Division of Diabetes, Endocrinology and Gastroenterology, University of Manchester, Manchester, UK.
Neurogastroenterology Unit, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Neurogastroenterol Motil. 2021 May;33(5):e14152. doi: 10.1111/nmo.14152. Epub 2021 Apr 9.
Irritable bowel syndrome (IBS) is a highly prevalent disorder of gut-brain interaction, which significantly erodes the quality of life of those it affects. Recent studies have confirmed that its prevalence varies quite markedly between countries, implying that it is affected by cultural and socioeconomic factors. In an important study, Silvernale at al. have recently reported racial disparities including potential referral biases, with reduced opportunities to access specialist care and differing patterns of healthcare utilization affecting ethnic minority populations with IBS. Similar disparities have also been reported for other gastrointestinal disorders. In this paper, we, therefore, discuss the potential implications of such disparities and how they can impact clinical outcomes, and discuss ways in which this problem could be addressed, and highlighting areas for future research.
肠易激综合征(IBS)是一种高度流行的肠脑相互作用障碍,显著降低了受其影响人群的生活质量。最近的研究证实,其在各国的流行率差异很大,这表明它受到文化和社会经济因素的影响。在一项重要的研究中,Silvernale 等人最近报告了种族差异,包括潜在的转诊偏见,少数族裔人群获得专科医疗的机会减少,以及不同的医疗保健利用模式,这些都影响了患有 IBS 的少数族裔人群。其他胃肠道疾病也报告了类似的差异。在本文中,我们因此讨论了这种差异的潜在影响,以及它们如何影响临床结果,并讨论了解决这一问题的方法,强调了未来研究的领域。