Physicians' attitudes about obesity and their associations with competency and specialty: A cross-sectional study

BMC Health Services Research

Volumn 9, Issue , 2009, Pages

  Jay, Melanie ^a   Kalet, Adina ^a   Ark, Tavinder ^a   McMacken, Michelle ^a   Messito, Mary Jo ^a   Richter, Regina ^a   Schlair, Sheira ^a   Sherman, Scott ^a,b   Zabar, Sondra ^a   Gillespie, Colleen ^a  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BEHAVIOR CHANGE; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDY; FACTORIAL ANALYSIS; HUMAN; OBESITY; PATIENT CARE; PATIENT COUNSELING; PHYSICIAN ATTITUDE; REGRESSION ANALYSIS; SELF CONCEPT; WEIGHT REDUCTION; ANALYSIS OF VARIANCE; DOCTOR PATIENT RELATION; HEALTH PERSONNEL ATTITUDE; INTERNAL MEDICINE; PEDIATRICS; PHYSICIAN; PSYCHIATRY; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; STATISTICS; UNITED STATES;

ANALYSIS OF VARIANCE; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; CROSS-SECTIONAL STUDIES; HUMANS; INTERNAL MEDICINE; NEW YORK; OBESITY; PEDIATRICS; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; PSYCHIATRY; QUESTIONNAIRES; REGRESSION ANALYSIS;

EID: 67651121565     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-9-106     Document Type: Article

References (45)

1. Prevalence of overweight and obesity in the United States, 19992004. CL Ogden MD Carroll LR Curtin MA McDowell CJ Tabak KM Flegal, JAMA 2006 295 13 1549 1555 10.1001/jama.295.13.1549 16595758
2. The effects of obesity, smoking, and drinking on medical problems and costs. see comment. R Sturm, Health Aff 2002 21 2 245 253 10.1377/hlthaff.21.2. 245
3. Speaking of weight: how patients and primary care clinicians initiate weight loss counseling. JG Scott D Cohen B DiCicco-Bloom AJ Orzano P Gregory SA Flocke L Maxwell B Crabtree, Prev Med 2004 38 6 819 827 10.1016/j.ypmed.2004.01. 001 15193904 (Pubitemid 38757533)
4. Identification, evaluation, and management of obesity in an academic primary care center. SH O'Brien R Holubkov EC Reis, Pediatrics 2004 114 2 e154 9 10.1542/peds.114.2.e154 15286251
5. Identification and management of overweight and obesity by internal medicine residents. CB Ruser L Sanders GR Brescia M Talbot K Hartman K Vivieros DM Bravata, Journal of General Internal Medicine 2005 20 12 1139 1141 16423105 10.1111/j.1525-1497.2005.0263.x (Pubitemid 43110265)
6. Weight loss counseling by health care providers. H Nawaz ML Adams DL Katz, Am J Public Health 1999 89 5 764 767 10224993 10.2105/AJPH.89.5.764
7. Obesity, weight loss, and physician's advice. ML Loureiro RM Nayga Jr, Soc Sci Med 2006 62 10 2458 2468 10.1016/j.socscimed.2005.11.011 16376006
8. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. comment. RF Kushner, Prev Med 1995 24 6 546 552 10.1006/pmed.1995.1087 8610076
9. Do Internists, Pediatricians, and Psychiatrists Feel Competent in Obesity Care? Using a Needs Assessment to Drive Curriculum Design. M Jay C Gillespie T Ark R Richter M McMacken S Zabar S Paik M Messito J Lee A Kalet, JGIM 2008 23 7 1066 1070 10.1007/s11606-008-0519-y 18612746 (Pubitemid 351960237)
10. Osteopathic family physicians' attitudes, knowledge, and self-reported practices regarding obesity. JE Harris V Hamaday E Mochan, J Am Osteopath Assoc 1999 99 7 358 365 10441934
11. Are physicians equipped to address the obesity epidemic? Knowledge and attitudes of internal medicine residents. JP Block KB DeSalvo WP Fisher, Prev Med 2003 36 6 669 675 10.1016/S0091-7435(03)00055-0 12744909 (Pubitemid 36555546)
12. Barriers to obesity management: a pilot study of primary care clinicians. V Forman-Hoffman A Little T Wahls, BMC Family Practice 2006 7 35 16756673 10.1186/1471-2296-7-35 (Pubitemid 44166016)
13. Barriers to obesity training for pediatric residents: a qualitative exploration of residency director perspectives. SL Goff ES Holmboe L Curry, Teaching & Learning in Medicine 2006 18 4 348 355 10.1207/s15328015tlm1804- 13 (Pubitemid 44747367)
14. I Ajzen M Fishbein, Understanding Attitudes and Predicting Social behavior New Jersey; Prentice-Hall 1980
15. Self-efficacy: toward a unifying theory of behavioral change. A Bandura, Psychol Rev 1977 84 2 191 215 10.1037/0033-295X.84.2.191 847061
16. A Bandura, Self-efficacy: The exercise of control New York: Freeman 1997
17. Determinants of counseling in primary care pediatric practice: physician attitudes about time, money, and health issues. TL Cheng TG DeWitt JA Savageau KG O'Connor, Arch Pediatr Adolesc Med 1999 153 6 629 635 10357306
18. Weighing the care: patients' perceptions of physician care as a function of gender and weight. MR Hebl J Xu MF Mason, International Journal of Obesity & Related Metabolic Disorders: Journal of the International Association for the Study of Obesity 2003 27 2 269 275 10.1038/sj.ijo.802231 (Pubitemid 36255811)
19. Implicit anti-fat bias among health professionals: is anyone immune? BA Teachman KD Brownell, International Journal of Obesity & Related Metabolic Disorders: Journal of the International Association for the Study of Obesity 2001 25 10 1525 1531 10.1038/sj.ijo.0801745 (Pubitemid 32977872)
20. Weight bias among health professionals specializing in obesity. MB Schwartz HO Chambliss KD Brownell SN Blair C Billington, Obes Res 2003 11 9 1033 1039 10.1038/oby.2003.142 12972672
21. Primary care physicians' attitudes about obesity and its treatment. GD Foster TA Wadden AP Makris D Davidson RS Sanderson DB Allison A Kessler, Obes Res 2003 11 10 1168 1177 10.1038/oby.2003.161 14569041
22. Survey of physician attitudes and practices related to pediatric obesity. E Jelalian J Boergers CS Alday R Frank, Clin Pediatr 2003 42 3 235 245 10.1177/000992280304200307
23. Primary care physicians' attitudes and practices regarding complementary and alternative medicine. ME Kurtz RB Nolan WJ Rittinger, J Am Osteopath Assoc 2003 103 12 597 602 14740982
24. Implicit anti-fat bias among health professionals: is anyone immune? BA Teachman KD Brownell, International Journal of Obesity & Related Metabolic Disorders: Journal of the International Association for the Study of Obesity 2001 25 10 1525 1531 10.1038/sj.ijo.0801745 (Pubitemid 32977872)
25. Physician attitudes toward managing obesity: differences among six specialty groups. JL Kristeller RA Hoerr, Prev Med 1997 26 4 542 549 10.1006/pmed.1997.0171 9245677 (Pubitemid 27314110)
26. Weight bias among health professionals specializing in obesity. MB Schwartz HO Chambliss KD Brownell SN Blair C Billington, Obes Res 2003 11 9 1033 1039 10.1038/oby.2003.142 12972672
27. Primary care physicians' attitudes about obesity and its treatment. GD Foster TA Wadden AP Makris D Davidson RS Sanderson DB Allison A Kessler, Obes Res 2003 11 10 1168 1177 10.1038/oby.2003.161 14569041
28. Are physicians equipped to address the obesity epidemic? Knowledge and attitudes of internal medicine residents. JP Block KB DeSalvo WP Fisher, Prev Med 2003 36 6 669 675 10.1016/S0091-7435(03)00055-0 12744909 (Pubitemid 36555546)
29. Barriers to obesity management: a pilot study of primary care clinicians. V Forman-Hoffman A Little T Wahls, BMC Family Practice 2006 7 35 16756673 10.1186/1471-2296-7-35 (Pubitemid 44166016)
30. Evaluating primary care behavioral counseling interventions: An evidence-based approach. EP Whitlock CT Orleans N Pender J Allan, American Journal of Preventive Medicine 2002 22 4 267 284 10.1016/S0749-3797(02)00415-4 11988383 (Pubitemid 34436893)
31. Weight loss counseling revisited. MK Serdula LK Khan WH Dietz, JAMA 2003 289 14 1747 1750 10.1001/jama.289.14.1747 12684339 (Pubitemid 37430235)
32. Nutrition and obesity in the chronic mentally ill. B Wallace C Tennant, Australian & New Zealand Journal of Psychiatry 1998 32 1 82 85 10.3109/00048679809062711
33. Prevalence of obesity in adolescent and young adult patients with and without schizophrenia and in relationship to antipsychotic medication. FM Theisen A Linden F Geller H Schafer M Martin H Remschmidt J Hebebrand, J Psychiatr Res 2001 35 6 339 345 10.1016/S0022-3956(01)00041-3 11684141 (Pubitemid 33000471)
34. Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. DC Henderson E Cagliero C Gray RA Nasrallah DL Hayden DA Schoenfeld DC Goff, Am J Psychiatry 2000 157 6 975 981 10.1176/appi.ajp.157.6.975 10831479 (Pubitemid 30412350)
35. Behavioural management of antipsychotic-induced weight gain: a review. see comment. U Werneke D Taylor TA Sanders S Wessely, Acta Psychiatr Scand 2003 108 4 252 259 10.1034/j.1600-0447.2003.00190.x 12956825 (Pubitemid 37175899)
36. Issues for DSM-V: should obesity be included as a brain disorder?[see comment]. ND Volkow CP O'Brien, Am J Psychiatry 2007 164 5 708 710 10.1176/appi.ajp.164.5.708 17475727 (Pubitemid 46808521)
37. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. see comment. WC Knowler E Barrett-Connor SE Fowler RF Hamman JM Lachin EA Walker DM Nathan Diabetes Prevention Program Research G, N Engl J Med 2002 346 6 393 403 11832527 10.1056/NEJMoa012512 (Pubitemid 34437694)
38. Family Physicians' Practices and Attitudes Regarding Care of Extremely Obese Patients. JM Ferrante AK Piasecki PA Ohman-Strickland BF Crabtree, Obesity 2009
39. Personal and clinical exercise-related attitudes and behaviors of freshmen U.S. medical students. E Frank DA Galuska LK Elon EH Wright, Research Quarterly for Exercise & Sport 2004 75 2 112 121
40. Personal and professional nutrition-related practices of US female physicians. E Frank EH Wright MK Serdula LK Elon G Baldwin, Am J Clin Nutr 2002 75 2 326 332 11815326
41. Please, let my doctor be obese: associations between the characteristics of general practitioners and their patients with type 2 diabetes. LJ Ubink-Veltmaat RA Damoiseaux RO Rischen KH Groenier, Diabetes Care 2004 27 10 2560 10.2337/diacare.27.10.2560 15451937
42. Physicians' attitudes towards prevention: importance of intervention-specific barriers and physicians' health habits. J Cornuz WA Ghali D Di Carlantonio A Pecoud F Paccaud, Fam Pract 2000 17 6 535 540 10.1093/fampra/17.6.535 11120727
43. Predictors of nutrition counseling behaviors and attitudes in US medical students. EH Spencer E Frank LK Elon VS Hertzberg MK Serdula DA Galuska, Am J Clin Nutr 2006 84 3 655 662 16960182
44. Personal exercise habits and counseling practices of primary care physicians: a national survey. S Abramson J Stein M Schaufele E Frates S Rogan, Clinical Journal of Sport Medicine 2000 10 1 40 48 10.1097/00042752-200001000- 00008 10695849
45. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review.[see comment]. DA Davis PE Mazmanian M Fordis R Van Harrison KE Thorpe L Perrier, JAMA 2006 296 9 1094 1102 10.1001/jama.296.9. 1094 16954489 (Pubitemid 44343529)