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在一个大型医疗保健系统中描述肥胖症
Alice Pressman, J B Jones, Xiangyi Xu
1Sutter Health, 2121 North California Blvd, Ste 310, Walnut Creek, CA 94596.
The American journal of managed care
|November 10, 2023
概括
加利福尼亚州卫生系统中35%的患者患有肥胖,西班牙裔患者的发病率更高. 肥胖与医疗保健的使用增加有关,特别是门诊访问.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肥胖是一个重要的公共卫生问题,对医疗保健利用有广泛的影响.
- 了解肥胖患病率及其与医疗保健使用的关联对于资源配置和有针对性的干预至关重要.
研究的目的:
- 确定加利福尼亚州综合医疗保健系统中的肥胖率.
- 描述肥胖与医疗保健利用之间的关联,特别是门诊接触.
主要方法:
- 一项横截面研究分析了超过100万名初级保健患者 (2015-2020) 的电子健康记录.
- 肥胖症使用身体质量指数 (BMI) 值进行分类,对亚洲人的具体考虑.
- 后勤回归模型评估了肥胖类和门诊访问频率之间的关系.
主要成果:
- 35%的患者患有肥胖症 (亚洲人BMI≥30 kg/m2或≥25 kg/m2).
- 与非西班牙裔白人患者 (30%) 相比,西班牙裔患者 (46%) 的肥胖率更高.
- 患有肥胖症的患者,特别是3级患者,使用门诊服务的几率明显更高.
结论:
- 在研究的医疗保健系统中存在高肥胖率,在种族/种族群体之间存在显著差异.
- 肥胖独立地与增加门诊医疗保健利用率有关.
- 需要提高意识和有针对性的战略,以解决肥胖的影响,并支持受影响的患者群体.
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