Health care providers' attitudes and counseling behaviors related to obesity.

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Obesity Science & Practice Pub Date : 2023-05-25 eCollection Date: 2023-10-01 DOI:10.1002/osp4.686
Marjanna Smith, Christine Gallagher, Deanne Weber, William H Dietz
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Abstract

Background: Obesity affects over 42% of the U.S. adult population, yet it remains undertreated. Many healthcare providers are biased in their perceptions and attitudes regarding obesity management and lack knowledge about how to treat it.

Methods: The authors analyzed the results of the 2021 DocStyles survey to examine primary care providers' treatment and perceptions of obesity. The sample consisted of primary care physicians and nurse practitioners/physician assistants. Questions assessed healthcare providers' attitudes and counseling behaviors related to obesity, including referrals, use of medical therapy, barriers to care, and perceived risk factors for obesity.

Results: 1168 primary care providers who treat obesity participated in the survey. About half of the providers reported referring patients for obesity treatment. Almost two-thirds of providers had prescribed anti-obesity medications in the last 12 months. Those who did not prescribe anti-obesity medications reported a lack of familiarity with the medications or concerns about safety. Over three-quarters of providers indicated at least one barrier to treating obesity. Over half of the providers reported that poverty and food insecurity contributed significantly to the high prevalence of obesity in communities of color.

Conclusion: Increased familiarity with anti-obesity medications may improve treatment. Reasons for patients' low priority accorded to obesity care remain the focus of future research.

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医疗保健提供者对肥胖的态度和咨询行为。
背景:肥胖影响了超过42%的美国成年人口,但其治疗仍然不足。许多医疗保健提供者在对肥胖管理的看法和态度上存在偏见,并且缺乏如何治疗的知识。方法:作者分析了2021年DocStyles调查的结果,以检查初级保健提供者对肥胖的治疗和看法。样本包括初级保健医生和执业护士/医生助理。问题评估了医疗保健提供者与肥胖相关的态度和咨询行为,包括转诊、药物治疗的使用、护理障碍和感知的肥胖风险因素。结果:1168名治疗肥胖的初级保健提供者参与了调查。大约一半的提供者报告说,他们将患者转介接受肥胖治疗。近三分之二的医疗服务提供者在过去12个月里开过抗肥胖药物。那些没有开抗肥胖药物的人报告说,他们对药物不熟悉或担心安全性。超过四分之三的提供者表示,治疗肥胖至少有一个障碍。超过一半的提供者报告说,贫困和粮食不安全是有色人种社区肥胖率高的主要原因。结论:提高对抗肥胖药物的熟悉程度可以改善治疗效果。患者对肥胖护理重视程度低的原因仍然是未来研究的重点。
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来源期刊
Obesity Science & Practice
Obesity Science & Practice ENDOCRINOLOGY & METABOLISM-
CiteScore
4.20
自引率
4.50%
发文量
73
审稿时长
29 weeks
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