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在高风险退伍军人中,社会风险与肥胖之间的关联
Ryan M Kane1,2, Karen M Stechuchak3, Liberty Greene4,5
1Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA.
Journal of general internal medicine
|December 8, 2025
概括
肥胖在美国退伍军人中很常见. 这项研究发现,未婚或有交通障碍与较低的肥胖率有关,但其他社会风险与此无显著关联. 需要进一步的研究来了解社会风险和肥胖管理.
科学领域:
- 公共卫生 公共卫生
- 退伍军人健康 退伍军人的健康
- 肥胖问题研究研究
背景情况:
- 美国退伍军人中肥胖的高患病率有助于发病率和死亡率.
- 有限的研究全面评估了多个患者报告的社会风险和肥胖之间的独立关联.
- 调查退伍军人卫生管理局 (VHA) 患者的社会风险,这些患者有住院或死亡的高风险.
研究的目的:
- 调查11个患者报告的社会风险和3个社会风险领域与肥胖的交叉关联.
- 在高风险退伍军人人群中识别与肥胖有关的潜在的干预性社会风险.
- 分析来自VHA患者全国调查的数据.
主要方法:
- 2018年对1万名高风险VHA患者进行的国家调查的分析.
- 4,504名受访者进行了后勤回归分析,评估了3个领域 (社会,物质,个人) 和肥胖 (BMI ≥30 kg/m2) 的11个社会风险.
- 调整以考虑混因素,并使用复合权重进行采样和非响应.
主要成果:
- 近一半的受访者 (46%) 患有肥胖症.
- 未婚退伍军人患肥胖的可能性降低了7% (p < 0.001).
- 有交通障碍的退伍军人患肥胖的可能性降低了6% (p = 0.02).
- 在调整后,没有其他社会风险或领域与肥胖独立相关.
结论:
- 很少有患者报告的社会风险在高风险退伍军人中独立与肥胖有关.
- 这项全国性调查突出显示,这一群体中肥胖和社会风险的患病率很高.
- 未来的研究应该探索社会风险对健康行为和肥胖管理参与的影响.
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