Health Care Access by Weight Status in the State of Georgia

Elizabeth Pullekines, Janani Rajbhandari-Thapa
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Abstract

Background: Obesity continues to grow in prevalence in the United States and within the state of Georgia. Obesity is a risk factor for many chronic and preventable diseases. As such, obese individuals have higher demand for health care services than non-obese individuals. In addition, the health care system can play a role in preventing obesity and other conditions caused by obesity. Methods: This research follows the established positive relationship between health care use and access to health care services through insurance coverage. The paper analyzes how the Affordable Care Act (ACA) affected insurance coverage and access to health care services for obese and overweight individuals. A logistic regression was used on data from the Behavioral Risk Factor Surveillance System. Results: Results concluded that Georgia residents were less likely to have health insurance after the ACA was passed. Significant association between weight status and health care services through insurance coverage was not found. The results show that increased access to care including preventive services for obese and overweight post ACA is yet to be observed. Conclusions: Findings present a need for lawmakers to develop policy to promote insurance enrollment for Georgian residents. This is critical as the state sees an increase in overweight and obesity that are risk factor to many chronic disease conditions.
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格鲁吉亚州按体重状况划分的医疗保健服务
背景:肥胖在美国和乔治亚州的流行率持续增长。肥胖是许多慢性和可预防疾病的危险因素。因此,肥胖个体对医疗保健服务的需求高于非肥胖个体。此外,医疗保健系统可以在预防肥胖和其他由肥胖引起的疾病方面发挥作用。方法:本研究遵循医疗保健使用与通过保险获得医疗保健服务之间建立的正相关关系。本文分析了平价医疗法案(ACA)如何影响肥胖和超重个体的保险覆盖面和获得医疗保健服务的机会。对行为危险因素监测系统的数据进行逻辑回归分析。结果:结果表明,在ACA通过后,乔治亚州居民不太可能拥有健康保险。没有发现体重状况与通过保险范围提供的医疗保健服务之间存在显著关联。结果表明,增加获得保健,包括预防服务的肥胖和超重后ACA尚未观察到。结论:研究结果表明,立法者需要制定政策来促进格鲁吉亚居民的保险登记。这一点至关重要,因为该州认为超重和肥胖是许多慢性疾病的危险因素。
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