阿巴拉契亚农村地区基层医疗诊所中患者对体重相关讨论的态度。

Patient Attitudes toward Weight Related Discussions in Rural Appalachian Primary Care Clinics.

作者信息

Haggerty Treah, Xiang Jun, Dino Geri, Doyle Greg, King Dana E

机构信息

Department of Family Medicine, School of Medicine, West Virginia University, Morgantown, West Virginia.

Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, Morgantown, West Virginia.

出版信息

W V Med J. 2016;2016(1). doi: 10.21885/wvmj.2016.19. Epub 2016 Oct 27.

DOI:10.21885/wvmj.2016.19

PMID:32483392

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7263744/

Abstract

PURPOSE

West Virginia (WV) consistently has one of the highest rates of obesity, nationally, yet previous studies suggest that conversations about weight with providers are infrequent. This study's aim was to determine frequency and type of weight-related discussions occurring in WV primary care clinics and whether discussions differed according to weight status.

METHODS

A cross-sectional survey was completed by patients in rural primary care practices. Participants answered questions related to demographics, obesity related illnesses, experience receiving a physician mediated discussion, and attitude and beliefs related to weight.

RESULTS

Among the total of 490 surveys collected, a little more than half of the participants (56.9%) have discussed weight with their physician; a majority of participants (89.5%) thought a physician should tell risks associated with an unhealthy weight; 78.3% participants felt weight loss is important to them; 86.1% participants believed weight affects their health. Participants with obesity were more likely than participants who are overweight to discuss weight with their physician (71.8 vs.44.0%, p<0.0001), and believed that their physicians helped them lose weight previously (29.4% vs 9.9%, p<0.0001) and can help them lose weight in the future (92.9% vs. 71.1, p<0.0001).

CONCLUSION

Physicians are often having weight related discussions with patients with obesity however this discussion happens less with overweight patients. Practitioners may want to be more attentive to addressing weight related issues in overweight patients.

摘要

目的

在全国范围内，西弗吉尼亚州（WV）的肥胖率一直居高不下，但先前的研究表明，患者与医疗服务提供者之间很少就体重问题进行交流。本研究的目的是确定WV初级保健诊所中与体重相关讨论的频率和类型，以及这些讨论是否因体重状况而异。

方法

农村初级保健机构的患者完成了一项横断面调查。参与者回答了有关人口统计学、肥胖相关疾病、接受医生介导讨论的经历以及与体重相关的态度和信念等问题。

结果

在总共收集的490份调查问卷中，略多于一半的参与者（56.9%）曾与医生讨论过体重问题；大多数参与者（89.5%）认为医生应该告知与不健康体重相关的风险；78.3%的参与者认为减肥对他们很重要；86.1%的参与者认为体重会影响他们的健康。肥胖参与者比超重参与者更有可能与医生讨论体重问题（71.8%对44.0%，p<0.0001），并且认为他们的医生以前帮助他们减过肥（29.4%对9.9%，p<0.0001），并且将来能够帮助他们减肥（92.9%对71.1%，p<0.0001）。