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Gepubliceerd in:

01-12-2006

Factors Associated with Physician Discussion of Health Behaviors with Adolescents

Auteurs: Won S. Choi, PhD, Edward F. Ellerbeck, MD, Harsohena Kaur, MD, Niaman Nazir, MBBS, MPH, Jasjit S. Ahluwalia, MD, MPH, MS

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 6/2006

Abstract

Behaviors developed in adolescence influence health later in life. The purpose of this study was to investigate the frequency of health care provider's discussion of health behaviors with overweight and non-overweight adolescents and identify demographic and health behaviors related to exercise, hours of television viewing, and weight issues associated with these discussions. A Cross sectional survey of urban adolescents was conducted. Trained interviewers administered surveys over a three month period in 2001 at an urban academic pediatric and adolescent clinic. The 252 adolescents surveyed had a mean age of 15 with 49% categorized as being at risk for overweight/overweight and 51% as normal weight using the CDC percentiles for BMI. While 16% of the adolescents reported that their physician or nurse discussed the amount of television they watched, rates of discussion related to exercise (58%), and weight (54%) were much higher. In multivariate analyses, health care provider discussions with adolescents regarding exercise were more common for overweight (O.R.=2.42, 95% C.I. [1.28–4.57]) and at risk for overweight (O.R.=1.98, 95% C.I. [1.03–3.81]) adolescents, whereas physician discussion of television viewing was not associated with weight. Discussions of weight were more common for female (O.R.=2.18, 95% C.I. [1.21–3.95]), African-American (O.R.=2.53, 95% C.I. [1.40–4.57]), and overweight (O.R.=3.92, 95% C.I. [1.97–7.81]) adolescents. Even after adjusting for weight, race and gender strongly influenced the frequency of discussions about weight in physician offices. Although health care providers frequently address weight and exercise with adolescents, more discussions related to sedentary behaviors such as television viewing may be warranted to address adolescent obesity.

vorige artikel Reproductive Health of Urban Adolescents: Differences in the Behaviors, Cognitions, and Social Context of African-American and Puerto Rican Females

volgende artikel Anger, Happiness, and Sadness: Associations with Depressive Symptoms in Late Adolescence

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Titel: Factors Associated with Physician Discussion of Health Behaviors with Adolescents
Auteurs: Won S. Choi, PhD
Edward F. Ellerbeck, MD
Harsohena Kaur, MD
Niaman Nazir, MBBS, MPH
Jasjit S. Ahluwalia, MD, MPH, MS
Publicatiedatum: 01-12-2006
Uitgeverij: Kluwer Academic Publishers-Plenum Publishers
Gepubliceerd in: Journal of Youth and Adolescence / Uitgave 6/2006
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI: https://doi.org/10.1007/s10964-006-9066-1

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