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  1. The relationship between obesity and medical utilization among women in a primary care setting.

    Article - En anglais

    Objective 

    This project was designed to explore the utilization of specific health care resources by obese compared with nonobese women in a primary care setting.

    Method 

    Eighty-three obese women, consecutively identified during nonemergent appointments in a primary care health maintenance organization (HMO) setting, were compared with 111 nonobese women with regard to several parameters of health care utilization.

    All participants'medical records were reviewed for the preceding 12 months for the number of diagnoses, combined telephone and physician contacts with the facility, different physicians seen, and prescriptions.

    Results 

    Increasing body mass index (BMI) was predictive of a greater number of diagnoses, contacts with the facility, total number of prescriptions, and number of different physicians seen.

    After controlling for the number of diagnoses, BMI remained predictive of the number of different physicians seen.

    Discussion 

    Our findings indicate that increasing BMI is associated with greater health care utilization, primarily through greater morbidity.

    Additionally, there may also be particular psychosocial and illness factors which contribute to obese women's patterns of physician contact.

    Mots-clés Pascal : Obésité, Utilisation, Service santé, Prédiction, Indice masse corporelle, Soin santé primaire, Adolescent, Homme, Adulte jeune, Adulte, Femelle, Etat nutritionnel, Trouble nutrition

    Mots-clés Pascal anglais : Obesity, Use, Health service, Prediction, Body mass index, Primary health care, Adolescent, Human, Young adult, Adult, Female, Nutritional status, Nutrition disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0141563

    Code Inist : 002B22B. Création : 21/07/1998.