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在全国代表性调查中,探索使用肥胖管理药物的种族和民族差异
Kimberly Narain1,2,3, Christopher Scannell4,5
1UCLA Division of General Internal Medicine and Health Services, Research (GIM/HSR), 1100 Glendon Ave., Suite 850, Los Angeles, CA, 90024, USA. KNarain@mednet.ucla.edu.
Journal of racial and ethnic health disparities
|December 17, 2024
概括
种族和民族少数群体,包括亚裔,黑人和西班牙裔个人,在与白人相比,在获得肥胖管理药物方面面临着显著的差异. 这项研究突出了肥胖护理中药物利用的不平等现象.
科学领域:
- 医学经济学 医学经济学
- 公共卫生 公共卫生
- 临床药理学 临床药理学
背景情况:
- 肥胖不成比例地影响种族和少数民族群体.
- 现有的研究表明,这些人群中肥胖的负担很大.
- 了解治疗差异对于健康公平至关重要.
研究的目的:
- 调查使用肥胖管理药物的种族和民族差异.
- 为了比较不同种族和种族群体的临床合格个体之间的药物使用情况.
- 识别在获得基于证据的肥胖治疗的潜在不平等现象.
主要方法:
- 使用的医疗支出小组调查数据 (2011-2016,2018,2020) 具有横截面设计.
- 使用描述性统计和多变量逻辑回归来分析药物使用情况.
- 对人口统计,社会经济地位,肥胖类别,糖尿病,慢性疾病,保险和地区进行控制.
主要成果:
- 与非西班牙裔白人相比,亚洲人,黑人和西班牙裔人的使用肥胖管理药物的几率明显较低.
- 调整后的赔率比率 (aOR) 表示这些少数群体的利用率降低 (例如,亚裔:aOR 0.36,黑人:aOR 0.51,西班牙裔:aOR 0.70).
- 在所有比较中都观察到统计显著性 (P < 0.05).
结论:
- 这项研究揭示了在使用肥胖管理药物方面存在显著的种族和民族差异.
- 这些发现强调了少数群体在接受肥胖药物治疗方面的不平等.
- 解决这些差异对于实现公平的肥胖护理结果至关重要.
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