Department of Family and Community Medicine, UT-Houston Medical School, Houston, TX 77031, USA.
J Immigr Minor Health. 2012 Oct;14(5):759-66. doi: 10.1007/s10903-011-9561-7.
Many primary care physicians lack sufficient knowledge on current guidelines for overweight/obesity diagnosis among minority groups. We assessed physician knowledge and awareness on modified guidelines for identifying obesity among South Asian Indians (SAIs). Cross sectional survey of 183 physicians practicing in Houston, who reported on their knowledge on guidelines for obesity among SAIs, frequency of measurement of surrogate markers, self-reported competency in management of obesity, and readiness to seek training on obesity diagnosis among SAIs. 65% of physicians agree obesity is a growing problem among SAIs with only 9% of physicians reporting measuring waist circumference. Only 21% of physicians were aware of the recommended WHO modified BMI criteria and 41% the IDF criteria for waist circumference. SAI physicians had significantly higher knowledge compared to other physicians. 78% were ready to seek training on the modified guidelines across ethnicity and training. There is a low level of knowledge on ethnicity-specific guidelines for obesity diagnosis among physicians. There is however a readiness to learn, indicating the need for a physician awareness-training on current obesity guidelines, for various ethnic populations.
许多初级保健医生对少数族裔超重/肥胖诊断的现行指南缺乏足够的了解。我们评估了医生在识别南亚裔印度人（SAI）肥胖方面的修改指南方面的知识和意识。对休斯顿的 183 名医生进行了横断面调查，这些医生报告了他们在 SAI 肥胖指南、替代标志物测量频率、自我报告的肥胖管理能力以及准备在 SAI 肥胖诊断方面寻求培训方面的知识。65%的医生认为肥胖是 SAI 中日益严重的问题，只有 9%的医生报告测量腰围。只有 21%的医生了解世卫组织推荐的 BMI 标准和 41%的 IDF 腰围标准。SAI 医生的知识明显高于其他医生。78%的医生准备跨种族和培训寻求有关修改指南的培训。医生对肥胖诊断的种族特异性指南的了解程度较低。然而，医生们有学习的意愿，这表明需要针对不同族裔人群开展当前肥胖指南的医生意识培训。
