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Diabetics who live in poor areas in California are far more likely to suffer an amputation1 than are diabetics in wealthier neighborhoods. So finds an analysis in the journal Health Affairs. [Carl D. Stevens et al, Geographic2 Clustering Of Diabetic Lower-Extremity Amputations In Low-Income Regions Of California]
在加州贫困地区居住的糖尿病患者比居住在富裕地区的患者更容易遭受截肢。我们在《健康杂志》上发现了关于这一现象的一篇分析文章。
The study reveals that patients in low-income zip codes were up to 10 times more likely to lose a leg or foot than diabetic patients in more affluent3 zip codes. In poor areas like Compton, as many as 10.7 out of 1,000 diabetic adults ages 45 and older wound up losing a lower limb due to diabetes4 complications. In wealthier areas, including Malibu and Beverly Hills, no more than 1.5 diabetics per 1,000 lost a limb to the disease.
研究表明,低收入地区的糖尿病病人失去一条腿或脚的概率是富裕地区的10倍。在像康普顿这样的贫困地区,1000位年龄在45岁以上的糖尿病患者中,由于糖尿病并发症而失去一条腿的多达10.7个。而在包括马里布和贝弗利山在内的富裕地区,1000名糖尿病患者中失去一条腿的却不超过1.5个。
Fewer healthcare options for poorer patients and their providers may have contributed to the disparity, the researchers write.
研究人员写道,贫穷病人较少的医疗保健选择和为他们进行医疗保健的医护人员,可能是造成这一差别的原因。
The diabetes patients most at risk for amputations were male, older than 65, black and non-English speaking.
糖尿病患者最有截肢危险的是,65岁以上的不讲英语黑人男性。
When blood sugar and other health metrics are carefully monitored and controlled, diabetes amputations are much more preventable. Otherwise, diabetes can lead to impaired5 circulation in the feet and nerve damage. Those conditions, in turn, can keep patients from noticing developing infections. You can find more 60-Second Health on chinavoa.com.
当糖尿病患者的血糖和其他健康指标经过仔细的指导和控制,就可以更好的预防糖尿病截肢并发症。否则糖尿病会损害脚的内部循环,并造成神经损伤。反过来,这些症状还会使病人注意不到正在发生的感染。
The researchers advise daily foot washing and checks for cuts to help keep patients on their feet. And improved health care access for communities most in need is a must.
—Dina Fine Maron
研究人员建议每天洗脚和检查脚上(是否有)伤口来帮助病人保持站立。而且必须要加大穷困地区医疗保健的覆盖面。—Dina Fine Maron
1 amputation | |
n.截肢 | |
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2 geographic | |
adj.地理学的,地理的 | |
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3 affluent | |
adj.富裕的,富有的,丰富的,富饶的 | |
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4 diabetes | |
n.糖尿病 | |
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5 impaired | |
adj.受损的;出毛病的;有(身体或智力)缺陷的v.损害,削弱( impair的过去式和过去分词 ) | |
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