Health Disparities in Obesity Treatment Outcomes, Access, and Utilization.

IF 11 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Kathryn M Ross, Kate E Worwag, Taylor N Swanson, Armaan Shetty, Kelsey L Barrett
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引用次数: 0

Abstract

Purpose of review: We aimed to summarize research on disparities in obesity treatment outcomes, access, and utilization.

Recent findings: We identified disparities in treatment effectiveness by race/ethnicity, sex/gender, and disability status. There were equivocal results regarding whether outcomes varied by socioeconomic status (SES) and there was no evidence for a rural/urban disparity. A different pattern emerged for treatment access/utilization; disparities were identified across all groups, including race/ethnicity, SES, rurality, sex/gender/sexual and gender minority (SGM) status, and disability status. Little is known regarding how multiple marginalized identities may interact in relation to treatment outcomes or access/utilization. Future research should adopt an intersectional framework to understand the complex interactions between an individual's identities and obesity treatment effectiveness, access, and utilization. Moreover, the field should look beyond the individual-level, using a multi-level approach to identify barriers and strategies to promoting access to effective treatment across system/organizational and policy levels.

肥胖治疗结果、获取和利用的健康差异。
综述目的:我们旨在总结肥胖症治疗结果、可及性和利用方面的研究差异。最近的发现:我们发现了不同种族/民族、性别/性别和残疾状况在治疗效果上的差异。关于结果是否因社会经济地位(SES)而异,没有证据表明城乡差异。治疗获取/利用出现了不同的模式;在所有群体中都发现了差异,包括种族/民族、社会经济地位、农村、性/性别/性和性别少数(SGM)地位和残疾状况。关于多种边缘化身份如何与治疗结果或获取/利用相互作用,我们知之甚少。未来的研究应采用交叉框架来理解个体身份与肥胖治疗效果、获取和利用之间的复杂相互作用。此外,该领域应超越个人一级,采用多层次方法确定障碍和战略,以促进在系统/组织和政策各级获得有效治疗。
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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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