Nguyen Tran Ha, De Leo Gianluca, Barefield Amanda
Department of Health Management, Economics and Policy, Augusta University, Augusta, GA 30912, USA.
Department of Undergraduate Health Professions, Augusta University, Augusta, GA 30912, USA.
Healthcare (Basel). 2023 Dec 21;12(1):26. doi: 10.3390/healthcare12010026.
Diabetes, including type 1, type 2, and gestational, is a significant public health issue responsible for various clinical, economic, and societal issues. Most of the consequences, if uncontrolled, can result in serious health problems, such as heart disease, vision loss, and kidney disease. Approximately 37.3 million Americans have diabetes, including 37.1 million adults 18 years or older, with 90-95% type 2 diabetes (T2D). The purpose of this study is (1) to explore the profile of patients with T2D and (2) to identify the associated factors of diabetic status. Examined factors included sociodemographic characteristics, social factors, and comorbidities. The study analyzed a primary dataset from a retrospective chart review of adult patients with T2D who were seen at a large medical center and its satellite clinics in the southeast region of the United States in 2019. Sex, dyslipidemia, and the number of concordant comorbidities were found to be significant associated factors of diabetic status. In the era of intertwined patient-centered approach and public health, the study's findings can guide treatment plans and interventions targeting individuals and communities.
糖尿病，包括1型、2型和妊娠期糖尿病，是一个重大的公共卫生问题，引发了各种临床、经济和社会问题。如果不加控制，大多数后果可能会导致严重的健康问题，如心脏病、视力丧失和肾病。大约3730万美国人患有糖尿病，其中包括3710万18岁及以上的成年人，90 - 95%为2型糖尿病（T2D）。本研究的目的是：（1）探究T2D患者的概况；（2）确定糖尿病状态的相关因素。所考察的因素包括社会人口学特征、社会因素和合并症。该研究分析了一个主要数据集，该数据集来自对2019年在美国东南部地区一家大型医疗中心及其卫星诊所就诊的成年T2D患者进行的回顾性病历审查。研究发现，性别、血脂异常以及并存合并症的数量是糖尿病状态的显著相关因素。在以患者为中心的方法与公共卫生相互交织的时代，该研究结果可指导针对个人和社区的治疗方案及干预措施。
