Factors Associated with the Accurate Diagnosis of Obesity
| Autor: | Karen Nead, Bryan Stanistreet, Robert J. Fortuna, Erica O Miller, Emily Ruckdeschel |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Health (social science) Adolescent Office Visits Cross-sectional study Social class Sensitivity and Specificity Young Adult 03 medical and health sciences 0302 clinical medicine Ambulatory care 030225 pediatrics Ambulatory Care medicine Humans Obesity 030212 general & internal medicine Medical diagnosis Young adult Child Socioeconomic status Aged business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Cross-Sectional Studies Social Class Child Preschool Ambulatory Female business |
| Zdroj: | Journal of Community Health. 41:1257-1263 |
| ISSN: | 1573-3610 0094-5145 |
| DOI: | 10.1007/s10900-016-0213-7 |
| Popis: | Obesity is a growing epidemic, yet few patients with obesity receive a clinical diagnosis of obesity or appropriate counseling. We examined the socioeconomic and demographic factors associated with the accurate diagnosis of obesity during ambulatory care visits. We used data from the National Hospital Ambulatory and National Ambulatory Medical Care Surveys (NHAMCS and NAMCS) to determine if a patient with obesity had been clinically diagnosed with obesity during the visit by either of the following: (1) a diagnosis listed in the patient's record; or (2) the provider's answer to the question "despite the diagnoses listed, does this patient have obesity?" We used multivariate models to examine the association between the accurate diagnosis of obesity and socioeconomic and demographic factors. We examined 885,291,770 weighted office visits involving individuals 5 years of age and older between 2006 and 2010. Providers were less likely to diagnose obesity at office visits involving children (5-12 years) with obesity (23.4 %) than at visits for adolescents (13-21 years; 39.7 %), young adults (22-34 years; 45.4 %), adults (35-64 years; 43.9 %) or elderly adults (≥65 years; 39.6 %; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink