Trends and disparities in the prevalence of physicians' counseling on diet and nutrition among the US adult population, 2000-2011

被引:40
作者
Ahmed, Nasar U. [1 ]
Delgado, Michael [1 ]
Saxena, Anshul [2 ]
机构
[1] Florida Int Univ, Dept Epidemiol, Miami, FL 33199 USA
[2] Florida Int Univ, Dept Hlth Promot & Dis Prevent, Miami, FL 33199 USA
关键词
Physicians; Counseling; Diet; Nutrition; Disparities; Racial and ethnic minorities; Body mass index; Insurance coverage; Gender; Healthy people objectives; PRIMARY-CARE; WEIGHT-LOSS; NUTRIENT INTAKE; BLOOD-PRESSURE; UNITED-STATES; HEALTH; OBESITY; COMMUNICATION; CHOLESTEROL; PREDICTORS;
D O I
10.1016/j.ypmed.2016.05.014
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background. Although healthy eating plays a crucial role in addressing the obesity and chronic disease epidemics, a few Americans have diets that meet dietary guidelines. Because physicians-delivered counseling is a strong predictor for behavioral modification among patients, the Healthy People Objectives have emphasized diet counseling since 2000. However, research on impact of physicians' counseling over time on a national level has been limited. Methods. We used data from the 2000 and 2011 National Health Interview Surveys to apply a logistic regression model to identify predictors of physicians' counseling and examine any changes in disparities over a decade. Results. In 2000, only 23.7% of our national sample had received dietary counseling, it increased to 32.6% in 2011. Hispanics were less likely than Whites to receive advice on diet in 2000 (adjusted odds ratio [AOR] = 0.74, 95% confidence interval [CI]= 0.62-0.88). By 2011, Hispanics 18% (AOR= 1.18, CI= 1.09-1.28) and Blacks were 42% (AOR= 1.42, CI= 1.32-1.54) more likely to receive advice from their physicians on diet thanWhites. In both years, men were significantly less likely than women to receive counseling. The uninsured patients were increasingly less likely than insured patients in receiving diet counseling, being 60% less likely in 2011 (AOR= 0.40, CI = 0.37-0.40). Obese patients were substantially (88% in 2000 to 290% in 2011) more likely to receive counseling than normal-weight patients. Conclusions. The overall prevalence of physicians' counseling on diet increased moderately between 2000 and 2011. However, substantial disparities in dietary counseling related to access to care and gender continue to exist. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:70 / 75
页数:6
相关论文
共 54 条
[1]  
[Anonymous], MMWR MORBIDITY MORTA
[2]  
[Anonymous], 2012, NAT HLTH INT SURV
[3]  
[Anonymous], 2001, NAT HLTH INT SURV
[4]  
Basiotis P.P., 2004, Family Economics and Nutrition Review, V16, P39, DOI [DOI 10.22004/AG.ECON.311367, DOI 10.1016/j.jaci.2012.05.050, 10.1016/j.jaci.2012.05.050, DOI 10.1016/J.JACI.2012.05.050]
[5]   Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues [J].
Blair, SN ;
Brodney, S .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1999, 31 (11) :S646-S662
[6]   Physician practice patterns of obesity diagnosis and weight-related counseling [J].
Bleich, Sara N. ;
Pickett-Blakely, Octavia ;
Cooper, Lisa A. .
PATIENT EDUCATION AND COUNSELING, 2011, 82 (01) :123-129
[7]   Race differentials in obesity: The impact of place [J].
Boardman, JD ;
Saint Onge, JM ;
Rogers, RG ;
Denney, JT .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2005, 46 (03) :229-243
[8]  
BOTMAN S, 2004, VITAL HLTH STAT, V2, P1
[9]   Effects of fast-food consumption on energy intake and diet quality among children in a national household survey [J].
Bowman, SA ;
Gortmaker, SL ;
Ebbeling, CB ;
Pereira, MA ;
Ludwig, DS .
PEDIATRICS, 2004, 113 (01) :112-118
[10]   Americans with Diet-Related Chronic Diseases Report Higher Diet Quality Than Those without These Diseases [J].
Chen, Xiaoli ;
Cheskin, Lawrence J. ;
Shi, Leiyu ;
Wang, Youfa .
JOURNAL OF NUTRITION, 2011, 141 (08) :1543-1551