Healthcare Providers' Recommendations for Physical Activity among US Arthritis Population: A Cross-Sectional Analysis by Race/Ethnicity.
Healthcare Providers' Recommendations for Physical Activity among US Arthritis Population: A Cross-Sectional Analysis by Race/Ethnicity.
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DOI：
10.1155/2018/2807035
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Pisu M
中科院分区：
文献类型：
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作者：
Austin S;Saag KG;Pisu M
我们检查了医疗保健提供者对关节炎患者体力活动建议的种族/民族差异，并评估了遵守体力活动指南和不遵守体力活动指南的人群之间的这种关联。采用基于行为风险因素监测系统的横断面设计，我们分析了年龄≥18岁、自我报告经医生诊断为关节炎的个体（n = 83,376）。结果变量是医疗保健提供者对身体活动的建议。种族/民族分为非裔美国人、西班牙裔和白人。使用多变量逻辑回归检验相关性。非裔美国人（调整OR: 0.66; 95% CI: 0.55-0.79）和西班牙裔美国人（调整OR: 0.68; 95% CI: 0.56-0.83）接受医生建议的可能性较小。虽然体育活动对改善关节炎成人健康结果的重要性以及提供者对个人行为改变的影响已经得到了充分的证实，但提供者不太可能向少数民族推荐体育活动。需要进一步的研究来确定这种护理质量问题的原因。
We examined racial/ethnic disparities in healthcare providers' recommendations for physical activity among individuals with arthritis and evaluated this association among groups of individuals who adhered to physical activity guidelines and those who did not. With a cross-sectional design based on Behavioral Risk Factor Surveillance System, we analyzed individuals with self-reported physician-diagnosed arthritis, ≥18 years of age (n = 83,376). Outcome variable was healthcare providers' recommendations for physical activity. Race/ethnicity was categorized as African American, Hispanic, and White. Associations were examined using multivariate logistic regression. African Americans (Adjusted OR: 0.66; 95% CI: 0.55–0.79) and Hispanics (Adjusted OR: 0.68; 95% CI: 0.56–0.83) were less likely to receive providers' recommendations. Although the importance of physical activity to improve health outcomes for adults with arthritis, as well as providers' influence on individuals' behavior change, is well established, providers are less likely to recommend physical activity to minorities. Further studies are required to identify the causes for this quality-of-care issue.