皮肤病治疗中的种族差异对于患有PCOS相关的青少年
Samantha Garcia1, Brandi Kenner-Bell1,2
1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Pediatric dermatology
|February 16, 2026
概括
对于患有多囊性卵巢综合征 (PCOS) 的青少年来说,治疗存在种族和民族差异. 与其他人相比,患有PCOS的西班牙裔和黑人青少年获得了较少的关键药物处方.
科学领域:
- 皮肤病学 皮肤病学
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多囊卵巢综合征 (PCOS) 是一种常见的内分泌疾病,影响青少年女性.
- 在青春期,常常与PCOS同时发生.
- 现有的研究突出了成年人治疗的种族/民族差异,但青少年PCOS管理仍未得到充分研究.
研究的目的:
- 为了评估青少年诊断患有PCOS的治疗模式的种族和民族差异.
- 确定特定的疗法,在这个人口中的种族和种族群体之间有差异性的处方率.
主要方法:
- 在一个学术医疗中心 (2012-2022) 进行了18岁以下的PCOS和的女性患者的回顾性图表审查.
- 数据提取包括人口统计,临床细节和治疗记录.
- 统计分析 (基平方,费舍尔精确的多变量逻辑回归) 评估了群体差异和关联,并对共变量进行了调整.
主要成果:
- 该研究包括138名青少年;大多数人都有中度.
- 在种族/族群之间观察到保险类型和翻译使用的显著差异.
- 西班牙裔青少年接受螺旋诺拉克,联合口服避孕药 (COC) 和异丁氨酸的几率明显较低.
- 黑人青少年接受局部抗生素处方的几率明显较低.
结论:
- 在患有PCOS的青少年中,在治疗方面存在种族和民族差异.
- 西班牙裔和黑人青少年对特定的,有效的治疗方法的访问受到限制.
- 即使考虑到的严重程度,保险状况和翻译需求,这些差异仍然存在,这就需要进一步调查公平护理.
相关概念视频
01:14Changes in Skin Color: Clinical Perspectives
3.9K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
3.9K
01:30Skin Cancer
6.2K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
6.2K
01:23Skin Diseases and Disorders
5.7K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
5.7K