呼吁重新构想以健康公平为服务目标的肥胖治疗：证据回顾与未来方向。
A Call to Reconceptualize Obesity Treatment in Service of Health Equity: Review of Evidence and Future Directions.
机构信息
Department of Surgery, Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Illinois at Chicago, Chicago, USA.
Department of Psychiatry and Behavioral Sciences and Department of Surgery, Rush University Medical Center, 1725 West Harrison Street, Chicago, IL, 60612, USA.
出版信息
Curr Obes Rep. 2023 Mar;12(1):24-35. doi: 10.1007/s13679-023-00493-5. Epub 2023 Feb 2.
Abstract
PURPOSE OF REVIEW
Rates of obesity and associated comorbidities are higher among Black and Latino adults compared to white adults. We sought to provide an overview of both structural and individual factors contributing to obesity inequities and synthesize available evidence regarding treatment outcomes in Black and Latino adults, with an eye towards informing future directions.
RECENT FINDINGS
Obesity disparities are influenced by myriad systemic issues, yet the vast majority of interventions target individual-level factors only, and most behavioral treatments fail to target drivers beyond eating and physical activity. Extant treatments are not equally accessible, affordable, or effective among Black and Latino adults compared with white counterparts. Asset-based, culturally relevant interventions that target the root causes of obesity and address intersectional stress-designed in partnership with intended beneficiaries-are urgently needed. Treatment trials must improve enrollment of Black and Latino adults and report treatment outcomes by race and ethnicity.
摘要
目的综述
与白人成年人相比，黑人和拉丁裔成年人的肥胖率和相关合并症发病率更高。我们旨在提供一个概述，说明导致肥胖不平等的结构和个人因素，并综合现有关于黑人和拉丁裔成年人治疗结果的证据，以期为未来指明方向。
最近的发现
肥胖差异受到众多系统性问题的影响，但绝大多数干预措施仅针对个人层面的因素，而且大多数行为治疗未能针对饮食和体力活动以外的驱动因素。与白人相比，现有的治疗方法在黑人和拉丁裔成年人中并不具有同等的可及性、可负担性或有效性。迫切需要以资产为基础、具有文化相关性的干预措施，这些干预措施针对肥胖的根本原因，并解决交叉压力——与目标受益方合作设计。治疗试验必须增加黑人和拉丁裔成年人的入组人数，并按种族和族裔报告治疗结果。
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