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肥胖问题公平性审查。

Equity in Obesity Review.

机构信息

Beth Israel Lahey Health, Winchester Hospital Weight Management Center.

Massachusetts General Hospital Neuroendocrine and Pituitary Tumor Clinical Center, 100 Blossom Street, Cox Building Suite 140, Boston, MA 02114, USA; Duke University School of Medicine, DUMC 2927, 40 Duke Medicine Circle, 124 Davison Building, Durham, NC 27710, USA.

出版信息

Endocrinol Metab Clin North Am. 2023 Dec;52(4):617-627. doi: 10.1016/j.ecl.2023.05.003. Epub 2023 Jun 9.

Abstract

Obesity disproportionately affects racial and ethnic minoritized populations and those of lower socioeconomic status. Similarly, disparities exist in the development of its downstream consequences, such as type 2 diabetes and hypertension. The causes of these disparities are multifactorial and are influenced by structural factors such as segregation and healthcare access, and individual-level factors such as weight stigma. Interventions to decrease disparities in obesity should consider macro-level, community, and individual-level factors that might reduce disparities and improve equity in obesity care. Clinicians must also recognize the chronic nature of obesity, and how bias and stigma may impact patient care.

摘要

肥胖症在不同程度上影响着少数族裔和社会经济地位较低的人群。同样,其下游后果(如 2 型糖尿病和高血压)的发展也存在差异。这些差异的原因是多方面的,受到结构因素(如隔离和医疗保健获取)和个体因素(如体重歧视)的影响。减少肥胖症差异的干预措施应考虑可能减少差异并改善肥胖症护理公平性的宏观、社区和个体层面的因素。临床医生还必须认识到肥胖症的慢性性质,以及偏见和耻辱感可能如何影响患者护理。

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