感知糖尿病风险的种族和种族差异以及感知风险的原因:一个跨部门研究
Sara J Cromer1,2, Jacqueline A Seiglie3,4, A Enrique Caballero3,5
1Harvard Medical School, Boston, MA, USA. scromer@mgh.harvard.edu.
Journal of general internal medicine
|April 7, 2025
概括
种族和民族少数群体认为糖尿病风险更高,特别是与种族有关的风险,随着教育而增加. 家庭病史是所有群体共同感知的风险因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 美国糖尿病患病率的上升不成比例地影响了少数群体.
- 了解感知糖尿病风险对于公共卫生干预至关重要.
- 识别不同人群中的风险感知对于有针对性的战略至关重要.
研究的目的:
- 评估整体和因果特异性感知糖尿病风险.
- 检查感知糖尿病风险的种族和民族差异.
- 探索教育程度和血糖状况如何影响风险感知.
主要方法:
- 国家健康和营养检查调查 (NHANES) 数据 (2011-2018) 的横截面分析.
- 包括没有被诊断为糖尿病的成年参与者.
- 检查自我报告的种族/种族,教育,血糖状况和感知到的糖尿病风险因素.
主要成果:
- 墨西哥裔美国人和其他/多种族参与者报告认为糖尿病风险高于非西班牙裔白人 (NHW) 个人.
- 非西班牙裔亚洲 (NHA) 参与者报告说,与NHW个人相比,感知风险较低.
- 在所有少数群体中,感知到与种族相关的糖尿病风险都较高,随着教育程度的提高而增加.
- 对于糖尿病前状态的了解显著增加了所有组的感知风险.
- 家庭病史是人们认为糖尿病风险最常被引用的原因.
结论:
- 来自种族/少数民族的美国成年人认为与种族相关的糖尿病风险高于NHW个人.
- 被认为与种族相关的风险随着少数群体教育程度的提高而升级.
- 需要进一步的研究,以了解感知糖尿病风险对健康的影响.
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