在肥胖审查中的公平性
Karla N Kendrick1, Kevin J Bode Padron2, Nichola Z Bomani3
1Beth Israel Lahey Health, Winchester Hospital Weight Management Center.
Endocrinology and metabolism clinics of North America
|October 21, 2023
概括
肥胖及其健康后果不成比例地影响少数群体和低收入群体. 解决这些健康差异需要考虑社会,社区和个人因素,包括体重耻辱.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 肥胖问题研究研究
背景情况:
- 肥胖的患病率及其并发症,如2型糖尿病和高血压,在种族,种族和社会经济群体之间表现出显著的差异.
- 这些健康不平等是由结构性决定因素 (例如,隔离,医疗保健准入) 和个人因素 (例如,体重耻辱) 的复杂相互作用驱动的.
研究的目的:
- 突出与肥胖相关的健康差异的多因素原因.
- 强调需要全面干预,解决宏观层面,社区和个人因素,以改善肥胖护理公平.
- 为了强调认识到肥胖是一种由偏见和耻辱影响的慢性疾病的重要性.
主要方法:
- 这项研究综合了现有的关于肥胖差异的研究.
- 它分析了结构性和个人因素对健康结果的影响.
- 它审查了潜在的干预策略,以减少肥胖护理中的不平等.
主要成果:
- 肥胖不成比例地影响少数群体和社会经济地位较低的人群.
- 下游的健康状况,如2型糖尿病和高血压,也显示出显著的差异.
- 体重耻辱和有限的医疗保健机会加剧了这些不平等.
结论:
- 有效的干预措施必须采用多层次的方法,整合宏观层面的政策,社区支持和个人层面的战略.
- 医疗保健提供者需要承认肥胖的慢性性质,并解决个人偏见和患者的耻辱.
- 实现肥胖护理中的健康公平需要一个整体战略,解决社会决定因素和系统性障碍.
相关概念视频
Obesity
510
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
510
Bias in Epidemiological Studies
314
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
314
Bioequivalence: Overview
1.1K
Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
1.1K
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Energy Balance
427
The human body gets energy from the three macronutrients: carbohydrates, proteins, and fats. Energy is released when the chemical bonds in the organic compounds present in the food are broken down. The energy content of food is measured in kilocalories (kcal), defined as the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. This value is determined by measuring the temperature change of the water surrounding a calorimeter after the complete...
427
Binge Eating Disorders
101
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
101


