PDF(Pubmed)
Abstract：
The social determinants of health (SDoH) influence health outcomes based on conditions from birth, growth, living, and age factors. Diabetes is a chronic condition, impacted by race, education, and income, which may lead to serious health consequences. In Hawai\'i, approximately 11.2% of adults have been diagnosed with diabetes. The objective of this secondary cross-sectional study is to assess the relationship between the prevalence of diabetes and the social determinants of health among Hawai\'i adults who participated in the Behavioral Risk Factor Surveillance System between 2018-2020. The prevalence of diabetes among adults was 11.0% (CI: 10.4-11.5%). Filipino, Japanese and Native Hawaiian adults had the highest prevalence of diabetes at 14.4% (CI: 12.7-16.2%), 14.2% (CI: 12.7-15.7%), and 13.2% (CI: 12.0-14.4%), respectively. Poverty level and education were significantly associated with diabetes status. Within employment categories, the adjusted odds ratio (AOR) for retired and unable to work adults were large at AOR: 1.51 (CI: 1.26-1.81) and AOR: 2.91 (CI: 2.28-3.72), respectively. SDoH can impact the development and management of diabetes. Understanding the role SDoH plays on diabetes status is crucial for promoting health equity, building community capacity, and improving diabetes management.
摘要：
健康的社会决定因素（SDoH）根据出生时的状况影响健康结果，增长,生活,和年龄因素。糖尿病是一种慢性疾病,受种族影响,教育,和收入，这可能会导致严重的健康后果。在夏威夷，约11.2%的成年人被诊断为糖尿病.这项二级横断面研究的目的是评估2018-2020年期间参加行为危险因素监测系统的夏威夷成年人的糖尿病患病率与健康的社会决定因素之间的关系。成人糖尿病患病率为11.0%(CI:10.4-11.5%)。菲律宾人,日本和夏威夷原住民的糖尿病患病率最高，为14.4％（CI：12.7-16.2％），14.2%（CI：12.7-15.7%），和13.2%（CI：12.0-14.4%），分别。贫困水平和教育程度与糖尿病状态显着相关。在就业类别中，退休和无法工作的成年人的调整后优势比（AOR）很大，AOR：1.51（CI：1.26-1.81）和AOR：2.91（CI：2.28-3.72），分别。SDoH可以影响糖尿病的发展和管理。了解SDoH对糖尿病状态的作用对于促进健康公平至关重要。社区能力建设,改善糖尿病管理。
