
- 环境健康 环境健康
- 基因组学就是基因组学.
- 健康差异 在健康上的差异
背景情况:
- 关于结构性环境因素如何影响基因组学相关知识,自我效能,感知重要性和沟通的研究有限.
- 种族隔离是一个重要的结构因素,对健康结果有潜在的影响.
研究的目的:
- 检查种族隔离对基因组学相关知识,自我效能,感知重要性和沟通的影响.
- 在医疗服务不足的患者中调查这些关联.
主要方法:
- 从密苏里州圣路易斯的一家初级保健诊所招募的546名患者的数据分析.
- 使用多变量模型来评估整个生命过程中社会环境的种族组成与基因组学相关结果之间的关联.
主要成果:
- 与其他群体相比,具有更多过去白人社会环境的非西班牙裔白人患者表现出更高的遗传知识.
- 在白人占主导地位的社会环境中,黑人患者更有可能经常与家人沟通关于家族史的信息.
结论:
- 结构因素,如种族隔离,影响遗传信息的理解和家庭历史的沟通服务不足的人口.
- 需要有针对性的干预措施,以提高遗传服务的利用率和减轻健康不平等.
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