US pediatric dentists' counseling practices in addressing childhood obesity.

Abstract:

PURPOSE:Pediatric dentists could be in an excellent position to identify and intervene early for children at high risk for overweight or obesity; however, current practices and attitudes are uncertain. This study's purpose was to explore the practices and attitudes of pediatric dentists regarding weight-and caries-related counseling. METHODS:Data were analyzed from 1,779 pediatric dentists responding to a 2008-09 survey of 4,154 randomly selected pediatric and 3,846 general dentists. Data were weighted to account for unequal probability of selection and nonresponse rates among regions and dentist types. RESULTS:Sixty-five percent of respondents reported increased proportions of overweight/obese pediatric patients since they began practice, and approximately 9% offered weight-related counseling. By contrast, approximately 80% provided caries-related counseling. Major barriers to providing weight-related counseling included fears of offending parents/patients (~54%) and appearing judgmental (~53%), lack of patient acceptance of weight-loss advice from dentists (~47%), not enough trained personnel to provide counseling (~43%), and insufficient time (~28%). Multivariable predictors of providing weight-related counseling included female sex, Hispanic ethnicity, nongroup practice setting, practice ownership, and dentist self-reported normal- or underweight status. CONCLUSIONS:Primary barriers to weight-related counseling cited by pediatric dentists reflect concerns about offending patients and caregivers. Training and counseling addressing these concerns may help boost counseling rates.

journal_name

Pediatr Dent

journal_title

Pediatric dentistry

authors

Lee JY,Caplan DJ,Gizlice Z,Ammerman A,Agans R,Curran AE

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

245-50

issue

3

eissn

0164-1263

issn

1942-5473

journal_volume

34

pub_type

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