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创伤性头痛的诊断、管理和研究中的公平性和差异。

Equity and Disparities in Diagnosis, Management, and Research of Post-Traumatic Headache.

机构信息

Department of Neurology-Headache Division, University of Miami, Miller School of Medicine, 1120 NW 14 Street #13th floor, Miami, FL, 33136, USA.

出版信息

Curr Pain Headache Rep. 2022 Jul;26(7):555-566. doi: 10.1007/s11916-022-01058-2. Epub 2022 May 14.

Abstract

PURPOSE OF REVIEW

There are notable health disparities and inequities in individuals with traumatic brain injury (TBI) and concussion by race, ethnicity, gender, socioeconomic status, and geography. This review will evaluate these disparities and inequities and assess the social determinants of health that drive outcomes for post-traumatic headache. Interventions for achieving this are also discussed.

RECENT FINDINGS

Significant disparities and inequities exist in TBI and concussion among people of different races, socioeconomic status, and geographic locations. Migraine is a common symptom post-concussion, for which disparities and social determinants of health are also discussed. Overall, multi-level interventions to reduce these disparities and inequities are reviewed for post-traumatic headache but require further investigation. Interventions are needed to reduce disparities and inequities including public health initiatives, improvements in clinical care, diversity/inclusion training, and research efforts. As literature expands, we can form guidance to identify solutions for eliminating disparities in care of diverse populations.

摘要

目的综述

创伤性脑损伤(TBI)和脑震荡患者在种族、民族、性别、社会经济地位和地理位置方面存在显著的健康差异和不平等。本综述将评估这些差异和不平等现象,并评估影响创伤后头痛结果的健康社会决定因素。还讨论了实现这些目标的干预措施。

最近的发现

不同种族、社会经济地位和地理位置的 TBI 和脑震荡患者存在显著差异和不平等。偏头痛是脑震荡后的常见症状,其差异和健康社会决定因素也在讨论中。总的来说,为减少创伤后头痛的这些差异和不平等现象,综述了多层次的干预措施,但需要进一步研究。需要采取干预措施来减少差异和不平等,包括公共卫生举措、改善临床护理、多样性/包容性培训和研究工作。随着文献的扩展,我们可以制定指导方针,为消除不同人群护理中的差异找到解决方案。

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