马绍尔群岛共和国马绍尔成年人群中的未确诊高血压和2型糖尿病
Undiagnosed hypertension and type 2 diabetes mellitus among Marshallese adults in the Republic of the Marshall Islands.
作者信息
Andersen Jennifer A, Rowland Brett, Gloster Erin, O'Connor Gail, Ioanna Bing Williamina, Niedenthal Jack, Riklon Sheldon, McElfish Pearl A
机构信息
College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
出版信息
J Med Access. 2024 Jan 25;8:27550834231225159. doi: 10.1177/27550834231225159. eCollection 2024 Jan-Dec.
BACKGROUND
Given the lack of healthcare access in the Republic of the Marshall Island (RMI) and the potential for complications related to type 2 diabetes mellitus (T2DM) and hypertension, it is crucial to examine these conditions among Marshallese in the RMI.
OBJECTIVES
This study aims to identify the proportion of Marshallese adults in the RMI with undiagnosed T2DM and hypertension.
DESIGN
Using a community-based participatory research approach, screening events were conducted at 20 churches in Majuro Atoll.
METHODS
Participants completed a questionnaire and biometric data measures, including hemoglobin A1c and blood pressure.
RESULTS
Among participants with blood pressure data ( = 528), 11.9% had readings indicative of hypertension, and 38.1% were undiagnosed. Among participants with hemoglobin A1c (HbA1c) data ( = 450), 45.3% had readings indicative of T2DM, and 39.2% were undiagnosed.
CONCLUSION
This study utilized a community-based participatory research approach that promotes equitable and ethical research. Results reaffirm the need to identify strategies for increasing healthcare access and for research to address health disparities in the RMI.
背景
鉴于马绍尔群岛共和国（RMI）缺乏医疗服务，且存在与2型糖尿病（T2DM）和高血压相关的并发症风险，在RMI的马绍尔人群体中研究这些疾病至关重要。
目的
本研究旨在确定RMI中未被诊断出患有T2DM和高血压的马绍尔成年人群体的比例。
设计
采用基于社区的参与性研究方法，在马朱罗环礁的20个教堂开展筛查活动。
方法
参与者完成一份问卷以及生物特征数据测量，包括糖化血红蛋白和血压。
结果
在有血压数据的参与者中（n = 528），11.9%的读数表明患有高血压，38.1%未被诊断出。在有糖化血红蛋白（HbA1c）数据的参与者中（n = 450），45.3%的读数表明患有T2DM，39.2%未被诊断出。
结论
本研究采用了基于社区的参与性研究方法，该方法促进了公平且符合伦理的研究。研究结果再次强调需要确定增加医疗服务可及性的策略，并开展研究以解决RMI中的健康差距问题。
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