Understanding the social factors that contribute to diabetes: a means to informing health care and social policies for the chronically ill.
Understanding the social factors that contribute to diabetes: a means to informing health care and social policies for the chronically ill.
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DOI：
10.7812/tpp/12-099
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发表时间：
2013-01-01
影响因子：
--
通讯作者：
Fox, Michael H
中科院分区：
文献类型：
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作者：
Hill, Jacqueline;Nielsen, Marcia;Fox, Michael H
健康的社会决定因素是个人出生、成长、生活、工作和衰老的条件。越来越多的人认识到它们与美国2型糖尿病发病率飙升的关系，以及它们为我们提供的对抗它的机会。目前许多2型糖尿病的干预措施侧重于生物和行为因素，如症状、饮食和身体活动。然而，同样重要的是要解决物质环境和社会环境对健康结果的影响，其中可能包括低收入、就业不安全、受教育程度低和生活条件差。《2010年患者保护和可负担医疗法案》第4302节提供了一个改善数据收集和政策制定的机会，以更有效地识别患2型糖尿病的高风险人群，并主动将他们转介到适当的社会支持服务，最终可能有助于减少健康差距。扩大这一立法的范围，纳入纳入社会决定因素的数据，将提高临床医生和卫生系统参与和治疗慢性疾病（如2型糖尿病）患者的能力，同时扩大政策制定者的能力，使其符合立法的意图，即在全国范围内努力减少慢性疾病。
Social determinants of health are the conditions in which individuals are born, grow, live, work, and age. Increasingly, they are being recognized for their relationship to the soaring incidence of Type 2 diabetes in the US, as well as the opportunities they present for us to counter it. Many current Type 2 diabetes interventions focus on biologic and behavioral factors, such as symptoms, diet, and physical activity. However, it is equally important to address the influence of physical and social environments, which may include low income, employment insecurity, low educational attainment, and poor living conditions, on health outcomes. Section 4302 of the Patient Protection and Affordable Care Act of 2010 offers an opportunity to improve data collection and policy development to more effectively identify populations at high risk for developing Type 2 diabetes and to proactively refer them to appropriate social support services that may ultimately support reduction of health disparities. Expanding the scope of this legislation to include data that incorporate social determinants would improve the ability of clinicians and health systems to engage and to treat patients with chronic conditions, such as Type 2 diabetes, while expanding policymakers' ability to conform to the legislation's intent of shaping efforts to reduce chronic conditions nationwide.