低收入城市糖尿病患者群体对心脏风险的认知
Perceptions of cardiac risk among a low-income urban diabetic population.
作者信息
Allen Jerilyn K, Purcell Alison, Szanton Sarah, Dennison Cheryl R
机构信息
Hopkins University, 525 N. Wolfe Street, Rm. 304, Baltimore, MD 21205, USA.
出版信息
J Health Care Poor Underserved. 2010 Feb;21(1):362-70. doi: 10.1353/hpu.0.0241.
OBJECTIVE
The purpose of this study was to determine the perception of risk for the development of cardiovascular disease (CVD) in a population of urban, low socioeconomic status (SES) patients with type-2 diabetes but no known CVD and to identify factors associated with perceived risk.
METHODS
This cross-sectional study enrolled 143 patients, predominantly middle-aged African American women, at urban community clinics. Demographic and socioeconomic characteristics, medical history, health behavior, depressive symptoms, and perception of risk for CVD were measured.
RESULTS
Seventy-five percent of participants perceived that they had a 50% or smaller risk of developing CVD. Increased levels of perceived risk for the development of CVD were significantly and independently associated with increased depressive symptoms, poorer perception of general health, and higher intake of dietary fat.
CONCLUSIONS
Comprehensive care for urban, poor, diabetic patients calls for effective communication of CVD risk and adequate treatment of depressive symptoms and traditional CVD risk factors.
目的
本研究旨在确定城市中社会经济地位较低（SES）的2型糖尿病患者（但无已知心血管疾病）群体对心血管疾病（CVD）发生风险的认知，并识别与感知风险相关的因素。
方法
这项横断面研究在城市社区诊所招募了143名患者，主要是中年非裔美国女性。测量了人口统计学和社会经济特征、病史、健康行为、抑郁症状以及对CVD的风险认知。
结果
75%的参与者认为他们患CVD的风险为50%或更低。CVD发生风险感知水平的升高与抑郁症状增加、总体健康感知较差以及膳食脂肪摄入量较高显著且独立相关。
结论
对城市贫困糖尿病患者的综合护理需要有效传达CVD风险，并充分治疗抑郁症状和传统CVD风险因素。
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