青少年2型糖尿病的健康社会决定因素及种族/民族差异
Social Determinants of Health and Racial/Ethnic Disparities in Type 2 Diabetes in Youth.
作者信息
Butler Ashley M
机构信息
Baylor College of Medicine, 1102 Bates Street, Suite 940, Houston, TX, 77030, USA.
出版信息
Curr Diab Rep. 2017 Aug;17(8):60. doi: 10.1007/s11892-017-0885-0.
Abstract
PURPOSE OF REVIEW
Pervasive disparities in T2DM among minority adults are well-documented, and scholars have recently focused on the role of social determinants of health (SDOH) in disparities. Yet, no research has summarized what is known about racial/ethnic disparities in youth-onset T2DM. This review summarizes the current literature on racial/ethnic disparities in youth-onset T2DM, discusses SDOH that are common among youth with T2DM, and introduces a conceptual model on the possible role of SDOH in youth-onset T2DM disparities.
RECENT FINDINGS
Minority youth have disparities in the onset of T2DM, quality of life, and family burden. Low family income and parental education and high youth stress are common negative SDOH among families of youth with T2DM. No studies have examined the role of SDOH in racial/ethnic disparities in youth-onset T2DM. Future research should examine whether SDOH contribute to disparities in T2DM prevalence and psychosocial outcomes among minority youth.
摘要
综述目的
少数族裔成年人中2型糖尿病普遍存在差异，这一点已有充分记录，学者们最近关注了健康的社会决定因素（SDOH）在这些差异中的作用。然而，尚无研究总结关于青少年2型糖尿病种族/族裔差异的已知情况。本综述总结了关于青少年2型糖尿病种族/族裔差异的当前文献，讨论了患有2型糖尿病的青少年中常见的SDOH，并介绍了一个关于SDOH在青少年2型糖尿病差异中可能作用的概念模型。
最新发现
少数族裔青少年在2型糖尿病发病、生活质量和家庭负担方面存在差异。家庭收入低、父母受教育程度低以及青少年压力大是患有2型糖尿病的青少年家庭中常见的负面SDOH。尚无研究考察SDOH在青少年2型糖尿病种族/族裔差异中的作用。未来研究应考察SDOH是否导致少数族裔青少年2型糖尿病患病率和心理社会结果的差异。
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