社会需求与糖尿病结局的关联在老年人群中
David M Mosen1, Stephanie L Fitzpatrick2, Erin M Keast2
1From the Kaiser Permanente Center for Health Research, Portland, OR (DMM, SLF, EMK, JFD, MPB); Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA (MPB); Northwell, New Hyde Park, NY, Institute of Health System Science, Feinstein Institutes of Medical Research, Manhasset, NY and Department of Medicine, Manhasset, NY (SLF); Northwest Permanente, Continuum of Care Department, Portland, OR (BLE). david.m.mosen@kpchr.org.
经济压力和粮食不安全等社会需求与2型糖尿病老年人血糖控制较差有关. 解决这些需求可能会改善这一群体的健康结果.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 对于老年人2型糖尿病 (T2DM) 的管理,社会需求至关重要.
- 关于社会需求对综合医疗保健系统T2DM结果的影响的研究有限.
- 这项研究研究了凯泽永久西北地区老年人的社会需求和T2DM结果之间的关系.
研究的目的:
- 检查T2DM老年人中各种社会需求和糖尿病特异性结果之间的关联.
- 确定影响血糖控制,急诊室利用率和住院患者的特定社会需求.
主要方法:
- 分析了1954年65岁以上的T2DM的医疗保险会员队列.
- 通过问卷来评估社会需求 (金融压力,粮食不安全,住房不稳定,社会隔离,交通).
- 糖尿病特异性结果 (血糖控制,急救诊所,住院) 被追踪了评估后的12个月.
主要成果:
- 大约40%的参与者报告至少有一个社会需求.
- 财务压力,粮食不安全和住房不稳定与良好的血糖控制 (HbA1c <8%) 的几率较低有关.
- 这五种社会需求都与急诊室使用率的增加有关,财务压力也与更高的住院率相关.
结论:
- 社会需求对老年人糖尿病相关健康结果产生重大影响.
- 显然有必要制定旨在满足社会需求的临床计划.
- 进一步的研究应该测试解决社会需求的干预措施对改善T2DM结果的有效性.
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