Health-Related Social Needs and Kidney Risk Factor Control in an Urban Population.

Health-Related Social Needs and Kidney Risk Factor Control in an Urban Population.
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DOI:
10.1016/j.xkme.2021.03.005
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发表时间:
2021-07
期刊:
影响因子:
3.9
通讯作者:
Crews DC
Crews DC
中科院分区:
其他
文献类型:
--
作者:
Novick TK;Han D;Jacobs EA;Zonderman A;Evans MK;Crews DC

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Individuals experiencing health-related social needs, such as housing and food insecurity, face significant health care barriers and are at increased risk for chronic kidney disease (CKD) and end-stage kidney disease. 1, 2, 3, 4, 5 Maintaining blood pressure at≤ 130/80 mm Hg, hemoglobin A 1c level of 7%, sodium intake< 2.000 mg/d, body mass index (BMI)≤ 25 kg/m 2, regular physical activity, and smoking cessation reduce the risk for CKD and CKD progression. 6 We examined whether experiencing social needs was associated with kidney protective measures and hypothesized that those experiencing social needs would achieve fewer kidney protective measures.We used data from the Healthy Aging in Neighborhoods of Diversity Across the Life Span (HANDLS) Study (Baltimore, MD). 7 HANDLS is a population-based cohort examining the influence and interaction of race and socioeconomic status on the development of health disparities. 7 The cohort includes 3,720 Black and White individuals between the ages of 30 and 64 years who were sampled from 13 socioeconomically diverse neighborhoods. Each participant provided written informed consent, and the National Institute of Environmental Health Sciences, National Institutes of Health, approved the study protocol.
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