Robert Stempel College of Public Health and Social Work, Miami, FL, USA.
Am J Mens Health. 2012 Sep;6(5):383-94. doi: 10.1177/1557988312449853. Epub 2012 Jun 11.
This study examined gender differences in medical advice related to diet and physical activity for obese African American adults (N = 470) with and without diabetes. Data from the 2007-2008 National Health and Nutrition Examination Survey were analyzed using logistic regression analyses. Even after sociodemographic adjustments, men were less likely to report receiving medical advice as compared with women. Both men and women given dietary and physical activity advice were more likely to follow it. Men were less likely to report currently reducing fat or calories, yet men with diabetes were 5 times more likely to state that they were reducing fat and calories as compared with women with diabetes. Gender- and disease state-specific interventions are needed comparing standard care with enhanced patient education. Moreover, these findings necessitate studies that characterize the role of the health care professional in the diagnosis and treatment of obesity and underscore patient-provider relationships.
本研究调查了肥胖非裔美国成年人（N=470）在接受与饮食和身体活动相关的医学建议方面的性别差异，这些成年人患有或不患有糖尿病。使用逻辑回归分析对 2007-2008 年全国健康和营养检查调查的数据进行了分析。即使在进行了社会人口统计学调整后，与女性相比，男性接受医学建议的可能性也较小。无论是男性还是女性，如果得到了饮食和身体活动方面的建议，他们就更有可能遵循这些建议。男性更不可能报告目前正在减少脂肪或卡路里的摄入，但患有糖尿病的男性报告称正在减少脂肪和卡路里摄入的可能性是患有糖尿病的女性的 5 倍。需要针对标准护理和强化患者教育进行性别和疾病状态特定的干预研究。此外，这些发现需要对医疗保健专业人员在肥胖症的诊断和治疗中的作用进行研究，并强调医患关系。
