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年轻女性的脂肪营养不良症:她们与医疗保健提供者的经历,以及社会支持和归属感的重要性:一项定性研究。

Younger Women with Lipedema, Their Experiences with Healthcare Providers, and the Importance of Social Support and Belonging: A Qualitative Study.

机构信息

Department of Health and Training, Kristiania University College, 0152 Oslo, Norway.

出版信息

Int J Environ Res Public Health. 2023 Jan 20;20(3):1925. doi: 10.3390/ijerph20031925.

Abstract

Lipedema is a chronic adipose tissue disorder affecting approximately 11% of women worldwide. The illness is often misdiagnosed as obesity, and because of this, women often struggle in meetings with healthcare providers. Few studies have assessed these encounters of younger women with lipedema. The aims of this qualitative study were to explore women's experiences in meetings with healthcare providers and the importance of social support and belonging, with a focus on younger women. Fifteen women with lipedema between the ages of 21 and 47 years (mean age 36.2 years) were interviewed. The results indicated that women felt stigmatized by healthcare providers and that younger women in their 20s and early 30s struggled more often than women of higher age when receiving their diagnosis. The feeling of shame and stigma were also dependent on the woman's resources in handling the illness. The younger women reported that their self-confidence and romantic relationships were challenging. Social support and the feeling of belonging through romantic relationships or support groups were important resources for managing the illness. Highlighting the experiences of women may aid in increasing recognition and knowledge of lipedema. This in turn may reduce the stigma and lead to equitable healthcare services.

摘要

脂肪营养不良是一种影响全球约 11%女性的慢性脂肪组织疾病。这种疾病经常被误诊为肥胖症,因此,女性在与医疗保健提供者的会面中常常感到困难。很少有研究评估过患有脂肪营养不良的年轻女性的这些会面。本定性研究的目的是探讨女性在与医疗保健提供者会面时的体验,以及社会支持和归属感的重要性,重点是年轻女性。15 名年龄在 21 岁至 47 岁之间(平均年龄 36.2 岁)的脂肪营养不良女性接受了采访。结果表明,女性感到受到医疗保健提供者的歧视,而 20 多岁和 30 岁出头的年轻女性在接受诊断时比年龄较大的女性更经常感到困难。羞耻和污名的感觉也取决于女性处理疾病的资源。年轻女性报告说,她们的自信和恋爱关系很有挑战性。社会支持和通过恋爱关系或支持团体获得的归属感是管理疾病的重要资源。强调女性的体验可以帮助提高对脂肪营养不良的认识和了解。这反过来又可以减少污名化,并导致公平的医疗保健服务。

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