Faro Jamie M, Pbert Lori, Crawford Sybil, Frisard Christine F, Pendharkar Jyothi A, Sadasivam Rajani S, Geller Alan C, Mazor Kathleen M, Ockene Judith K
University of Massachusetts Chan Medical School, Department of Population and Quantitative Health Sciences, 368 Plantation St., Worcester, MA, United States.
Harvard School of Public Health, Department of Social and Behavioral Sciences, 677 Huntington Ave., Cambridge, MA, United States.
Prev Med Rep. 2022 May 5;27:101814. doi: 10.1016/j.pmedr.2022.101814. eCollection 2022 Jun.
Physicians' abilities to address obesity in routine care may be affected by their own health behaviors, skills in and attitudes toward weight management counseling (WMC). Gender differences have been noted amongst these factors as well. We examined gender differences in personal health behaviors and predictors of perceived WMC skills and attitudes of medical students enrolled in a WMC trial. Enrollment took place in 2020 and consisted of students from eight U.S. medical schools. Baseline measures included demographics, exercise, and weight management behaviors, WMC attitudes and perceived skills. Descriptive statistics were calculated, and linear mixed models used to assess the effect of personal health behaviors on outcomes of WMC attitudes and perceived skills. Complete data were available for 1145 medical students. More males reported exercising 4 or more days/week (58.6% v. 41.4%), being more likely to monitor their weight (75.6% v. 70.3%) and less likely to intentionally attempt weight loss in the past (50.3% v. 65.3%) compared to females (all p's < 0.05). Exercising 4 or more days per week was positively associated with perceived WMC skills in the adjusted model (β = 0.10, CI 0.06 to 0.14, p < 0.01). Exercise frequency was positively associated with perceived WMC skills, regardless of gender. WMC curriculum may consider focusing on personal health behaviors such as exercise to increase perceived WMC skills.
医生在日常医疗中处理肥胖问题的能力可能会受到他们自身健康行为、体重管理咨询（WMC）技能和态度的影响。在这些因素中也发现了性别差异。我们研究了参与WMC试验的医学生在个人健康行为方面的性别差异，以及感知到的WMC技能和态度的预测因素。招募工作于2020年进行，参与者为来自美国八所医学院的学生。基线测量包括人口统计学、运动和体重管理行为、WMC态度以及感知到的技能。计算了描述性统计数据，并使用线性混合模型来评估个人健康行为对WMC态度和感知技能结果的影响。共有1145名医学生的数据完整可用。与女性相比，更多男性报告每周锻炼4天或更多天（58.6%对41.4%），更有可能监测自己的体重（75.6%对70.3%），而过去不太可能有意尝试减肥（50.3%对65.3%）（所有p值<0.05）。在调整后的模型中，每周锻炼4天或更多天与感知到的WMC技能呈正相关（β=0.10，置信区间0.06至0.14，p<0.01）。无论性别如何，运动频率与感知到的WMC技能呈正相关。WMC课程可能会考虑侧重于运动等个人健康行为，以提高感知到的WMC技能。
