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oai:keep.lib.asu.edu:node-1608752021-10-20T02:44:45Zoai_pmh:alloai_pmh:repo_items

160875 https://hdl.handle.net/2286/R.2.N.160875 https://dx.doi.org/10.5888%2Fpcd13.160183 http://rightsstatements.org/vocab/NoC-US/1.0/ open access 2016-10-06 10 pages eng Lorts, Cori Ohri-Vachaspati, Punam Text <h3 id="__sec1title">Introduction</h3> <p>The US Preventive Services Task Force recommends that all patients be screened for obesity and, if needed, be provided weight-loss advice. However, the prevalence of such advice is low and varies by patient demographics. This study aimed to describe the determinants of receiving weight-loss advice among a sample with a high proportion of low-income, racial/ethnic minority individuals.</p> <h3 id="__sec2title">Methods</h3> <p>Data were collected from a telephone survey of 1,708 households in 2009 and 2010 in 5 cities in New Jersey. Analyses were limited to 1,109 overweight or obese adults. Multivariate logistic regression determined the association of participants’ characteristics with receiving weight-loss advice from their health care provider. Two models were used to determine differences by income and insurance status.</p> <h3 id="__sec3title">Results</h3> <p>Of all overweight or obese respondents, 35% reported receiving advice to lose weight. Receiving advice was significantly associated with income in multivariate analysis. Compared with those with an income at or below 100% of the federal poverty level (FPL), those within 200% to 399% of the FPL had 1.60 higher odds of receiving advice (<em>P</em> = .02), and those with an income of 400% or more of the FPL had 1.73 higher odds of receiving advice (<em>P</em> = .03). The strength of the association did not change after adjusting for health insurance.</p> <h3 id="__sec4title">Conclusion</h3> <p>Income is a significant predictor of whether or not overweight or obese adults receive weight-loss advice after adjustment for demographic variables, health status, and insurance status. Further work is needed to examine why disparities exist in who receives weight-loss advice. Health care providers should provide weight-loss advice to all patients, regardless of income.</p> Disparities in Who Receives Weight-Loss Advice From a Health Care Provider: Does Income Make a Difference?