Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States

Patient Education and Counseling
Hsing-Yu YangYoufa Wang

Abstract

Examine association between adult patients' and health care providers' (HCPs) gender or race/ethnicity concordance and patients' reported receiving weight-related advice from HCP's in USA. Using Medical Expenditure Panel Survey (MEPS) 2004-2007 data, studied prevalence of weight-related advice (on exercise and diet) given to patients and its association with patients/HCPs concordance in gender (n=9,686) and race/ethnicity (n=8,825). Overall, 46% of patients received HCP advice on diet and 49% on exercise. Overweight females seeing female HCPs were more likely to receive exercise advice than those seeing male HCPs (OR=1.44 [95% CI: 1.10-1.89]). Race/ethnicity concordance was associated with lower odds of advice-receiving in certain populations (OR=0.80 [0.67-0.97] for exercise and OR=0.42 [0.19-0.91] for diet among white patients, OR=0.47 [0.23-0.98] for exercise among Hispanic overweight patients). Patient/HCP gender or race/ethnicity concordance was not positively associated with HCPs providing weight-related advice. Patients with female HCPs or with racial/ethnic discordant HCPs (especially black or Asian HCPs) were more likely to receive advice. Health care providers need be empowered, particularly white and male HCPs, to im...Continue Reading

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Citations

Jun 25, 2019·Primary Health Care Research & Development·Jocelyn E RemmertMeghan L Butryn
Jan 21, 2021·Journal of General Internal Medicine·Taara PrasadPaul D Cleary
Feb 27, 2021·Journal of the American College of Cardiology·Emily S LauUNKNOWN American College of Cardiology Cardiovascular Disease in Women Section

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