Bodenlos Jamie S, Bellanger Tracie M, Jones Glenn N
Department of Psychology, Louisiana State University, Baton Rouge, Louisisana, USA.
J La State Med Soc. 2005 Sep-Oct;157(5):264-7.
The prevalence of obesity is especially high in low-income minority individuals, many of whom lack health insurance. The goal of the current study was to establish the prevalence of obesity in the primary care clinics at a public hospital that serves predominantly African-American indigent patients and to compare this prevalence to the national norm.
Information from 845 patients attending four outpatient clinics was obtained via retrospective chart reviews. Age, gender, race, weight, and height were obtained, and body mass index (BMI) was calculated.
Eighty-four percent of patients were overweight or obese. The 20% prevalence of extreme obesity was especially high. The primary care clinics had more than twice the rate of obesity as the national norm, even when controlling for demographic characteristics.
Socioeconomic status and/or cultural influences are likely factors in the higher rate of obesity in this population. Because of this markedly elevated prevalence of obesity, especially extreme obesity, the need for intervention is critical.
肥胖症在低收入少数族裔人群中尤为高发，其中许多人没有医疗保险。本研究的目的是确定一家主要为非裔美国贫困患者服务的公立医院初级保健诊所中肥胖症的患病率，并将该患病率与全国标准进行比较。
通过回顾性病历审查获取了来自四个门诊诊所的845名患者的信息。记录了年龄、性别、种族、体重和身高，并计算了体重指数（BMI）。
84%的患者超重或肥胖。极端肥胖症20%的患病率尤其高。即使在控制了人口统计学特征之后，初级保健诊所的肥胖率仍比全国标准高出两倍多。
社会经济地位和/或文化影响可能是该人群肥胖率较高的因素。由于肥胖症，尤其是极端肥胖症的患病率明显升高，因此进行干预的必要性至关重要。
