The social determinants of health for people with type 1 diabetes that progress to end-stage renal disease
The social determinants of health for people with type 1 diabetes that progress to end-stage renal disease
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DOI：
10.1111/hex.12220
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发表时间：
2015-12-01
影响因子：
3.2
通讯作者：
McNaughton, Darlene A.
中科院分区：
文献类型：
--
作者：
Hill, Kathleen E.;Gleadle, Jonathan M.;McNaughton, Darlene A.
即使在最好的情况下，1型糖尿病的终身自我管理也是复杂和具有挑战性的，社会环境可能是健康行为和结果的重要决定因素。本研究的目的是确定如何健康的社会决定因素可以影响年轻人的能力来管理他们的emergic control.Methods的研究结果出现了从建构主义扎根理论的方法，通过深入研究的生活过程中的事件，通过定性访谈叙述。丰富的描述性细节，从这次调查中找到共同的经验和背景下，发生一致的治疗和健康behaviorsdeveloped.Results的定性研究的年轻人1型糖尿病谁已经发展到终末期肾病表明，有许多因素超出了个人控制，可以促进健康的结果。儿童环境、教育、社会经济地位、性别和公共卫生文化可能有助于脱离治疗方案和卫生保健系统，并在相对年轻的年龄发展微血管并发症。该报告还强调了护理从业人员对个人责任的认识，并强调了考虑社会决定因素如何影响生活、行为和健康的重要性。
Objective Self-management of type 1 diabetes over a lifetime is complex and challenging even in the best of circumstances, and the social environment can be a powerful determinant of health behaviours and outcomes. The aim of this study was to identify how social determinants of health can impact on the capacity of young people to manage their glycaemic control.Methods The findings emerged from a constructivist grounded theory approach through an in-depth examination of life course events that were recounted through qualitative interviews. The rich descriptive detail obtained from this enquiry locates common experiences and the context in which concordance with therapies occurs and health behaviours develop.Results This qualitative study of young people with type 1 diabetes who have developed end-stage renal disease demonstrates that there are many factors beyond individual control that can contribute to health outcomes. The social determinants of childhood environment, education, socio-economic status, gender and the culture of public health can contribute to disengagement from treatment regimens and the health-care system and to the development of microvascular complications at a comparatively young age.Conclusion These findings challenge the assumptions of health-care practitioners about individual responsibility and highlight the importance of considering how social determinants can shape lives, behaviours and health.