Diabetes Complications in Racial and Ethnic Minority Populations in the USA.

Diabetes Complications in Racial and Ethnic Minority Populations in the USA.
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DOI:
10.1007/s11892-020-01369-x
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发表时间:
2021-01-09
影响因子:
4.2
通讯作者:
Umpierrez G
Umpierrez G
中科院分区:
医学2区
文献类型:
--
作者:
Haw JS;Shah M;Turbow S;Egeolu M;Umpierrez G

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种族和少数民族人群糖尿病相关并发症的负担更高。已经有许多流行病学研究更好地定义了糖尿病结局中的这些种族/民族差异,并有其他研究提供了缓解这些差异的干预措施。这篇叙述性综述强调了特定种族和少数民族糖尿病并发症的流行病学趋势,并强调了糖尿病微血管和大血管并发症的差异,卫生保健利用和糖尿病预防工作,还回顾了旨在减少种族/民族差异的干预措施及其局限性。虽然我们已经看到,总体上所有糖尿病患者的并发症发生率有所改善,但黑人和西班牙裔糖尿病患者与非西班牙裔白色糖尿病患者之间的差异似乎仍然存在。有一个持续的需要,以更好地了解的根本原因和战略,以减轻种族/民族差异的糖尿病并发症在美国。
Racial and ethnic minority populations have a higher burden of diabetes-related complications. There have been many epidemiologic studies to better define these racial/ethnic disparities in diabetes outcomes with additional studies offering interventions to mitigate them. This narrative review highlights the epidemiologic trends in diabetes complications specific to racial and ethnic minorities and underscores differences in microvascular and macrovascular complications of diabetes, health care utilization, and diabetes prevention efforts and also reviews interventions aimed to reduce racial/ethnic disparities and their limitations. While we have seen in general an overall improvement in complication rates for all people with diabetes, the disparities between Black and Hispanic compared to non-Hispanic White people with diabetes seem to persist. There is a continued need to better understand the underlying causes of and strategies to mitigate race/ethnicity disparities in diabetes complications in the USA.
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