BEHAVIORS: THE NASHVILLE REACH 2010 COMMUNITY BASELINE SURVEY
BEHAVIORS: THE NASHVILLE REACH 2010 COMMUNITY BASELINE SURVEY
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行为：纳什维尔 REACH 2010 年社区基线调查
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通讯作者：
Michelle Marrs
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作者：
D. Schlundt;C. Larson;Ron Reid;J. Pichert;M. Hargreaves;Anne Brown;Linda H. McClellan;Michelle Marrs
为了更好地了解与糖尿病相关的健康差距，纳什维尔REACH 2010进行了一项关于健康状况的社区基线调查。使用计算机辅助电话访问系统，随机选择了北纳什维尔的3204名非裔美国人(AA)和高加索人(C)居民，以及居住在纳什维尔/戴维森县的居民作为对照样本。确定糖尿病患病率，并检查与获得医疗保健、合并疾病、糖尿病护理和生活方式行为相关的相似/不同之处。年龄调整后的糖尿病患病率在AA中高出1.7倍。在回归模型中，年龄增加(P，0.0001)和AA(P，0.01)是糖尿病状态的预测因素。非洲裔美国人更有可能没有保险(P，0.01)，而C族人必须走得更远才能得到医疗服务(P，.0002)。与高加索人相比，非裔美国人合并高血压的可能性是白人的1.6倍(P，0.004)。报告的胰岛素使用量在腹主动脉硬化患者中更高(P，0.0001)，更多的Cs患者(分别为25.5%和9.1%)报告不服用药物。非裔美国人更有可能报告(P，0.0001)每日血糖自我监测，而更多的C(P，0.04)报告在过去1至2年内进行过眼睛检查。高加索人报告了更多(P，0.05)积极的生活方式行为，而AA报告了更多(P，.001)脂肪增加的行为。总而言之，解决目标人群中糖尿病差异的干预措施应侧重于确保公平认识和获得保险选择；管理合并症；改善提供者对护理标准的遵守；以及为改变生活方式建立多层次支持。(伊势迪斯)2004年；14[附录1]：S1-38-S1-45)
In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/Davidson County were interviewed using a computer-assisted telephone interviewing system. Diabetes prevalence was determined, and similarities/differences relative to access to health care, co-morbid conditions, diabetes care, and lifestyle behaviors, were examined. Age-adjusted prevalence of diabetes was 1.7 times higher among AAs. Increasing age (P,.0001) and being AA (P,.01) were predictive of diabetes status in a regression model. African Americans were more likely to be uninsured (P,.01), while Cs had to travel farther to get medical care (P,.0002). Compared to Caucasians, African Americans were 1.6 times more likely to have co-morbid hypertension (P,.004). Reported insulin use was higher (P,.0001) in AAs, and more Cs (25.5% vs 9.1%, respectively) reported taking no medications. African Americans were more likely to report (P,.0001) daily glucose self-monitoring, while more Cs (P,.04) reported having had an eye exam in the last 1 to 2 years. Caucasians reported more (P,.05) active lifestyle behaviors, while AA reported more (P,.001) fat-increasing behaviors. In conclusion, interventions addressing diabetes disparities in the target population should focus on insuring equitable awareness of, and access to, insurance options; managing co-morbidities; improving provider adherence to standards of care; and establishing multi-level supports for lifestyle modifications. (Ethn Dis. 2004;14[suppl 1]:S1-38–S1-45)
非裔美国女性的变化阶段和膳食脂肪摄入量：使用饮食风格问卷改进阶段分配。
影响因子：
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作者：
Hargreaves,MK;Schlundt,DG;Buchowski,MS;Hardy,RE;Rossi,SR;Rossi,JS
通讯作者：
Rossi,JS