Abstract:
OBJECTIVE:To examine the association between patient-perceived judgments about weight by primary care providers (PCPs) and self-reported weight loss. METHODS:We conducted a national internet-based survey of 600 adults engaged in primary care with a body mass index (BMI)≥25 kg/m(2) in 2012. Our weight loss outcomes included attempted weight loss and achieved ≥10% weight loss in the last 12 months. Our independent variable was "feeling judged about my weight by my PCP." We created an interaction between perceiving judgment and PCP discussing weight loss as an independent variable. We conducted a multivariate logistic regression model adjusted for patient and PCP factors using survey weights. RESULTS:Overall, 21% perceived that their PCP judged them about their weight. Respondents who perceived judgment were significantly more likely to attempt weight loss [odds ratios (OR) 4.67, 95% confidence interval (CI) 1.96-11.14]. They were not more likely to achieve ≥10% weight loss [OR 0.87, 95%CI 0.42-1.76]. Among patients whose PCPs discussed weight loss, 20.1% achieved ≥10% weight loss if they did not perceive judgment by their PCP as compared to 13.5% who perceived judgment. CONCLUSIONS:Weight loss discussions between patients and PCPs may lead to greater weight loss in relationships where patients do not perceive judgment about their weight.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Gudzune KA,Bennett WL,Cooper LA,Bleich SNdoi
10.1016/j.ypmed.2014.02.001subject
Has Abstractpub_date
2014-05-01 00:00:00pages
103-7eissn
0091-7435issn
1096-0260pii
S0091-7435(14)00066-8journal_volume
62pub_type
杂志文章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:BACKGROUND:Studies of the cardiovascular consequences of combat stress are few and inconclusive. OBJECTIVE:The association between combat exposure and subclinical atherosclerosis at Atherosclerosis Risk in Communities (ARIC) Study visits 1 (1987-1989) and 2 (1990-1992) was assessed among 5347 men from four U.S. commun...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2010.02.009
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:A smoking prevention program was developed to prepare children in elementary school for secondary school. This study assessed the effects on smoking in secondary school. METHODS:In 2002, 121 schools in The Netherlands were randomly assigned to the intervention or control group. The intervention group rece...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.11.003
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Chronic inflammation and cellular senescence are intertwined in the pathogenesis of premature aging, which is considered as an important contributing factor in driving chronic obstructive pulmonary disease (COPD). Sirtuin1 (SIRT1), a nicotinamide adenine dinucleotide (NAD(+))-dependent protein/histone deacety...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.11.014
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Research conducted over several decades demonstrates rather convincingly that seven health practices predict future mortality rates, morbidity, and disability. The current study was designed to determine the extent to which these health practices predict more proximal wellness and illness factors. METHOD:Da...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1044
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the associations between various modes of transport to work and overweight and obesity, in men and women. METHODS:The study was conducted using data from a representative sample of 6810 respondents who reported being in the workforce, extracted from the 2003 New South...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.08.009
更新日期:2008-01-01 00:00:00
abstract::Many interventions that may have large impacts on health and health inequalities, such as social and public health policies and health system reforms, are not amenable to evaluation using randomised controlled trials. The United Kingdom Medical Research Council's guidance on the evaluation of natural experiments draws...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2017.12.025
更新日期:2018-03-01 00:00:00
abstract::The intent of this study was to compare bicycle network connectivity for different types of bicyclists and different neighborhoods. Connectivity was defined as the ability to reach important destinations, such as grocery stores, banks, and elementary schools, via pathways or roads with low vehicle volumes and low spee...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.12.007
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2×2 research design tailoring on risk and source personalizat...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2013.05.010
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To estimate the prevalence of smoking and exposure to secondhand smoke among asthmatic Missourians and to describe associated predisposing factors. METHOD:The Missouri County-level Behavioral Risk Factor Survey, conducted among 15,059 non-institutionalized Missourians aged 18 years or older using random-dig...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2006.01.004
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:While MD adherence to U.S. Preventive Services Task Force guidelines has been found to be uneven, nurse practitioners (NPs) and their adherence to guidelines have not been closely examined. METHODS:A retrospective chart review of new patients (n = 1339) in an NP primary health care center, four MD primary h...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.09.013
更新日期:2005-06-01 00:00:00
abstract::In 2014, an 8% tax on energy-dense nutrient-poor foods was implemented in Mexico with the aim of reducing its consumption. This paper estimated changes in household purchases of taxed food. We used the latest five waves of the nationally representative Mexican Income and Expenditure Survey (2008, 2010, 2012, 2014 and ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.09.019
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Type 2 diabetes has an enormous impact on the health care system and individuals. Dietary habits, exercise, weight management, and smoking status are critical to management and prevention of complications. This study describes the prevalence of these behaviors and their change over time in a national sample ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0658
更新日期:2000-05-01 00:00:00
abstract::Despite growing public awareness, health systems are struggling under the escalating burden of non-communicable diseases. While personal responsibility is crucial, alone it is insufficient. We argue that one must place themselves within the broader/global context to begin to truly understand the health implications of...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.05.006
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:The relationship between smoking regulations at the workplace and smoking habits was assessed among public-sector employees in southern Germany. METHODS:A cross-sectional study was conducted among 931 employees who were working under three different, long-existing types of smoking regulations: (a) no restri...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1031
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:In Europe, the demand for informal care is high and will increase because of the ageing population. Although caregiving is intended to contribute to the care recipient's health, its effects on the health of older European caregivers are not yet clear. This study explores the association between providing info...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.10.028
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Body mass index (BMI) is believed to be associated with coronary heart disease (CHD) risks. A major question is whether each BMI category provides independent risk information and whether the BMI categories provide similar results for African-American (AA) men and women relative to lipid, lipoproteins, and b...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.06.013
更新日期:2005-03-01 00:00:00
abstract::A decision theoretic model was used to investigate the relative importance of risk level, radiation hazard, mammographic accuracy, and cost in mammographic screening decision. The model uses woman-specific medical and family history facts and clinic-specific information regarding mammographic accuracy and practice to ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90060-6
更新日期:1988-03-01 00:00:00
abstract:OBJECTIVES:Students, faculty, and staff at a Pacific Northwest public university were surveyed one year after enactment of a smoke-free campus policy. Objectives were to assess levels of support for a smoke-free campus, ascertain exposure levels to outdoor tobacco smoke, and identify correlates of policy support. METH...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.12.018
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Reducing adolescents' exposure to environmental tobacco smoke (ETS) is an important public health goal. This paper identifies the linkage between young people's exposure at home and household smoking restrictions, and suggests the promotion of such restrictions as a strategy to reduce health risks. METHODS:...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1997.0152
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:Obesity is a significant problem among US veterans. Diets high in fruits and vegetables (FV) can lower obesity risk. Health communication interventions are promising strategies for promoting healthy eating. We evaluated whether an enhanced intervention with tailored newsletters and motivational interviewing ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2010.06.010
更新日期:2010-09-01 00:00:00
abstract::Comparing lifestyle of people remaining sedentary during longer periods of their life with those favourably changing their behaviour can provide cues to optimize interventions targeting sedentary behaviour. The objective of this study was to determine lifestyle predictors of sustained leisure time sedentary behaviour ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.05.019
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To examine physicians' beliefs about the pelvic examination and identify physician characteristics associated with routine use of this procedure in the United States. METHODS:A total of 1250 United States family/general practitioners, internists, and obstetrician/gynecologists who participated in the 2009 Do...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.03.012
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:The associations among cigarette smoking and alcohol consumption with recent screening mammograms were evaluated among women ages 50 years and older. METHODS:The sample included 946 white and African-American women ages 50 years and older from the 1995 Maryland Behavioral Risk Factor Survey. Bivariate and l...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0445
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Data on smoking cessation and relapse for 6 yers of the Multiple Risk Factor Intervention Trial were evaluated in univariate and multivariate analyses to determine the relationship between variables measured at the beginning of the trial and smoking cessation and relapse for special intervention and usual ca...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/0091-7435(91)90057-b
更新日期:1991-09-01 00:00:00
abstract::Suicide is an important public health problem that requires a preventive approach. The present study aimed at assessing suicidal behaviors and their relations with other psychosocial factors in Campeche, Mexico, in order to inform the design of potential preventive interventions. A multistage probability sample of 238...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.09.011
更新日期:2017-12-01 00:00:00
abstract::There is increasing interest in biofeedback and self-regulatory approaches to health enhancement. The movement has not gone unnoticed by business and industry. At this point, there are adequate data to demonstrate the effectiveness of different forms of stress management intervention. Using the experience of the Equit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90222-0
更新日期:1983-09-01 00:00:00
abstract:BACKGROUND:Researchers have advocated mediational analysis for behavioral intervention studies to link the supporting theory used in an intervention with the mediating variables and with its ultimate success or failure. Few mediational analyses have been reported for school-based nutrition studies. The conduct of media...
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.2004.03.022
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:This study brings together the fragmentary knowledge on social influence factors related to smoking cessation. An inventory of social influence variables shows six social influence factors. With the exception of descriptive norm, most of these are rarely studied in the context of smoking cessation. METHODS:...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.09.040
更新日期:2005-07-01 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