Burden and management of type 2 diabetes in rural United States.
Burden and management of type 2 diabetes in rural United States.
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DOI:
10.1002/dmrr.3410
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发表时间:
2021-07
期刊:
影响因子:
--
通讯作者:
Vella A
中科院分区:
文献类型:
--
作者:
Dugani SB;Mielke MM;Vella A
In the United States (US), rural areas have a higher burden of type 2 diabetes mellitus (T2DM) compared to urban areas. However, there is limited information on risk factors and interventions that improve the primary prevention and management of T2DM in rural areas. To synthesize current knowledge on T2DM in rural areas and to guide healthcare providers and policy makers, we reviewed five scientific databases and the gray literature over the last decade (2010 to 2020). We described classification systems for rurality and the T2DM burden based on rurality and region (West, South, Midwest, and Northeast). We highlighted risk factors for T2DM in rural compared to urban areas, and summarized interventions to screen and manage T2DM based on opportunistic screening, T2DM self-management, community-based initiatives, as well as interventions targeting comorbidities and T2DM. Several studies identified the co-existence of T2DM and depression/psychological symptoms, which could reduce adherence to non-pharmacologic and pharmacologic management of T2DM. We highlighted the role of technology in education and counseling of patients with geographic and financial barriers to accessing care, which is exacerbated by the SARS-CoV-2 coronavirus disease-19 (COVID-19) pandemic. We identified knowledge gaps and next steps in improving T2DM care in rural areas. There is an urgent need for interventions tailored to rural areas given that rural Americans currently experience a disproportionate burden of T2DM and are encumbered by its associated morbidity, mortality, and loss in economic productivity.
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影响因子:
120.7
作者:
Cheng, Yiling J.;Kanaya, Alka M.;Imperatore, Giuseppina
通讯作者:
Imperatore, Giuseppina
DOI:
10.1177/0145721713507114
发表时间:
2013-11
期刊:
The Diabetes educator
影响因子:
--
作者:
Cené CW;Haymore LB;Ellis D;Whitaker S;Henderson S;Lin FC;Corbie-Smith G
通讯作者:
Corbie-Smith G
DOI:
10.1016/j.jand.2018.11.013
发表时间:
2019-04-01
影响因子:
4.8
作者:
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通讯作者:
VanWormer, Jeff J.
影响因子:
4.1
作者:
Ciemins, Elizabeth L.;Coon, Patricia J.;Dudley, William N.
通讯作者:
Dudley, William N.
影响因子:
3.3
作者:
Boltri, John M.;Davis-Smith, Monique;Foster, Barbara
通讯作者:
Foster, Barbara