Boone C A
Duke Medical Center, Durham, NC, USA.
Nephrol Nurs J. 2000 Dec;27(6):597-600.
The African-American community comprises approximately 12.4% of the total American population, but they account for 30.8% of patients diagnosed with end stage renal disease (ESRD). This article focuses first on theories explaining the high prevalence of ESRD in African-Americans. Two major causes of ESRD, hypertension and Type II diabetes, and their relationship to African-Americans are explored. Morbidity, familial risk and new incidences are addressed. Lastly, a screening project for African-Americans at risk for ESRD is proposed.
非裔美国人社区约占美国总人口的12.4%,但在被诊断为终末期肾病(ESRD)的患者中占30.8%。本文首先关注解释非裔美国人中ESRD高患病率的理论。探讨了ESRD的两个主要病因,即高血压和II型糖尿病,以及它们与非裔美国人的关系。还讨论了发病率、家族风险和新发病例。最后,提出了一项针对有ESRD风险的非裔美国人的筛查项目。