The relationship between body weight and health care among German women
The relationship between body weight and health care among German women
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DOI：
10.1038/oby.2004.184
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发表时间：
2004-09-01
期刊：
影响因子：
--
通讯作者：
Loewel, H
中科院分区：
文献类型：
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作者：
Meisinger, C;Heier, M;Loewel, H
目的：调查德国南部女性体重与医疗保健服务使用之间的关系。 研究方法和程序：数据取自 1994 年至 1995 年奥格斯堡心血管疾病趋势和决定因素监测调查，涵盖 25 至 74 岁女性的人口代表性样本 (n = 2301)。采用Logistic回归模型计算超重（BMI 25.0至29.9 kg/m(2)）或肥胖（BMI大于或等于30 kg/m(2)）女性与正常体重女性（BMI < 25.0 kg/m(2)）相比使用医疗服务的优势比（OR）。结果：在多变量分析中，50至74岁的肥胖女性比正常体重女性更有可能使用医疗服务女性在过去 12 个月内推迟癌症筛查程序，例如手动乳房检查和巴氏涂片检查（OR 0.52，95% 置信区间 0.37 至 0.74）。然而，在 25 至 49 岁女性中，肥胖与癌症筛查之间的关系并不显着（OR 0.92，95% 置信区间 0.62 至 1.36）。在 25 至 49 岁年龄组和 50 至 74 岁年龄组中，观察到较高体重与总就诊次数、住院次数或用药次数之间均未发现独立关系。 讨论：由于肥胖相关疾病，肥胖女性倾向于更频繁地使用医疗服务。然而，BMI大于或等于30 kg/m(2)的绝经后女性更有可能推迟常规癌症筛查，从而使她们面临更大的乳腺癌、宫颈癌和子宫内膜癌死亡风险。因此，肥胖的绝经后女性应该成为加强筛查的目标。
Objective: To investigate the relationship between body weight and the use of health care services among women from southern Germany.Research Methods and Procedures: Data were drawn from the 1994 to 1995 Monitoring of Trends and Determinants in Cardiovascular Disease Augsburg survey, covering a population-representative sample of women 25 to 74 years old (n = 2301). Logistic regression models were used to calculate odds ratios (ORs) for the use of medical services by women with overweight (BMI 25.0 to 29.9 kg/m(2)) or obesity (BMI greater than or equal to 30 kg/m(2)) in comparison with normal-weight women (BMI < 25.0 kg/m(2)).Results: In multivariable analysis, obese women 50 to 74 years old were more likely than normal-weight women to delay cancer screening procedures, such as manual breast examination and Papanicolaou smear (OR 0.52, 95% confidence interval 0.37 to 0.74) in the previous 12 months. However, the relationship between obesity and cancer screening was not found to be significant in 25- to 49-yearold women (OR 0.92, 95% confidence interval 0.62 to 1.36). Neither in the 25- to 49-year-old age group nor in the 50- to 74-year-old age group were independent relationships between higher body weight and total physician visits, hospitalizations, or medication use observed.Discussion: Obese women tended to use medical services with greater frequency due to obesity-related diseases. However, postmenopausal women with a BMI greater than or equal to 30 kg/m(2) were more likely to delay routine cancer screening, putting them at a greater risk for death from breast, cervical, and endometrial cancer. Thus, obese postmenopausal women should be targeted for increased screening.