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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Geography of Diabetes in London, Canada: The Need for Local Level Policy for Prevention and Management
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The Geography of Diabetes in London, Canada: The Need for Local Level Policy for Prevention and Management

机译：加拿大伦敦的糖尿病地理：预防和管理地方政策的必要性

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Recent reports aimed at improving diabetes care in socially disadvantaged populations suggest that interventions must be tailored to meet the unique needs of the local community—specifically, the community’s geography. We have examined the spatial distribution of diabetes in the context of socioeconomic determinants of health in London (Ontario, Canada) to characterize neighbourhoods in an effort to target these neighbourhoods for local level community-based program planning and intervention. Multivariate spatial-statistical techniques and geographic information systems were used to examine diabetes rates and socioeconomic variables aggregated at the census tract level. Creation of a deprivation index facilitated investigation across multiple determinants of health. Findings from our research identified ‘at risk’ neighbourhoods in London with socioeconomic disadvantage and high diabetes. Future endeavours must continue to identify local level trends in order to support policy development, resource planning and care for improved health outcomes and improved equity in access to care across geographic regions.
机译：最近针对改善社会弱势人群的糖尿病护理的报告表明，干预措施必须量身定制，以满足当地社区的独特需求，特别是社区的地理位置。我们已经在伦敦（加拿大安大略省）的社会经济决定因素健康背景下研究了糖尿病的空间分布，以描述社区特征，以针对这些社区为目标，以地方一级基于社区的计划规划和干预为目标。多元空间统计技术和地理信息系统用于检查人口普查范围内的糖尿病发生率和社会经济变量。建立剥夺指数有助于跨多个健康决定因素进行调查。我们的研究发现，伦敦的“危险”街区具有社会经济劣势和糖尿病高发人群。未来的努力必须继续发现地方趋势，以支持政策制定，资源规划和护理，以改善健康状况并改善地理区域在获得护理方面的公平性。

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