Factors Associated with Physician Discussion of Health Behaviors with Adolescents

Autor/inn/en	Choi, Won S.; Ellerbeck, Edward F.; Kaur, Harsohena; Nazir, Niaman; Ahluwalia, Jasjit S.
Titel	Factors Associated with Physician Discussion of Health Behaviors with Adolescents
Quelle	In: Journal of Youth and Adolescence, 35 (2006) 6, S.969-975 (7 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0047-2891
DOI	10.1007/s10964-006-9066-1
Schlagwörter	Physicians; Discussion; Health Behavior; Adolescents; Obesity; Exercise; Television Viewing; Surveys; Urban Areas; At Risk Persons; Multivariate Analysis; Gender Differences; Racial Differences + Suchen Sie Ihr Suchwort? Physician; Doctor; Arzt; Diskussion; Health behaviour; Gesundheitsverhalten; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Adipositas; Übung; Fernsehkonsum; Survey; Umfrage; Befragung; Urban area; Stadtregion; Risikogruppe; Multivariate Analyse; Geschlechterkonflikt; Rassenunterschied
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. (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10