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身体质量指数和检查类型对查计划利用的影响:一项大数据研究
Yarin Udi1, Ran Gilad-Bachrach2, Hilla Cohen3
1Department of Biomedical Engineering, Tel-Aviv University, Tel-Aviv, Israel.
Preventive medicine
|June 20, 2024
概括
超重和肥胖的个人不太可能接受亲密查测试,可能是由于体重耻辱. 这可能会增加健康风险,突出需要有针对性的干预措施,以改善这些人群的查遵守.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防医学 预防医学
背景情况:
- 查测试对于早期发现疾病至关重要.
- 了解影响查遵守的因素对于公共卫生至关重要.
- 之前的研究还没有充分探讨身体质量指数 (BMI) 对各种查类型的影响.
研究的目的:
- 检查身体质量指数 (BMI) 与遵守推的健康查之间的关联.
- 调查体重状况如何影响参与不同类型的查测试.
- 解决有关纵向体重变化和查行为的文献缺口.
主要方法:
- 以色列克拉利特医疗服务中心 (2002-2021) 大队伍的回顾性分析.
- 包括50岁及以上的参与者,检查BMI测量和查测试记录.
- 使用通用估计方程进行统计分析,控制年龄,性别,地理位置和社会经济地位.
主要成果:
- 该研究分析了来自634,879名参与者的数据,包括超过460万个BMI测量和5600万个测试记录.
- 超重和肥胖的个体对基于亲密检查的查 (乳房影像,PAPS,皮肤检查) 的几率较低.
- 相反,在这些相同的群体中,在非亲密查 (如糖尿病和眼睛疾病测试) 中观察到更高的几率.
结论:
- 超重和肥胖与减少接受需要亲密体检的查相关.
- 体重耻辱和患者的不适可能是查遵守的重大障碍.
- 建议针对体重耻辱的干预措施,改善医疗保健准入和加强患者参与,以减轻潜在的发病率增加.
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