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社会健康决定因素对炎症性肠病差异的影响。

The Impact of the Social Determinants of Health on Disparities in Inflammatory Bowel Disease.

机构信息

Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts.

Division of Gastroenterology and Hepatology, University of Maryland Medical Center, Baltimore, Maryland.

出版信息

Clin Gastroenterol Hepatol. 2022 Nov;20(11):2427-2434. doi: 10.1016/j.cgh.2022.03.011. Epub 2022 Mar 17.

Abstract

The incidence of inflammatory bowel disease (IBD) is rising in racial and ethnic minority groups in the United States, and socioeconomic, racial, and ethnic disparities in IBD are increasingly being identified. In addition, there has been great appreciation for the social determinants of health as contributors to these disparities, and that upstream social determinants of health propagate downstream poor health outcomes in IBD. We propose strategies to achieve health equity in IBD that target the medical trainee, provider, practice, community, industry, and policy levels.

摘要

在美国,炎症性肠病(IBD)在少数民族群体中的发病率正在上升,IBD 方面的社会经济、种族和族裔差异也越来越明显。此外,人们越来越认识到健康的社会决定因素是造成这些差异的原因,健康的社会决定因素会导致 IBD 患者的健康结果恶化。我们提出了在 IBD 中实现健康公平的策略,这些策略针对医学实习生、提供者、实践、社区、行业和政策层面。

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