Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, 221 Longwood Avenue RFB-2, Boston, MA 02115, USA.
Médecins Sans Frontières, Chancery Exchange, Lower Ground Floor, 10 Furnival Street, London EC4A 1AB, UK.
Endocrinol Metab Clin North Am. 2023 Dec;52(4):603-615. doi: 10.1016/j.ecl.2023.05.010. Epub 2023 Jun 18.
Despite the increasing prevalence of diabetes in populations experiencing humanitarian crisis, along with evidence that people living with diabetes are at higher risk for poor outcomes in a crisis, diabetes care is not routinely included in humanitarian health interventions. We here describe 4 factors that have contributed to the inequities and lack of diabetes inclusion in humanitarian programmes: (1) evolving paradigms in humanitarian health care, (2) complexities of diabetes service provision in humanitarian settings, (3) social and cultural challenges, and (4) lack of financing. We also outline opportunities and possible interventions to address these challenges and improve diabetes care among crisis-affected populations.
尽管在经历人道主义危机的人群中糖尿病的患病率不断上升，并且有证据表明，糖尿病患者在危机中更有可能出现不良后果，但糖尿病的护理并没有常规纳入人道主义卫生干预措施中。在这里，我们描述了导致人道主义方案中存在不平等和缺乏糖尿病纳入的 4 个因素：（1）人道主义卫生保健中不断发展的模式；（2）人道主义环境中糖尿病服务提供的复杂性；（3）社会和文化挑战；以及（4）缺乏资金。我们还概述了应对这些挑战和改善受危机影响人群中糖尿病护理的机会和可能的干预措施。
