Abstract：
:In the U.S., the occurrence of weight counseling in primary care for patients with obesity decreased by 10% between 1995-1996 and 2007-2008. There have been several national recommendations and policies to improve obesity management since 2008. The purpose of this study was to examine the rates of body mass index (BMI) screening, obesity diagnosis, and weight management counseling in the U.S. from 2008 to 2013. The National Ambulatory Medical Care Survey visit-level data for adults 18 and over with a primary care visit during survey years 2008-2009, 2010-2011, and 2012-2013 was included in the analyses using SAS v9.3. Study outcomes included percent of visits with: BMI screening; obesity diagnosis; and weight counseling. We compared survey years on these outcomes using 2008-2009 as the reference as well as examined patient and practice-level predictors. Analyses were conducted from 2015 to early 2017. Of the total 55,608 adult primary care visits sampled, 14,143 visits (25%) were with patients with obesity. BMI screening significantly increased between 2008-2009 and 2012-2013 from 54% to 73% (OR=1.75, 95% CI 1.28-2.41); however, percent of visits with an obesity diagnosis remained low at <30%. Weight management counseling during visits significantly declined from 33% to 21% between 2008-2009 and 2012-2013 (OR=0.62, 95% CI 0.41-0.92). Despite emerging recommendations and policies, from 2008 to 2013, obesity management in primary care remained suboptimal. Identifying practical strategies to enforce policies and implement evidence-based behavioral treatment in primary care should be a high priority in healthcare reform.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Fitzpatrick SL,Stevens VJdoi
10.1016/j.ypmed.2017.02.020subject
Has Abstractpub_date
2017-06-01 00:00:00pages
128-133eissn
0091-7435issn
1096-0260pii
S0091-7435(17)30074-9journal_volume
99pub_type
杂志文章abstract：:Primary HPV screening for cervical cancer by HPV mRNA testing (Aptima) was implemented in January 2017, for women ≥30 through 70 years, in the Region of Skåne, Sweden. HPV positive samples underwent cytology assessment, and women with any degree of abnormal cytology were referred for colposcopy. The aim was to audit t...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.04.021
更新日期：2019-07-01 00:00:00
abstract：:The presence of risk factors for cardiovascular diseases were investigated in 7- and 11-year-old schoolchildren (808 subjects). Data analysis was performed according to sex, age, and country of origin of the father. The following variables were investigated: weight, height, total plasma cholesterol (TCH), high density...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90250-5
更新日期：1983-05-01 00:00:00
abstract：:Neighborhood characteristics have been associated with obesity, but less is known whether relationships vary by race/ethnicity. This study examined the relationship between soda consumption - a behavior strongly associated with obesity - and weight status with neighborhood sociodemographic, social, and built environme...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.11.029
更新日期：2018-06-01 00:00:00
abstract：:Unhealthy behaviors and lifestyle choices are contributing to the obesity epidemic and associated morbidities. Among reproductive aged women, obesity adversely affects perinatal outcomes and longer term maternal and child health. Interventions utilizing strategies of behavior change have the potential to improve outco...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.07.023
更新日期：2017-11-01 00:00:00
abstract：:We tracked magazine advertisements for seven tobacco products in U.S. magazines from 2010 to 2014 and examined magazine readership characteristics that are associated with advertising placement in 2014. Advertising data came from Kantar Media's Intelligence and readership data came from a 2014 Experian's nationally re...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.08.017
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:The aims of this study were to describe the prevalence, trends, and correlates of physical activity among a national sample of pregnant women. METHOD:Using data collected from the 1999-2006 National Health and Nutrition Examination Survey, physical activity and sedentary behaviors were collected during inter...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2009.12.015
更新日期：2010-03-01 00:00:00
abstract：:Glucocorticoid-induced bone loss is dose- and duration-related, develops rapidly (within months of therapy), and leads to an increased risk of fractures. Moreover, less than one in four patients prescribed oral glucocorticoids receive any treatment to prevent or treat osteoporosis. The American College of Rheumatology...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/s0091-7435(02)00019-1
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVE:Nurse practitioners (NPs) provide frontline care in women's health, including contraception, an essential preventive service. Their importance for contraceptive care will grow, with healthcare reforms focused on affordable primary care. This study assessed practice and training needs to prepare NPs to offer h...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.10.005
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to explore the contextual effect of homeopathic consultation by investigating the effect of homeopathic care compared to self-treatment with self prescribed homeopathic medicine in the prevention of childhood upper respiratory tract infections (URTI). METHODS:Randomised parallel gr...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2007.02.004
更新日期：2007-10-01 00:00:00
abstract：OBJECTIVE:To assess the association between the built environment and physical fitness and physical activity in adolescents. METHODS:The study included 3528 adolescents, aged 12.5-17.5 years, who participated in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. The health-related physical fit...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.09.015
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to assess whether patients at elevated risk of melanoma attended a dermatologist consultation after a General Practitioner referral and to determine individual predictors of non-compliance. METHOD:This survey included 1506 high-risk French patients (selected using the Self-Assessment...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.03.029
更新日期：2014-07-01 00:00:00
abstract：:Perinatal smoking, including smoking during pregnancy and postpartum smoking relapse, is a persistent public health problem. While childhood trauma has been linked to perinatal smoking, less is known about the association with more proximal stressful life events (SLEs). The objective of this study was to examine the a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.11.012
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Residency training is an ideal time to prepare pediatricians to address tobacco, although few programs provide the necessary training. Barriers to training include competing priorities, lack of resources, and unavailability of expertise. Solutions for Smoking, a hybrid CD-ROM and web site training program fo...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2004.02.008
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVE:This study investigated the cost-effectiveness of installing sidewalks to increase levels of transport-walking. METHODS:Secondary analysis using logistic regression established the association of sidewalks with transport-walking using two transport-walking thresholds of 150 and 60 min/week using Western Aust...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.07.041
更新日期：2014-10-01 00:00:00
abstract：BACKGROUND:An elevated risk for coronary artery disease and lung cancer was reported for smokers and nonsmokers exposed to environmental tobacco smoke. Particularly in nonsmokers, in addition to the adverse effects of tobacco smoke, other factors which are associated with the exposure to environmental tobacco smoke may...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2002.1024
更新日期：2002-06-01 00:00:00
abstract：:Despite tremendous gains in our understanding of the development of memory during the infancy period, relatively little is known about the neural bases of early memory. This is unfortunate, as elucidating the neurobiological mechanisms that mediate changes in memory would likely yield important insight into the concep...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1998.0272
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVE AND METHODS:This study examined trail use among 857 trail users on 21 trails in Michigan from 2008 to 2011 using a valid and reliable intercept survey. RESULTS:Most of the 857 participants traveled to the trail from their home (92.6%), lived within 15 min of the trails (74.8%), and used active transport to t...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.01.009
更新日期：2013-03-01 00:00:00
abstract：OBJECTIVES:We investigated school factors associated with successful implementation of a seventh grade vaccination requirement. METHODS:The proportion of students vaccinated with hepatitis B vaccine and measles containing vaccine was determined from records of schools in San Diego County, California. A school survey i...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(02)00059-2
更新日期：2003-04-01 00:00:00
abstract：BACKGROUND:Extensive research has been carried out to quantify the efficacy and immunologic responses to influenza immunization, however, only little was reported on whether the timing of vaccine administration affects its effectiveness. The study aims were to compare post-immunization hospitalization and mortality rat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2006.02.009
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVE:To determine the role of the habitual use of the most common artificial sweeteners (AS) in the development of urinary tract tumors (UTT) in Argentina. METHODS:Case-control study of 197 patients with histologically confirmed UTT of transitional varieties, and 397 controls with acute, non-neoplastic, and non-u...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.03.015
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:Previous studies investigating predictors of influenza vaccine acceptance have focused on high-risk patients or health care workers. Few studies have examined flu shot acceptance among healthy adults in workplace settings, even though influenza vaccine is recommended for this group as well. METHODS:Two stud...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0535
更新日期：1999-10-01 00:00:00
abstract：:The objectives of this study were to 1) examine longitudinal predictors of JUUL and other tobacco product initiation, 2) compare these predictors across product type, and 3) describe cross-sectional characteristics of JUUL initiators, among a cohort of Texas adolescents. Analyses were also stratified to examine whethe...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106097
更新日期：2020-09-01 00:00:00
abstract：:Marketing activities have attracted increased attention from scholars interested in racial disparities in obesity prevalence, as well as the prevalence of other preventable conditions. Although reducing the marketing of nutritionally poor foods to racial/ethnic communities would represent a significant step forward in...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.12.021
更新日期：2012-11-01 00:00:00
abstract：:While several cross-sectional studies have shown that self-efficacy, self-esteem and optimism are associated with the use of routine health check-ups, little is known about this relationship based on longitudinal studies. Consequently, the purpose of this study was to examine whether these factors are associated with ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.08.030
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:This 1-year randomized trial tested the efficacy of behavioral techniques for increasing mammography referrals by primary care physicians in small, community practices. METHODS:Sixty-one practices were randomly assigned to one of three conditions: (1) education-only control, (2) education plus cue enhanceme...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1006/pmed.1997.0219
更新日期：1997-11-01 00:00:00
abstract：OBJECTIVE:To assess the preferred methods to quit smoking among current smokers. METHOD:Cross-sectional, population-based study conducted in Lausanne between 2003 and 2006 including 988 current smokers. Preference was assessed by questionnaire. Evidence-based (EB) methods were nicotine replacement, bupropion, physicia...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.02.005
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Lifestyle factors, sometimes associated with physical health and mortality, have also been known to be associated with mental health status. This study seeks to correlate behavioral lifestyles with major components of mental health among Japanese factory workers. METHOD:We administered the 28-item version o...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1994.1014
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:Building on evidence that natural environments (e.g. parks, woodlands, beaches) are key locations for physical activity, we estimated the total annual amount of adult recreational physical activity in England's natural environments, and assessed implications for population health. METHODS:A cross-sectional ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.08.023
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVE:To assess the determinants of opinions regarding tobacco control policies in the Swiss general population. METHODS:Cross-sectional study conducted between 2003 and 2006 on a random sample of adult residents of Lausanne, Switzerland, aged 35-75 years (2601 women and 2398 men). Nine questions on smoking polici...
journal_title：Preventive medicine
pub_type： 信件
doi：10.1016/j.ypmed.2010.05.004
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVE:This paper examines the short-term risk of cause-specific death following widowhood. METHOD:We followed all individuals registered as married in Norway in 1975 for marital status and mortality until 2006. Widowed individuals were followed for mortality for 7years following widowhood. Causes of death were cat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.06.019
更新日期：2016-08-01 00:00:00
