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男性管理 2 型糖尿病的体验及其与卫生专业人员的接触:范围综述。

Men's Experiences With Managing Type 2 Diabetes and Their Encounters With Health Professionals: A Scoping Review.

机构信息

Roskilde University, Roskilde, Denmark.

Steno Diabetes Center Zealand, Herlev, Denmark.

出版信息

Am J Mens Health. 2023 May-Jun;17(3):15579883231178753. doi: 10.1177/15579883231178753.

DOI:10.1177/15579883231178753
PMID:37340666
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10286187/
Abstract

Type 2 diabetes is on the rise globally, and previous research has identified gender as one known risk factor for developing this disease. Gender has also been reported to affect patients' experiences of managing type 2 diabetes. However, little is known of men's specific experiences with type 2 diabetes, as research with a gendered focus has concentrated more on women's experiences with the disease. This scoping review explores how research has addressed men's experiences of managing type 2 diabetes and their encounters with health professionals. The review consists of an iterative process, involving six steps: identification of the research questions, identification of relevant studies, study selection, charting the data, collating and summarizing results, and consultation with external stakeholders. Through the process, 28 publications were identified, which indicate a gap in research on patients' experiences with type 2 diabetes. The majority of the identified studies focuses on men from an ethnic minority due to their poorer health outcomes. However, a knowledge gap regarding men belonging to an ethnic or racial majority warrants further attention, as studies indicate that men who share similar social economic status face similar barriers to improving the management of type 2 diabetes. There is little discussion of how the gendered dynamics in encounters between patients and health professionals affect the management of type 2 diabetes. This review suggests a need for further research that explores how practices of masculinities, that is, the normative practices guiding men's behavior, intersect with men's experiences with type 2 diabetes in a broader perspective.

摘要

2 型糖尿病在全球呈上升趋势,先前的研究已经确定性别是导致这种疾病的已知风险因素之一。性别也被报道会影响患者管理 2 型糖尿病的体验。然而,由于以性别为重点的研究更多地集中在女性对该疾病的体验上,因此对男性特定的 2 型糖尿病体验知之甚少。本范围综述探讨了研究如何解决男性管理 2 型糖尿病的体验以及他们与卫生专业人员的接触。该综述包括一个迭代过程,涉及六个步骤:确定研究问题、确定相关研究、研究选择、数据图表、汇总和总结结果以及与外部利益相关者协商。通过该过程,确定了 28 篇出版物,这些出版物表明了研究患者对 2 型糖尿病的体验方面存在差距。大多数已确定的研究主要关注少数民族中的男性,因为他们的健康状况较差。然而,由于研究表明,属于少数民族或种族多数群体的男性面临类似的改善 2 型糖尿病管理的障碍,因此需要进一步关注属于多数族裔或种族的男性的知识差距。几乎没有讨论患者和卫生专业人员之间的性别动态如何影响 2 型糖尿病的管理。本综述表明,需要进一步研究如何探索男性气质的性别动态,即指导男性行为的规范实践,如何在更广泛的视角下与男性的 2 型糖尿病体验相交织。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b5/10286187/9ee0668a819d/10.1177_15579883231178753-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b5/10286187/d10d32abf921/10.1177_15579883231178753-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b5/10286187/9ee0668a819d/10.1177_15579883231178753-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b5/10286187/d10d32abf921/10.1177_15579883231178753-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86b5/10286187/9ee0668a819d/10.1177_15579883231178753-fig2.jpg

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J Racial Ethn Health Disparities. 2021 Oct;8(5):1101-1111. doi: 10.1007/s40615-020-00866-9. Epub 2020 Sep 17.
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