社会经济不平等和2型糖尿病并发症:对观察性研究进行系统审查和元分析
Mansour Bahardoust1, Sheida Shokohyar2, Farzad Maleki1
1Department of Epidemiology, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Endocrinology, diabetes & metabolism
|January 23, 2026
概括
低社会经济地位 (SES) 的人面临患上糖尿病 (DM) 相关疾病的风险更高,尤其是女性. 解决SES不平等问题对于改善2型糖尿病患者的医疗保健结果至关重要.
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:
- 关于糖尿病患者的社会经济地位 (SES) 不平等和并发症,存在不一致的发现.
- 这项研究解决了对SES和DM并发症之间的关联进行全面评估的需要.
研究的目的:
- 系统地审查和元分析社会经济地位 (SES) 不平等和糖尿病患者的并发症之间的关联.
主要方法:
- 在多个数据库 (PubMed,Embase,Scopus,Web of Science,Google Scholar) 进行了系统的文献搜索,截至2025年12月15日.
- 他们遵循了PRISMA 2020指南. 使用Cochran的Q和I2统计数据评估异质性,用于控制的元回归和对出版偏差的Egger测试.
主要成果:
- 包括13项涉及7575599名DM患者的研究.
- 较低的SES与DM并发症的概率增加显著相关 (OR: 1.43;95%CI: 1.30,1.59).
- 亚组分析表明,与男性 (OR: 1.30) 相比,女性的并发症概率更高 (OR: 1.39).
结论:
- 患有2型糖尿病 (T2DM) 和低SES的患者,尤其是女性,患上并发症的可能性更高.
- 建议改善医疗保健系统和干预措施,以减少T2DM患者的SES不平等.
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