在边缘化方面,移民和非移民之间的糖尿病护理质量的比较:基于人口的队列研究
Shadia Adekunte1, Yu Qing Bai2, Gillian L Booth3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Primary care diabetes
|February 21, 2025
概括
即使健康的社会决定因素相似,患有糖尿病的移民得到的护理质量也低于非移民. 这突显了移民和边缘化对糖尿病管理的交叉影响.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会流行病学 社会流行病学
背景情况:
- 西方国家的移民患糖尿病的风险更高,糖尿病护理质量更差.
- 现有研究尚不清楚这种差异是否在具有类似健康社会决定因素的个体中持续存在.
研究的目的:
- 调查移民和非移民之间糖尿病护理质量的差异是否在类似的边缘化水平内持续存在.
- 检查健康的社会决定因素对移民和非移民人口糖尿病护理质量的影响.
主要方法:
- 在加拿大安大略省使用链接的医疗管理,移民和人口普查数据进行了回顾性队列研究.
- 从2019年4月1日起,包括所有年龄≥40岁的糖尿病患者.
- 移民和非移民之间的糖尿病护理过程和结果质量指标的比较,按物质剥夺,居住不稳定和依赖程度分层.
主要成果:
- 总共有1,449,589名糖尿病患者被分析 (22.6%是移民).
- 与非移民相比,移民不太可能达到HbA1c和LDL胆固醇的过程质量指标和指南目标.
- 这些护理质量的差异在不同程度的边缘化中保持一致.
结论:
- 患有糖尿病的移民的护理质量低于非移民,即使控制了健康的社会决定因素.
- 这些发现强调了移民身份和边缘化对糖尿病护理质量的综合影响.
- 该研究强调,无论移民身份如何,对于所有糖尿病患者来说,总体来说,质量指标的低成就是一个重要的问题.
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