加勒比人群中糖尿病的差异：一项范围综述
Disparities in diabetes mellitus among Caribbean populations: a scoping review.
作者信息
Bennett Nadia R, Francis Damian K, Ferguson Trevor S, Hennis Anselm J M, Wilks Rainford J, Harris Eon Nigel, MacLeish Marlene M Y, Sullivan Louis W
机构信息
Epidemiology Research Unit, Tropical Medicine Research Institute, The University of the West Indies, Kingston, West Indies, Jamaica.
Chronic Disease Research Centre, Tropical Medicine Research Institute, The University of the West Indies, Bridgetown, West Indies, Barbados.
出版信息
Int J Equity Health. 2015 Feb 25;14:23. doi: 10.1186/s12939-015-0149-z.
BACKGROUND
Despite the large body of research on racial/ethnic disparities in health, there are limited data on health disparities in Caribbean origin populations. This review aims to analyze and synthesize published literature on the disparities in diabetes mellitus (DM) and its complications among Afro-Caribbean populations.
METHODS
A detailed protocol, including a comprehensive search strategy, was developed and used to identify potentially relevant studies. Identified studies were then screened for eligibility using pre-specified inclusion and exclusion criteria. An extraction form was developed to chart data and collate study characteristics including methods and main findings. Charted information was tagged by disparity indicators and thematic analysis performed. Disparity indicators evaluated include ethnicity, sex, age, socioeconomic status, disability and geographic location. Gaps in the literature were identified and extrapolated into a gap map.
RESULTS
A total of 1009 diabetes related articles/manuscripts, published between 1972 and 2013, were identified and screened. Forty-three studies met inclusion criteria for detailed analysis. Most studies were conducted in the United Kingdom, Trinidad and Tobago and Jamaica, and used a cross-sectional study design. Overall, studies reported a higher prevalence of DM among Caribbean Blacks compared to West African Blacks and Caucasians but lower when compared to South Asian origin groups. Morbidity from diabetes-related complications was highest in persons with low socioeconomic status. Gap analysis showed limited research data reporting diabetes incidence by sex and socioeconomic status. No published literature was found on disability status or sexual orientation as it relates to diabetes burden or complications. Prevalence and morbidity were the most frequently reported outcomes.
CONCLUSION
Literature on diabetes health disparities in Caribbean origin populations is limited. Future research should address these knowledge gaps and develop approaches to reduce them.
背景
尽管有大量关于健康方面种族/族裔差异的研究，但关于加勒比裔人群健康差异的数据有限。本综述旨在分析和综合已发表的关于非洲裔加勒比人群中糖尿病（DM）及其并发症差异的文献。
方法
制定了一份详细的方案，包括全面的检索策略，并用于识别潜在相关研究。然后使用预先指定的纳入和排除标准对识别出的研究进行资格筛选。开发了一种提取表格来记录数据并整理研究特征，包括方法和主要发现。通过差异指标对记录的信息进行标记，并进行主题分析。评估的差异指标包括种族、性别、年龄、社会经济地位、残疾状况和地理位置。识别文献中的空白并将其外推到空白地图中。
结果
共识别并筛选了1972年至2013年间发表的1009篇与糖尿病相关的文章/手稿。43项研究符合详细分析的纳入标准。大多数研究在英国、特立尼达和多巴哥以及牙买加进行，采用横断面研究设计。总体而言，研究报告称，与西非黑人及白种人相比，加勒比黑人中糖尿病的患病率较高，但与南亚裔群体相比则较低。社会经济地位较低者糖尿病相关并发症的发病率最高。差距分析表明，按性别和社会经济地位报告糖尿病发病率的研究数据有限。未发现关于残疾状况或性取向与糖尿病负担或并发症相关的已发表文献。患病率和发病率是最常报告的结果。
结论
关于加勒比裔人群糖尿病健康差异的文献有限。未来的研究应填补这些知识空白，并制定减少差异的方法。
Zotero 插件