Rajaram S S, Vinson V
Department of Sociology, University of Nebraska, Omaha 68182-0291, USA.
J Health Care Poor Underserved. 1998 Aug;9(3):236-47. doi: 10.1353/hpu.2010.0321.
Diabetes is the fourth leading cause of death among African American women. One in four black women (23.4 percent) older than age 55 has diabetes. In evaluating the experience of black women with diabetes, an understanding of their social context is essential. Resulting from historical and sociocultural factors, black women have relatively lower income and education levels and consequently, poorer health and restricted access to quality health care. In a sense, being black, female, elderly, and chronically ill places this group in quadruple jeopardy. Tackling the problem of diabetes among African American women is a public health priority and requires a multilevel approach.
糖尿病是美国非裔女性死亡的第四大主要原因。每四名55岁以上的黑人女性中就有一人（23.4%）患有糖尿病。在评估黑人女性糖尿病患者的经历时，了解她们的社会背景至关重要。由于历史和社会文化因素，黑人女性的收入和教育水平相对较低，因此健康状况较差，获得优质医疗保健的机会有限。从某种意义上说，身为黑人、女性、老年人且患有慢性病，使这个群体面临四重风险。解决美国非裔女性的糖尿病问题是公共卫生的优先事项，需要采取多层次的方法。
