Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2197 Mowry Road, Gainesville, FL 32610, USA.
Department of Anthropology, University of Florida College of Liberal Arts and Sciences, 1112 Turlington Hall, PO Box 117305, Gainesville, FL 32611, USA.
Nurs Clin North Am. 2021 Dec;56(4):619-634. doi: 10.1016/j.cnur.2021.07.003.
Obesity is a multifactorial disease that disproportionally affects diverse racial and ethnic groups. Structural racism influences racial inequities in obesity prevalence through environmental factors, such as racism and discrimination, socioeconomic status, increased levels of stress, and bias in the health care delivery system. Researchers, clinicians, and policy makers must work to address the environmental and systematic barriers that contribute to health inequities in the United States. Specifically, clinicians should quantitatively and qualitatively assess environmental and social factors and proactively engage in patient-centered care to tailor available treatments based on identified needs and experiences.
肥胖是一种多因素疾病，不成比例地影响着不同种族和族裔群体。结构性种族主义通过环境因素影响肥胖流行的种族不平等，例如种族主义和歧视、社会经济地位、压力水平增加以及医疗保健提供系统中的偏见。研究人员、临床医生和政策制定者必须努力解决导致美国健康不平等的环境和系统性障碍。具体来说，临床医生应该定量和定性地评估环境和社会因素，并积极参与以患者为中心的护理，根据确定的需求和经验定制可用的治疗方法。
