title: Patient and physician characteristics associated with the provision of weight loss counseling in primary care.
abstract: BACKGROUND
  A variety of physician and patient characteristics may influence whether weight loss counseling occurs in primary care encounters.
  
  
  OBJECTIVE
  This study utilized a cross-sectional survey of primary care patients, which examined patient characteristics, physician characteristics, and characteristics of the physicianâ??patient relationship associated with weight loss counseling and recommendations provided by physicians.
  
  
  METHODS
  (N = 143, mean age = 46.8 years, mean BMI = 36.9 kg/m(2), 65% Caucasian) were overweight and obese primary care patients participating in a managed care weight loss program.
  
  
  METHODS
  PARTICIPANTS completed self-report surveys in the clinic prior to the initial weight loss session. Surveys included items assessing demographic/background characteristics, weight, height, and a health care questionnaire evaluating whether their physician had recommended weight loss, the frequency of their physiciansâ?? weight loss counseling, and whether their physician had referred them for obesity treatment.
  
  
  RESULTS
  Patient BMI and physician sex were most consistently associated with physiciansâ?? weight loss counseling practices. Patients seen by female physicians were more likely to be told that they should lose weight, received more frequent obesity counseling, and were more likely to have been referred for obesity treatment by their physician. Length and frequency of physicianâ??patient contacts were unrelated to the likelihood of counseling.
  
  
  CONCLUSIONS
  These findings add to previous evidence suggesting possible differences in the weight loss counseling practices of male and female physicians, although further research is needed to understand this potential difference between physicians.
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States. Electronic address:gdutton@uabmc.edu.
authors.forename: Gareth R
authors.initials: GR
authors.lastname: Dutton
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Katharine G
authors.initials: KG
authors.lastname: Herman
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Fei
authors.initials: F
authors.lastname: Tan
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Mary
authors.initials: M
authors.lastname: Goble
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Melissa
authors.initials: M
authors.lastname: Dancer-Brown
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Nancy
authors.initials: N
authors.lastname: Van Vessem
authors.affiliation: Department of Epidemiology and Prevention, Department of Internal Medicine, Wake Forest School of Medicine, Wake Forest, NC, United States.
authors.forename: Jamy D
authors.initials: JD
authors.lastname: Ard
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D037001:Directive Counseling; D005260:Female; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology; D010817:Physician-Patient Relations; D010820:Physicians; D011320:Primary Health Care; D012017:Referral and Consultation; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000379:methods*
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