Newmyer Lauren, Frisco Michelle L
Department of Sociology and Criminology, The Pennsylvania State University.
Department of Sociology, Bowling Green State University.
Popul Res Policy Rev. 2023 Aug;42(4). doi: 10.1007/s11113-023-09800-3. Epub 2023 Jun 2.
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.
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。