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肥胖与生殖:一项关于确定医学教育在提高对肥胖相关生殖风险认识方面效果如何的研究。

Obesity and reproduction: a study to determine how effectively medical education enhances awareness of the reproductive risks related to obesity.

作者信息

Rhoton-Vlasak Alice S, Roussos-Ross Kay, Cua Girard M, Odera Erica L, Irani Tracy A, Vasilopoulos Terrie

机构信息

Obstetrics and Gynecology, University of Florida, Gainesville, FL 32610, USA.

Department of Family Medicine Residency, University of South Florida College of Medicine, Tampa, FL 33612, USA.

出版信息

JBRA Assist Reprod. 2017 Dec 1;21(4):330-335. doi: 10.5935/1518-0557.20170059.

Abstract

OBJECTIVE

To explore awareness of the reproductive versus the medical risks of obesity in a medical and non-medical college educated population.

METHODS

An exploratory prospective research design was used. A 26-question online survey was developed and offered to a sample of medical students/residents (n=325) and non-medical college students (n=102). The data were analyzed using Graph Pad software.

RESULTS

102 non-medical undergraduate students (28% male and 72% female) and 325 resident physicians and medical students (46% male, 47% female, 7% unspecified) responded. Both groups reported higher awareness of the general risks of obesity as compared to the reproductive risks. As expected, lay students reported less awareness of female reproductive issues as compared to the medical group (all p-values <0.01). Over 90% of respondents would be motivated to lose weight before pregnancy if they knew of these risks, with more than half planning to have children in the future.

CONCLUSION

This exploratory study found that despite having at least a college education, the populations studied had relatively low levels of awareness of obesity-related reproductive risks. The medical population had much more knowledge about the other health risks of obesity. The survey provided initial data that might be used to consider knowledge gaps and strategies for engaging and educating medical trainees and the public about the reproductive risks of obesity.

摘要

目的

探讨受过医学和非医学高等教育人群对肥胖的生殖风险与医学风险的认知情况。

方法

采用探索性前瞻性研究设计。编制了一份包含26个问题的在线调查问卷,并提供给医学生/住院医师样本(n = 325)和非医学专业大学生样本(n = 102)。使用Graph Pad软件对数据进行分析。

结果

102名非医学专业本科生(28%为男性,72%为女性)以及325名住院医师和医学生(46%为男性,47%为女性,7%未明确性别)回复了问卷。与生殖风险相比,两组对肥胖的一般风险的认知度更高。正如预期的那样,非医学专业学生对女性生殖问题的认知度低于医学专业组(所有p值均<0.01)。如果了解到这些风险,超过90%的受访者在怀孕前会有动力减肥,其中一半以上计划未来生育子女。

结论

这项探索性研究发现,尽管研究对象至少受过高等教育,但他们对肥胖相关生殖风险的认知水平相对较低。医学专业人群对肥胖的其他健康风险了解更多。该调查提供了初步数据,可用于考虑知识差距以及针对医学实习生和公众开展肥胖生殖风险教育和宣传的策略。

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Infertility patients' knowledge of the effects of obesity on reproductive health outcomes.不孕患者对肥胖对生殖健康结局影响的认识。
Am J Obstet Gynecol. 2012 Dec;207(6):509.e1-509.e10. doi: 10.1016/j.ajog.2012.08.020. Epub 2012 Aug 16.
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Practitioner advice and gestational weight gain.从业者建议和妊娠期体重增加。
J Womens Health (Larchmt). 2011 Apr;20(4):585-91. doi: 10.1089/jwh.2010.2316. Epub 2011 Mar 17.
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Pregnancy: a "teachable moment" for weight control and obesity prevention.妊娠:控制体重和预防肥胖的“可教时刻”。
Am J Obstet Gynecol. 2010 Feb;202(2):135.e1-8. doi: 10.1016/j.ajog.2009.06.008. Epub 2009 Aug 15.

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