Social Determinants of Health and Racial/Ethnic Disparities in Type 2 Diabetes in Youth.
Social Determinants of Health and Racial/Ethnic Disparities in Type 2 Diabetes in Youth.
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DOI：
10.1007/s11892-017-0885-0
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发表时间：
2017-08
影响因子：
4.2
通讯作者：
Butler AM
中科院分区：
文献类型：
--
作者：
Butler AM
少数民族成年人中T2 DM的普遍差异是有据可查的，学者们最近关注健康的社会决定因素（SDOH）在差异中的作用。然而，没有研究总结了青年发病的T2 DM中已知的种族/民族差异。本文综述了目前关于青年发病T2 DM的种族/民族差异的文献，讨论了青年T2 DM中常见的SDOH，并介绍了SDOH在青年发病T2 DM差异中可能作用的概念模型。少数民族青年在T2 DM发病、生活质量和家庭负担方面存在差异。家庭收入低、父母教育程度低和青年压力大是2型糖尿病青年患者家庭中常见的负性SDOH。没有研究检查SDOH在青年发病T2 DM的种族/民族差异中的作用。未来的研究应检查SDOH是否有助于在少数民族青年T2 DM患病率和心理社会结果的差异。
Pervasive disparities in T2DM among minority adults are well-documented, and scholars have recently focused on the role of social determinants of health (SDOH) in disparities. Yet, no research has summarized what is known about racial/ethnic disparities in youth-onset T2DM. This review summarizes the current literature on racial/ethnic disparities in youth-onset T2DM, discusses SDOH that are common among youth with T2DM, and introduces a conceptual model on the possible role of SDOH in youth-onset T2DM disparities. Minority youth have disparities in the onset of T2DM, quality of life, and family burden. Low family income and parental education and high youth stress are common negative SDOH among families of youth with T2DM. No studies have examined the role of SDOH in racial/ethnic disparities in youth-onset T2DM. Future research should examine whether SDOH contribute to disparities in T2DM prevalence and psychosocial outcomes among minority youth.
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