TY - JOUR
T1 - Disparities in who receives weight-loss advice from a health care provider
T2 - Does income make a difference?
AU - Lorts, Cori
AU - Ohri-Vachaspati, Punam
N1 - Funding Information:
Funding for this project was provided by a grant from the Robert Wood Johnson Foundation and the National Institute of Child Health and Human Development (no. 1R01HD071583-01A1).
PY - 2016
Y1 - 2016
N2 - Introduction The US Preventive Services Task Force recommends that all patients be screened for obesity and, if needed, be provided weightloss 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. Methods 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. Results 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 (P = .02), and those with an income of 400% or more of the FPL had 1.73 higher odds of receiving advice (P = .03). The strength of the association did not change after adjusting for health insurance. Conclusion 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 weightloss advice. Health care providers should provide weight-loss advice to all patients, regardless of income.
AB - Introduction The US Preventive Services Task Force recommends that all patients be screened for obesity and, if needed, be provided weightloss 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. Methods 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. Results 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 (P = .02), and those with an income of 400% or more of the FPL had 1.73 higher odds of receiving advice (P = .03). The strength of the association did not change after adjusting for health insurance. Conclusion 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 weightloss advice. Health care providers should provide weight-loss advice to all patients, regardless of income.
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U2 - 10.5888/pcd13.160183
DO - 10.5888/pcd13.160183
M3 - Article
C2 - 27710763
AN - SCOPUS:84994415940
SN - 1545-1151
VL - 13
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
IS - 10
M1 - pcd13.160183
ER -