title: Patient provider communication about the health effects of obesity.
abstract: OBJECTIVE
  We assessed the influence of race/ethnicity and provider communication on overweight and obese patients' perceptions of the damage weight causes to their health.
  
  
  METHODS
  The study included 1071 overweight and obese patients who completed the 2002 Community Health Center (CHC) User survey. We used logistic regression analyses to examine determinants of patients' perceptions of the impact of their weight on their health. Models were adjusted for covariates and weighting was used to account for the sampling design.
  
  
  RESULTS
  Forty-one percent of respondents were overweight and 59% were obese. Non-Hispanic Blacks and Hispanics were half as likely as non-Hispanic Whites to believe weight was damaging to their health while controlling for covariates. Overweight/obese CHC patients who were told they were overweight by healthcare providers were almost nine times more likely to perceive that weight was damaging to their health compared to those not told.
  
  
  CONCLUSIONS
  We observed large racial/ethnic disparities in the perception that overweight is unhealthy but provider communication may be a powerful tool for helping patients understand that overweight is damaging to health.
  
  
  CONCLUSIONS
  Given obesity is a national epidemic, further attention to the role of patient provider communication in illness is essential with important implications for both health professional training and health care provision.
authors.affiliation: Division of General Pediatrics and Adolescent Medicine, Department of Medicine, MTC 201, 1600 7th Avenue South, Birmingham, AL 35233, United States. ndurant@peds.uab.edu
authors.forename: Nefertiti H
authors.initials: NH
authors.lastname: Durant
authors.forename: Barbara
authors.initials: B
authors.lastname: Bartman
authors.forename: Sharina D
authors.initials: SD
authors.lastname: Person
authors.forename: Felicia
authors.initials: F
authors.lastname: Collins
authors.forename: S Bryn
authors.initials: SB
authors.lastname: Austin
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009765:Obesity / Q000208:ethnology* / Q000517:prevention & control*; D010353:Patient Education as Topic; D011369:Professional-Patient Relations; D014481:United States; D044465:White People