VanFrank Brenna K, Park Sohyun, Foltz Jennifer L, McGuire Lisa C, Harris Diane M
1 Epidemic Intelligence Service, Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA, USA.
2 Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Am J Health Promot. 2018 Jul;32(6):1365-1374. doi: 10.1177/0890117116680472. Epub 2016 Dec 12.
Frequent sugar-sweetened beverage (SSB) consumption is associated with chronic disease. Although physician counseling can positively affect patient behavior, physicians' personal characteristics may influence counseling practices. We explored SSB-related topics physicians discuss when counseling overweight/obese patients and examined associations between physicians' SSB-related counseling practices and their personal and medical practice characteristics.
Cross-sectional survey.
DocStyles survey, 2014.
A total of 1510 practicing US physicians.
Physician's SSB counseling on calories, added sugars, obesity/weight gain, health effects, consumption frequency, water substitution, and referral.
Adjusted odds ratios (aORs) were calculated with multivariable logistic regression, adjusting for physician's personal and medical practice characteristics.
Most physicians (98.5%) reported SSB-related counseling. The most reported topic was obesity/weight gain (81.4%); the least reported were added sugars (53.1%) and referral (35.0%). Physicians in adult-focused specialties had lower odds than pediatricians of counseling on several topics (aOR range: 0.26-0.64). Outpatient physicians had higher odds than inpatient physicians of counseling on consumption frequency and water substitution (aOR range: 1.60-2.01). Physicians consuming SSBs ≥1 time/day (15.7%) had lower odds than nonconsumers of counseling on most topics (aOR range: 0.58-0.68).
Most physicians reported SSB-related counseling; obesity/weight gain was discussed most frequently. Counseling opportunities remain in other topic areas. Opportunities also exist to strengthen SSB counseling practices in adult-focused specialties, inpatient settings, and among physicians who consume SSBs daily.
经常饮用含糖饮料（SSB）与慢性病相关。尽管医生的咨询可以对患者行为产生积极影响，但医生的个人特征可能会影响咨询实践。我们探讨了医生在为超重/肥胖患者提供咨询时讨论的与SSB相关的话题，并研究了医生与SSB相关的咨询实践与其个人和医疗实践特征之间的关联。
横断面调查。
2014年DocStyles调查。
共有1510名美国执业医生。
医生就卡路里、添加糖、肥胖/体重增加、健康影响、消费频率、用水替代和转诊等方面进行的SSB咨询。
采用多变量逻辑回归计算调整后的优势比（aOR），并对医生的个人和医疗实践特征进行调整。
大多数医生（98.5%）报告了与SSB相关的咨询。报告最多的话题是肥胖/体重增加（81.4%）；报告最少的是添加糖（53.1%）和转诊（35.0%）。专注于成人领域的专科医生在几个话题上进行咨询的可能性低于儿科医生（aOR范围：0.26 - 0.64）。门诊医生在消费频率和用水替代方面进行咨询的可能性高于住院医生（aOR范围：1.60 - 2.01）。每天饮用SSB≥1次的医生（15.7%）在大多数话题上进行咨询的可能性低于不饮用者（aOR范围：0.58 - 0.68）。
大多数医生报告了与SSB相关的咨询；肥胖/体重增加是讨论最频繁的话题。其他话题领域仍有咨询机会。在专注于成人领域的专科、住院环境以及每天饮用SSB的医生中，也存在加强SSB咨询实践的机会。
