Loomis G A, Connolly K P, Clinch C R, Djuric D A
Malcolm Grow Medical Center, 1075 West Perimeter Road, Andrews Air Force Base, MD 20762, USA.
Mil Med. 2001 Feb;166(2):121-5.
This study's objective was to define the current attitudes and practices of military family physicians regarding obesity. The authors mailed a cross-sectional survey to 267 military family physicians selected randomly from the 1997 Uniformed Services Academy of Family Physicians membership database. A total of 214 surveys (80%) were returned. Most respondents believed that they should be role models to patients (93%) and felt obligated to counsel patients regarding obesity (90%). Fifty-six percent did not consider counseling obese patients professionally satisfying. Most correctly identified obesity as a risk factor for several diseases, except colon cancer (35%). Fifty-four percent correctly identified the current World Health Organization definition of obesity. A notable minority ascribed negative attributes of sadness (18%) and lack of self-control (25%) to obese individuals. The results of this survey indicate knowledge gaps and professional ambivalence regarding obesity in the study group. Methods of increasing family physician effectiveness in modifying this important risk factor deserve further study.
本研究的目的是确定军队家庭医生对肥胖问题的当前态度和做法。作者向从1997年军队家庭医生学会会员数据库中随机选取的267名军队家庭医生邮寄了一份横断面调查问卷。共收回214份调查问卷（80%）。大多数受访者认为他们应该成为患者的榜样（93%），并感到有义务就肥胖问题向患者提供咨询（90%）。56%的人认为专业地为肥胖患者提供咨询并不令人满意。除结肠癌（35%）外，大多数人正确地将肥胖识别为几种疾病的危险因素。54%的人正确地识别了世界卫生组织目前对肥胖的定义。相当一部分人将悲伤（18%）和缺乏自控力（25%）等负面特征归因于肥胖个体。本次调查结果表明，研究组在肥胖问题上存在知识差距和职业矛盾心理。提高家庭医生改变这一重要危险因素有效性的方法值得进一步研究。
