在土著儿童和青年中预防和管理2型糖尿病的干预措施:系统性审查
Edmund Wedam Kanmiki1,2, Yaqoot Fatima1,2, Thuy Linh Duong1,3
1Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Queensland, Australia.
Endocrinology, diabetes & metabolism
|January 13, 2025
概括
文化定制的,长期的干预措施显示了在土著青年中预防和管理2型糖尿病 (T2DM) 的前景. 在改善健康结果方面,社区和学校计划是最有效的.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 健康差异 在健康上的差异
背景情况:
- 原住民人口面临着更高的早期发病的2型糖尿病 (T2DM) 的负担.
- 文化上适当的干预措施对于解决这种健康差异至关重要.
- 本次审查重点关注土著儿童和青少年的T2DM预防和管理.
研究的目的:
- 在土著青年中系统地审查T2DM预防和管理的干预措施.
- 确定有效的策略,以改善这一群体的健康结果.
主要方法:
- 在2023年2月,对五个数据库进行了全面的系统搜索.
- 包括的研究涉及25岁以下的土著青年;使用适应的NIH工具来评估质量.
- 在混合方法的系统审查分析中使用了融合的综合方法.
主要成果:
- 包括25项涉及4594名参与者的研究,主要来自北美.
- 大多数干预都是短期的 (<6个月),参与者不到100人.
- 虽然知识和行为有所改善,但更长的,对文化敏感的干预措施对T2DM风险因素产生了更大的影响.
结论:
- 迫切需要在土著青年中对T2DM进行更多研究.
- 未来的干预措施应该是文化上适当的,长期的,和社区参与.
- 赋予土著青年做出健康选择的权力是必不可少的.
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