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亚裔美国人的糖尿病控制——差异与文化适应的作用。

Diabetes control in Asian Americans - Disparities and the role of acculturation.

作者信息

Yoshida Yilin, Fonseca Vivian A

机构信息

Section of Endocrinology, Department of Medicine, School of Medicine, Tulane University, United States.

Section of Endocrinology, Department of Medicine, School of Medicine, Tulane University, United States.

出版信息

Prim Care Diabetes. 2021 Feb;15(1):187-190. doi: 10.1016/j.pcd.2020.01.010. Epub 2020 Feb 11.

Abstract

Asian Americans (AA) are disproportionately affected by diabetes (DM) and its complications than non-Hispanic whites (whites). We examined white-AA disparities in glycemic, cholesterol and blood pressure control, known as 'ABCs of DM', and evaluated if acculturation plays a role in DM control in AA with DM. Using data from NHANES 2011-2016, we found AA patients were significantly less likely to meet glycemic, cholesterol and the collective 'ABCs' goals than their white counterparts. Acculturation was positively associated with glycemic goal achievement in AA patients. This study identified disparities and pointed to strategies related to acculturation to improve DM control for AA.

摘要

与非西班牙裔白人(白人)相比,亚裔美国人(AA)受糖尿病(DM)及其并发症的影响更为严重。我们研究了血糖、胆固醇和血压控制方面的白人 - 亚裔美国人差异,即所谓的“糖尿病ABC”,并评估了文化适应是否在患有糖尿病的亚裔美国人的糖尿病控制中发挥作用。利用2011 - 2016年美国国家健康与营养检查调查(NHANES)的数据,我们发现亚裔美国人患者达到血糖、胆固醇和综合“ABC”目标的可能性明显低于白人患者。文化适应与亚裔美国人患者实现血糖目标呈正相关。本研究确定了差异,并指出了与文化适应相关的策略,以改善亚裔美国人的糖尿病控制。

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