社会脆弱性和种族对控制糖尿病的影响
Sara Rose MacLeod1,2, Jennifer N Tich1,3, Joshua Marvald1,4
1University of Rochester, Rochester, NY, USA.
The Journal of clinical endocrinology and metabolism
|September 6, 2025
概括
社会脆弱性和种族显著影响糖尿病控制,种族群体的脆弱性越来越严重. 即使考虑到社会脆弱性, 种族仍然是一个因素.
科学领域:
- 公共卫生
- 健康上的差异
- 糖尿病研究
背景情况:
- 健康的社会决定因素 (SDoH) 和种族是已知的影响糖尿病的结果.
- 糖尿病控制中的社会脆弱性 (SV) 和种族的交叉需要进一步研究.
研究的目的:
- 研究社会脆弱性和种族对糖尿病控制的综合和附加影响.
- 了解SV如何改变种族和糖尿病结果之间的关系.
主要方法:
- 在纽约西部的48个诊所对22,912名患者进行了横截面研究.
- 根据HEDIS标准定义的糖尿病控制;根据人口普查数据分配的社会脆弱性指数 (SVI) 分数.
- 多变量逻辑回归分析了种族和SV的附加效应,控制了人口因素.
主要成果:
- 在所有种族群体中,增加SV与较差的糖尿病控制有关.
- 在最高 SV 四分位数的白人患者和最低 SV 四分位数的黑人患者的控制结果相似.
- 在对SV进行调整后,黑人患者患糖尿病的几率高于白人患者 (AOR 1. 29).
结论:
- 在不同种族群体中加剧糖尿病控制问题.
- 在糖尿病控制方面没有完全消除种族差异,这表明这两种因素的附加效应.
- 为了改善糖尿病管理和减少健康差距,
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