Ethnic disparities: Control of glycemia, blood pressure, and LDL cholesterol among US adults with type 2 diabetes
Ethnic disparities: Control of glycemia, blood pressure, and LDL cholesterol among US adults with type 2 diabetes
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DOI：
10.1345/aph.1e685
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发表时间：
2005-09-01
影响因子：
2.9
通讯作者：
Narayan, KMV
中科院分区：
文献类型：
--
作者：
Kirk, JK;Bell, RA;Narayan, KMV
目的：通过系统的定性审查，调查美国成人糖尿病护理质量的种族差异。 数据来源：使用 PubMed、Web of Science、护理和联合健康累积指数、Cochrane 图书馆、综合健康信息数据库和教育资源信息中心检索 1993 年至 2003 年 6 月以英文发表的材料。 研究选择和数据提取：对患者的研究糖尿病患者中至少 50% 的研究参与者是少数族裔，并且进行种族群体比较的研究是合格的。针对患有前驱糖尿病的个体、<18 岁的个体或患有妊娠期糖尿病的女性的研究被排除在外。审稿人使用了可重复的搜索策略。使用了出版物来源和内容的标准化摘要和文章分级。提取糖尿病患者的血糖、血压和低密度脂蛋白胆固醇（LDL-C）数据。总共审查了 390 项研究，其中 78 项符合纳入标准。数据综合：少数族裔的护理结果比非西班牙裔白人较差。这些差异在血糖控制方面最为明显，在 LDL-C 控制方面最不明显。大多数研究表明，少数族裔的血压控制不佳。结论：控制糖尿病危险因素（血糖、血压、低密度脂蛋白胆固醇）具有挑战性，需要常规评估。这些发现表明，需要付出更多努力来提高少数族裔人群的糖尿病护理质量。
OBJECTIVE: To examine ethnic disparities in the quality of diabetes care among adults with diabetes in the US through a systematic qualitative review.DATA SOURCES: Material published in the English language was searched from 1993 through June 2003 using PubMed, Web of Science, Cumulative Index to Nursing and Allied Health, the Cochrane Library, Combined Health Information Database, and Education Resources Information Center.STUDY SELECTION AND DATA EXTRACTION: Studies of patients with diabetes in which at least 50% of study participants were ethnic minorities and studies that made ethnic group comparisons were eligible. Research on individuals having prediabetes, those < 18 years of age, or women with gestational diabetes were excluded. Reviewers used a reproducible search strategy. A standardized abstraction and grading of articles for publication source and content were used. Data on glycemia, blood pressure, and low-density lipoprotein cholesterol (LDL-C) were extracted in patients with diabetes. A total of 390 studies were reviewed, with 78 meeting inclusion criteria.DATA SYNTHESIS: Ethnic minorities had poorer outcomes of care than non-Hispanic whites. These disparities were most pronounced for glycemic control and least evident for LDL-C control. Most studies showed blood pressure to be poorly controlled among ethnic minorities.CONCLUSIONS: Control of risk factors for diabetes (glycemia, blood pressure, LDL-C) is challenging and requires routine assessment. These findings indicate that additional efforts are needed to promote diabetes quality of care among minority populations.