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利用卫生政策解决方案应对美国农村地区的肥胖问题。

Leveraging Health Policy Solutions to Address Obesity in Rural America.

作者信息

Ashar Perisa, Rahim Faraan O, Haque Huda, Anzaar Humna, Jain Urvish, Singh Shivam, Palakodeti Sandeep

机构信息

Duke University, 2080 Duke University Rd, Durham, NC, 27708, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

J Gen Intern Med. 2025 May;40(7):1538-1541. doi: 10.1007/s11606-024-09207-6. Epub 2024 Nov 18.

Abstract

Rural America faces an alarming obesity crisis, with residents experiencing significantly higher rates of obesity due to socioeconomic disparities, limited access to healthcare, and structural challenges such as food deserts and insufficient healthcare infrastructure. This perspective addresses these pressing issues by proposing targeted, evidence-based interventions to reduce obesity in rural communities. Our recommendations include (1) increasing the number of multidisciplinary healthcare professionals in rural areas through initiatives such as the Rural Medical Scholars Program, the Rural Community Loan Repayment Program, and the Conrad 30 Waiver Program; (2) expanding coverage for essential obesity services via H.R. 1577, the Treat and Reduce Obesity Act, to alleviate financial barriers to treatment, including intensive behavioral therapy and pharmacotherapy; and (3) leveraging community-based programs, including the National Rural Obesity and Chronic Disease Initiative, the CDC's High Obesity Program, and the Delta Body and Soul initiative, to improve access to healthy foods and promote physical activity through local collaborations, education, and infrastructure enhancements. By implementing these comprehensive strategies, we aim to make obesity treatments and healthy lifestyle choices more accessible, ultimately reducing obesity rates, improving health outcomes, and enhancing the overall quality of life for rural residents across the USA.

摘要

美国农村地区面临着令人担忧的肥胖危机,由于社会经济差距、医疗保健获取机会有限以及诸如食品荒漠和医疗基础设施不足等结构性挑战,农村居民的肥胖率显著更高。本观点通过提出有针对性的、基于证据的干预措施来解决农村社区的肥胖问题,以应对这些紧迫问题。我们的建议包括:(1)通过农村医学学者计划、农村社区贷款偿还计划和康拉德30豁免计划等举措,增加农村地区多学科医疗保健专业人员的数量;(2)通过《治疗和减少肥胖法案》(H.R. 1577)扩大基本肥胖服务的覆盖范围,以减轻治疗的经济障碍,包括强化行为疗法和药物疗法;(3)利用基于社区的计划,包括国家农村肥胖和慢性病倡议、疾病控制与预防中心的高肥胖计划以及三角洲身心倡议,通过地方合作、教育和基础设施改善,增加健康食品的获取机会并促进体育活动。通过实施这些全面战略,我们旨在使肥胖治疗和健康生活方式选择更容易获得,最终降低肥胖率,改善健康状况,并提高美国农村居民的整体生活质量。

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