Mercen Joseph L, Curran Kiely M, Belmar Markeeta T, Sanchez Jaron, Hasan Ibrahim, Kalra Sahib, Raina Parth M, Patel Sahil, Arrechavaleta Dania, Lee Vincent, Anderson Paula
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Clearwater, USA.
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale , USA.
Cureus. 2023 Sep 23;15(9):e45826. doi: 10.7759/cureus.45826. eCollection 2023 Sep.
Although widespread, the burden of disease presented by chronic kidney disease (CKD) is not equally distributed among all demographics. Examining the social determinants of health (SDOH) that relate to barriers to renal dialysis care in CKD can help to prevent future disparities. There has not been a study addressing the social factors that create barriers to care for ethnic minority patients with CKD. The aim of this scoping review is to address the SDOH that affects access to renal dialysis for ethnic minority patients in the United States. This study was based on the protocol published by the Joanna Briggs Institute. A total of 349 studies were identified from PubMed, EBSCOhost, and Embase. Each article was screened against population, concept, and context criteria in order to be considered for inclusion. The population was determined to be adults of all genders from underrepresented minority populations. The selected concept was SDOH. The context of this study was the United States population. From the articles selected by the search criteria, neighborhood of residence, mental health care access, glomerular filtration rate (GFR) methodology, socioeconomic status (SES), language barriers, immigration status, and military rank were identified as SDOH affecting access to renal dialysis care. While this study identified four social determinants, more research is needed for the investigation of other possible SDOH contributing to disparities related to CKD and access to renal dialysis care.
尽管慢性肾脏病（CKD）所带来的疾病负担广泛存在，但在所有人口统计学群体中，其分布并不均衡。研究与CKD患者肾透析护理障碍相关的健康社会决定因素（SDOH）有助于预防未来的差异。目前尚未有研究探讨造成CKD少数民族患者护理障碍的社会因素。本范围综述的目的是探讨影响美国少数民族患者获得肾透析的SDOH。本研究基于乔安娜·布里格斯研究所发布的方案。从PubMed、EBSCOhost和Embase中总共识别出349项研究。每篇文章都根据人群、概念和背景标准进行筛选，以确定是否纳入。确定的人群为来自代表性不足的少数民族群体的所有性别的成年人。选定的概念是SDOH。本研究的背景是美国人口。从根据搜索标准选定的文章中，居住社区、心理健康护理可及性、肾小球滤过率（GFR）方法、社会经济地位（SES）、语言障碍、移民身份和军衔被确定为影响肾透析护理可及性的SDOH。虽然本研究确定了四个社会决定因素，但对于其他可能导致与CKD及肾透析护理可及性相关差异的SDOH，还需要更多研究。
