Reach of Effective, Nationally-Available, Low-Cost, Nonprofit Weight Loss Program in Medically Underserved Areas (MUAs).
Reach of Effective, Nationally-Available, Low-Cost, Nonprofit Weight Loss Program in Medically Underserved Areas (MUAs).
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在医疗服务不足的地区 (MUA) 实施有效、全国范围内可用的低成本、非营利性减肥计划。
DOI：
10.1007/s10900-015-0049-6
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发表时间：
2015
影响因子：
5.9
通讯作者：
Thomas,Deborah
中科院分区：
文献类型：
--
作者：
Mitchell,NiaS;Nassel,AriannF;Thomas,Deborah
少数民族、低收入和农村社区的肥胖率较高。需要制定计划来支持这些社区的体重管理。我们确定了一个低成本的，全国可用的减肥计划在卫生资源和服务管理医疗服务不足的地区（MUAs）的覆盖范围，并描述了社区的人口统计数据与计划的位置。这是一个横截面分析起飞磅明智（TOPS）章节的位置。地理信息系统技术被用来结合联合收割机有关TOPS分会的位置，MUA的地理边界，以及2010年十年一次的人口普查的社会经济数据的信息。TOPS在30%的MUA中可用。典型的TOPS章节是在一个人口普查区，主要是白色，城市，中位数年收入在25,000美元和50000美元之间。然而，在人口普查区域中有TOPS章节可以被分类为主要是黑人或主要是西班牙裔;主要是农村;以及低收入或高收入。TOPS在MUA和许多类型的社区提供体重管理服务。TOPS可以帮助治疗医疗服务不足的肥胖症。未来的研究应确定不同类型的社区的章节之间的差异有效性。
Obesity rates are higher for ethnic minority, low-income, and rural communities. Programs are needed to support these communities with weight management. We determined the reach of a low-cost, nationally-available weight loss program in Health Resources and Services Administration medically underserved areas (MUAs) and described the demographics of the communities with program locations. This is a cross-sectional analysis of Take Off Pounds Sensibly (TOPS) chapter locations. Geographic information systems technology was used to combine information about TOPS chapter locations, the geographic boundaries of MUAs, and socioeconomic data from the Decennial 2010 Census. TOPS is available in 30 % of MUAs. The typical TOPS chapter is in a Census Tract that is predominantly white, urban, with a median annual income between $25,000 and $50,000. However, there are TOPS chapters in Census Tracts that can be classified as predominantly black or predominantly Hispanic; predominantly rural; and as low or high income. TOPS provides weight management services in MUAs and across many types of communities. TOPS can help treat obesity in the medically underserved. Future research should determine the differential effectiveness among chapters in different types of communities.