美国移民在胃肠道健康方面的差异以及解决这些差异的策略

IF 25.7 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gastroenterology Pub Date : 2024-10-18 DOI:10.1053/j.gastro.2024.09.004

Miguel Malespin, Saikiran M. Kilaru

引用次数: 0

摘要

章节片段结直肠癌筛查尽管美国努力提高结直肠癌筛查（CCS）的参与率，但总体而言，其参与率仍远低于国家目标，尤其是对土著居民而言。4 与土著居民CCS参与率较低有关的普遍因素包括居住在农村社区、缺乏医疗保险以及英语水平有限。10 虽然与非 IP 相比，IP 的 IBD 总发病率较低，但与年龄较大的移民相比，年轻移民的 IBD 发病率较高。美国的一项单中心研究评估了外国出生者与美国出生者的 IBD 特征，结果显示，移民患溃疡性结肠炎的频率增加，且病情较轻12 ：肝细胞癌和慢性乙型肝炎病毒在美国，土著居民的肝细胞癌（HCC）发病率高于非土著居民，其原因是慢性乙型肝炎病毒（HBV）感染负担过重，以及血吸虫病和慢性丙型肝炎病毒感染率较高。在一些亚洲亚群和非洲移民中也发现了诊断时为晚期的 HCC，但由于无法获得原籍和移民身份，因此界定这方面的疾病负担具有挑战性：未经批准的移民如前所述，有关未经批准的移民的胃肠病学和肝病学治疗数据稀少，因为大型医疗登记中很少确定移民身份。最有据可查的差异模式似乎是缺乏医疗保险。联邦资助的可负担医疗保险计划根据公民身份和移民身份限制投保资格。少数几个州试图通过提供从概念到行动的服务来解决地方层面的差异：改善弱势 IP 护理的战略必须有针对性，并应旨在解决个人、社区、机构和社会/政府层面的护理障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Disparities in Gastrointestinal Health for US Immigrant Populations, and Strategies to Address These Disparities

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来源期刊

Gastroenterology 医学-胃肠肝病学

CiteScore

45.60

自引率

2.40%

发文量

4366

审稿时长

26 days

期刊介绍： Gastroenterology is the most prominent journal in the field of gastrointestinal disease. It is the flagship journal of the American Gastroenterological Association and delivers authoritative coverage of clinical, translational, and basic studies of all aspects of the digestive system, including the liver and pancreas, as well as nutrition. Some regular features of Gastroenterology include original research studies by leading authorities, comprehensive reviews and perspectives on important topics in adult and pediatric gastroenterology and hepatology. The journal also includes features such as editorials, correspondence, and commentaries, as well as special sections like "Mentoring, Education and Training Corner," "Diversity, Equity and Inclusion in GI," "Gastro Digest," "Gastro Curbside Consult," and "Gastro Grand Rounds." Gastroenterology also provides digital media materials such as videos and "GI Rapid Reel" animations. It is abstracted and indexed in various databases including Scopus, Biological Abstracts, Current Contents, Embase, Nutrition Abstracts, Chemical Abstracts, Current Awareness in Biological Sciences, PubMed/Medline, and the Science Citation Index.