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青少年肥胖和成年早期医疗保健利用之间的关联 - - 一项两队的前性研究
Emilia Hagman1, Vidar Halsteinli2, Resthie R Putri3
1Department of Clinical Science, Intervention, and Technology, Karolinska Institutet, Huddinge, Sweden. emilia.hagman@ki.se.
BMC medicine
|January 21, 2025
概括
青少年肥胖症显著增加了在年轻成年期的专业医疗保健使用和成本,特别是在女性. 这些真实数据证实了长期医疗负担比以前估计的要高.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生经济学 卫生经济学
背景情况:
- 儿童肥胖症是一个日益增长的全球健康挑战,具有重大长期后果.
- 关于成年人医疗保健利用率和与青少年肥胖相关的成本,现实世界数据有限.
- 这项研究通过检查青少年肥胖对成年早期专业医疗保健使用的影响来解决这一差距.
研究的目的:
- 提供关于青少年肥胖和专业医疗保健利用之间的关联的现实世界的证据.
- 量化早期成年期相关的医疗保健费用.
- 调查这些关联中的潜在的性别差异.
主要方法:
- 对两个纵向队列的分析:年轻HUNT (挪威) 和BORIS (瑞典) 与匹配的对照.
- 包括1987年至1994年出生的人,年龄在13-19岁时拥有BMI数据,并随访到20-30岁.
- 通过国家患者登记册评估医疗保健利用率和成本.
主要成果:
- 青少年肥胖与年轻人更高的专业医疗保健使用和成本有关,特别是在女性中.
- 与普通人口相比,患有青少年肥胖症的女性每年医疗保健访问量增加,费用过多 (578-835欧元).
- 这种关联在男性中不那么明显,超额成本最小.
结论:
- 来自挪威和瑞典的现实数据表明,青少年肥胖导致年轻人医疗保健利用率和成本增加.
- 存在显著的性别差异,女性的医疗负担要高得多.
- 研究结果表明,青少年肥胖的长期经济影响比以前估计的要大.
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