Popoola Folasade A
Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Obes Surg. 2004 Oct;14(9):1258-62. doi: 10.1381/0960892042387138.
The relationship between obesity and the use of health-care services was assessed in the population between 50 and 69 in England in 1998, where such analysis had not yet been done.
All data was obtained from the Health Survey for England (HSE), a cross-sectional survey that collected information about the health of a sample of the British population in 1998. Analysis was limited to the 4,102 men and women between 50-69 years with a valid body mass index (BMI) >18.5 kg/m(2). BMI was analysed in relation to use of 4 types of health-care service, and the odds ratio (OR) for use of each of these services was determined for obese people (BMI > or =30 kg/m(2)), compared with normal-weight individuals (BMI 18.5-25).
There was an association between obesity status and use of outpatient services in a 12-month period (adjusted 0R 1.25; 95% CI, 1.03-1.51) and with > or =2 medical prescriptions (adjusted OR 1.86; 95% CI, 1.51-2.29). No significant relationship was found between obesity and physician (GP) visits or with use of inpatient and/or day-patient services.
Although obesity did not lead to increases in use in all 4 health-care measures assessed as it has in some other countries, it does lead to some increases in health-care utilization in England and appears to impose an additional burden on health-care services. With the rising rates of obesity and its co-morbidities, there may be larger stresses on the health-care system in England if efforts to reduce obesity are not put into effect.
1998年在英格兰50至69岁人群中评估了肥胖与医疗服务使用之间的关系，此前尚未进行过此类分析。
所有数据均来自英格兰健康调查（HSE），这是一项横断面调查，收集了1998年英国人群样本的健康信息。分析仅限于4102名年龄在50至69岁之间、体重指数（BMI）>18.5 kg/m²且有效的男性和女性。分析了BMI与4种医疗服务使用情况的关系，并确定了肥胖者（BMI≥30 kg/m²）与正常体重者（BMI 18.5 - 25）相比使用每种服务的比值比（OR）。
肥胖状况与12个月内门诊服务的使用之间存在关联（调整后的OR为1.25；95%CI，1.03 - 1.51），与≥2张医疗处方之间也存在关联（调整后的OR为1.86；95%CI，1.51 - 2.29）。未发现肥胖与看全科医生（GP）或住院和/或日间住院服务的使用之间存在显著关系。
尽管肥胖并未像在其他一些国家那样导致所评估的所有4项医疗保健指标的使用增加，但在英格兰确实导致了医疗保健利用率的一些增加，并且似乎给医疗服务带来了额外负担。随着肥胖率及其合并症的上升，如果不采取措施减少肥胖，英格兰的医疗保健系统可能会承受更大压力。
