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成人糖尿病视网膜病变筛查、患病率及管理中的健康社会决定因素:一项叙述性综述

Social Determinants of Health and Impact on Screening, Prevalence, and Management of Diabetic Retinopathy in Adults: A Narrative Review.

作者信息

Patel Dhruva, Ananthakrishnan Ajaykarthik, Lin Tyger, Channa Roomasa, Liu T Y Alvin, Wolf Risa M

机构信息

Division of Endocrinology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, WI 53705, USA.

出版信息

J Clin Med. 2022 Nov 30;11(23):7120. doi: 10.3390/jcm11237120.

Abstract

Diabetic retinal disease (DRD) is the leading cause of blindness among working-aged individuals with diabetes. In the United States, underserved and minority populations are disproportionately affected by diabetic retinopathy and other diabetes-related health outcomes. In this narrative review, we describe racial disparities in the prevalence and screening of diabetic retinopathy, as well as the wide-range of disparities associated with social determinants of health (SDOH), which include socioeconomic status, geography, health-care access, and education.

摘要

糖尿病视网膜病变(DRD)是糖尿病劳动年龄人群失明的主要原因。在美国,医疗服务不足和少数族裔人群受糖尿病视网膜病变及其他糖尿病相关健康问题的影响尤为严重。在这篇叙述性综述中,我们描述了糖尿病视网膜病变患病率和筛查方面的种族差异,以及与健康的社会决定因素(SDOH)相关的广泛差异,这些因素包括社会经济地位、地理位置、医疗保健可及性和教育程度。

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