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本文引用的文献

1
State-Level Sexism and Gender Disparities in Health Care Access and Quality in the United States.美国医疗保健获取与质量方面的州级性别歧视及性别差异
J Health Soc Behav. 2022 Mar;63(1):2-18. doi: 10.1177/00221465211058153. Epub 2021 Nov 18.
2
Exclusion and hospitality: the subtle dynamics of stigma in healthcare access for people emerging from alcohol and other drug treatment.排斥与接纳:在获得医疗保健方面,处于酒精和其他药物治疗康复期的人们所面临污名的微妙动态。
Sociol Health Illn. 2020 Nov;42(8):1801-1820. doi: 10.1111/1467-9566.13180. Epub 2020 Oct 13.
3
Primary care visits increase utilization of evidence-based preventative health measures.初级保健就诊增加了基于证据的预防保健措施的利用。
BMC Fam Pract. 2020 Jul 28;21(1):151. doi: 10.1186/s12875-020-01216-8.
4
Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018.成年人肥胖和重度肥胖的患病率:美国,2017-2018 年。
NCHS Data Brief. 2020 Feb(360):1-8.
5
Obesity predisposes to the risk of higher mortality in young COVID-19 patients.肥胖使年轻 COVID-19 患者面临更高死亡率的风险。
J Med Virol. 2020 Nov;92(11):2536-2542. doi: 10.1002/jmv.26039. Epub 2020 Jun 19.
6
Obesity and its Implications for COVID-19 Mortality.肥胖及其对新冠病毒感染相关死亡的影响。
Obesity (Silver Spring). 2020 Jun;28(6):1005. doi: 10.1002/oby.22818. Epub 2020 Apr 18.
7
Between blame and care: women's 'needs talk' about obesity interventions in prenatal care.在指责与关怀之间:女性关于孕期保健中肥胖干预措施的“需求对话”
Sociol Health Illn. 2020 May;42(4):758-771. doi: 10.1111/1467-9566.13058. Epub 2020 Jan 24.
8
Obesity and the Built Environment: A Reappraisal.肥胖与建筑环境:再评价。
Obesity (Silver Spring). 2020 Jan;28(1):22-30. doi: 10.1002/oby.22672. Epub 2019 Nov 28.
9
Educational Disparities in Adult Health: U.S. States as Institutional Actors on the Association.成人健康方面的教育差距:美国各州作为该关联中的制度行为体
Socius. 2019 Jan-Dec;5. doi: 10.1177/2378023119835345. Epub 2019 Mar 11.
10
Use of healthcare services and expenditure in the US in 2025: The effect of obesity and morbid obesity.2025 年美国医疗保健服务的使用和支出:肥胖和病态肥胖的影响。
PLoS One. 2018 Nov 7;13(11):e0206703. doi: 10.1371/journal.pone.0206703. eCollection 2018.

体重与基层医疗就诊之间的关系。

The Relationship between Body Weight and Primary Healthcare Visits.

作者信息

Newmyer Lauren, Frisco Michelle L

机构信息

Department of Sociology and Criminology, The Pennsylvania State University.

Department of Sociology, Bowling Green State University.

出版信息

Popul Res Policy Rev. 2023 Aug;42(4). doi: 10.1007/s11113-023-09800-3. Epub 2023 Jun 2.

DOI:10.1007/s11113-023-09800-3
PMID:40337076
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058205/
Abstract

In the United States (U.S.), currently more than 40% of adults have obesity. This high prevalence presents great concern to demographers because of the potential consequences obesity holds for population health trajectories in morbidity and mortality and individuals' well-being. Primary care providers are critical for managing chronic health conditions, including obesity. This makes it vital to understand whether and how weight shapes primary care use in the U.S. We make this contribution by investigating how obesity is related to annual visits with two of the most common primary healthcare providers used by U.S. men and women- general physicians and gynecologists. Analysis of data from National Health Interview Survey (2010-2018) participants suggests that obesity and overweight are positively associated with annual physician visits among both men and women, with men with class II and III obese having significantly higher odds of annual physician visits than women. In addition, although women with obesity have greater odds of general physician visits than women with normal weight, the former group has lower odds of gynecological visits. This study offers important insights into how obesity positively shapes annual physician visits but negatively shapes gynecological care of women-especially those with class III obesity.

摘要

在美国,目前超过40%的成年人患有肥胖症。由于肥胖症对发病率、死亡率方面的人口健康轨迹以及个人福祉可能产生的影响,这一高患病率引起了人口统计学家的极大关注。初级保健提供者对于管理包括肥胖症在内的慢性健康状况至关重要。这使得了解体重是否以及如何影响美国的初级保健利用情况变得至关重要。我们通过调查肥胖症与美国男性和女性最常使用的两种初级医疗保健提供者(全科医生和妇科医生)的年度就诊情况之间的关系来做出这一贡献。对来自国家健康访谈调查(2010 - 2018年)参与者的数据进行分析表明,肥胖和超重与男性和女性的年度医生就诊均呈正相关,患有II级和III级肥胖症的男性年度医生就诊的几率显著高于女性。此外,虽然肥胖女性看全科医生的几率比体重正常的女性更高,但前一组看妇科医生的几率更低。这项研究为肥胖症如何积极影响年度医生就诊但消极影响女性尤其是III级肥胖女性的妇科护理提供了重要见解。