Diabetes Care Disparities in Deaf/Hard of Hearing and Blind/Low Vision Populations.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Current Diabetes Reports Pub Date : 2024-12-30 DOI:10.1007/s11892-024-01565-z

Allyson S Hughes, Karissa Mirus, Nazanin M Heydarian, Michelle L Litchman

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Abstract

Purpose of review: Describe the connection between Deaf/hard of hearing (DHH) and diabetes, explain the bidirectional relationship of blind/low vision (BLV) and diabetes, characterize challenges DHH and BLV populations face when seeking healthcare regarding their diabetes management. Highlight the inaccessibility of diabetes technology in these populations. Provide best practices when communicating with DHH and BLV people in the clinical setting.

Recent findings: Diabetes disparities exist in DHH and BLV populations due to systemic barriers to health equity related to access and communication. Structural barriers, risk factors, social determinants of health, and the U.S. healthcare system do not support the DHH and BLV communities. Importantly, healthcare professionals do not receive adequate training on communication and treatment of DHH and BLV populations. Together, social determinants of health, such as healthcare access and quality, education access and quality, and lack of adequate clinician training allow ableism to persist and drive health disparities in these communities. Health disparities faced by DHH and BLV populations are driven by barriers to diabetes standards of care. These inequities must be rectified to improve and maintain high quality care.

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聋人/听力障碍和盲人/低视力人群的糖尿病护理差异

综述的目的：描述聋/听障（DHH）与糖尿病之间的联系，解释盲/低视力（BLV）与糖尿病的双向关系，描述DHH和BLV人群在寻求糖尿病管理方面的医疗保健时面临的挑战。强调这些人群难以获得糖尿病技术。在临床环境中与卫生部和BLV人员沟通时提供最佳实践。最近的发现：由于在获取和沟通方面存在卫生公平的系统性障碍，DHH和BLV人群中存在糖尿病差异。结构性障碍、风险因素、健康的社会决定因素和美国卫生保健系统不支持DHH和BLV社区。重要的是，卫生保健专业人员没有接受关于DHH和BLV人群的沟通和治疗的充分培训。保健机会和质量、教育机会和质量以及缺乏适当的临床医生培训等健康的社会决定因素加在一起，使残疾现象持续存在，并在这些社区造成健康差距。DHH和BLV人群面临的健康差异是由糖尿病护理标准的障碍造成的。必须纠正这些不公平现象，以改善和保持高质量的护理。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.