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首页> 外文期刊>BMJ Open >The current health of the signing Deaf community in the UK compared with the general population: a cross-sectional study
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The current health of the signing Deaf community in the UK compared with the general population: a cross-sectional study

机译：与一般人群相比，英国签字聋人社区的当前健康状况：一项横断面研究

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Objectives To assess the current health of the Deaf community in the UK and compare with the general population. Design A quota sample of adult Deaf British Sign Language (BSL) users underwent a health assessment and interview in 2012–2013. Comparative data were obtained from the Health Survey for England (HSE) 2011 and the Quality Outcomes Framework (QOF) 2012. Setting Participants completed a structured interview and health assessment at seven Bupa centres across the UK, supported in BSL by Deaf advisers and interpreters. Participants 298 Deaf people, 20–82?years old, 47% male, with 12% from ethnic minorities. Main outcome measures Self–reported health conditions, medication usage, tobacco and alcohol consumption; measured blood pressure (BP), body mass index, fasting blood sugar and lipid profile. Results Rates of obesity in the Deaf sample were high, especially in those over 65?years, and 48% were in a high risk group for serious illness. High BP readings were obtained in 37% of Deaf people (21% in HSE): 29% were unaware of this (6% in HSE). Only 42% of Deaf people being treated for hypertension had adequate control, compared with 62% of the general population. Deaf people with self-reported cardiovascular disease (CVD) were significantly less than the general population. One-third of Deaf participants had total cholesterol 5?mmol/L but although control rates were high compared with HSE, treatment rates for self-reported CVD were half the general population rate. Eleven per cent of Deaf participants had blood sugar at prediabetic or diabetic levels, and 77% of those at prediabetic levels were unaware of it. Deaf respondents self-reported more depression (31% of women, 14% of men), but less smoking (8%) and alcohol intake (2–8 units/week). Conclusions Deaf people's health is poorer than that of the general population, with probable underdiagnosis and undertreatment of chronic conditions putting them at risk of preventable ill health.
机译：目的评估英国聋人社区的当前健康状况，并与普通人群进行比较。设计2012-2013年，对成年聋人英国手语（BSL）用户的配额样本进行了健康评估和访谈。比较数据来自2011年英国健康调查（HSE）和2012年质量结果框架（QOF）。在BSL的聋哑顾问和口译员的支持下，参与者在英国的七个Bupa中心完成了结构化的访谈和健康评估。参与者298位20-82岁的聋人，男性47％，其中12％来自少数民族。主要结果指标自我报告的健康状况，药物使用，烟草和酒精消费;测量血压（BP），体重指数，空腹血糖和脂质分布。结果聋人样本中的肥胖率很高，尤其是在65岁以上的人群中，其中48％属于严重疾病的高危人群。 37％的聋人（在HSE中为21％）获得了较高的BP读数：29％的人不知道这一点（在HSE中为6％）。接受高血压治疗的聋人中，只有42％的人得到了适当的控制，而普通人群中只有62％。自我报告为心血管疾病（CVD）的聋人明显少于普通人群。聋哑参与者的三分之一有总胆固醇> 5？mmol / L，但尽管与HSE相比，控制率很高，但自报CVD的治疗率仅为总人口率的一半。聋人中有11％的人有糖尿病前或糖尿病水平的血糖，而有糖尿病前水平的77％的人不知道。聋人的自我报告称抑郁症较多（女性31％，男性14％），但吸烟（8％）和饮酒（2-8单位/周）较少。结论聋人的健康状况较一般人群差，可能对慢性病进行诊断不足和治疗不足，使他们处于可预防疾病的风险中。

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