Survey of physician attitudes and practices related to pediatric obesity
Survey of physician attitudes and practices related to pediatric obesity
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DOI：
10.1177/000992280304200307
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发表时间：
2003-04-01
影响因子：
1.6
通讯作者：
Frank, R
中科院分区：
文献类型：
--
作者：
Jelalian, E;Boergers, J;Frank, R
本研究的目的是调查医生对初级保健机构儿童肥胖治疗的态度和做法。调查发给了在新英格兰南部地区（康涅狄格州、马萨诸塞州和罗德岛州）执业的美国儿科学会和美国家庭医生学会的医生。这项包含14个项目的调查包括三个主要关注领域：对肥胖的态度，治疗和转诊方法，以及解决儿童和青少年体重问题的障碍。医生们估计，27.7%的青少年患者和23%的儿童患者超重。医生处理儿童和青少年患者体重问题的频率似乎随着患者超重水平的增加而增加。在处理肥胖问题时，四分之一的医生认为他们完全没有能力或只有轻微的能力，而20%的医生表示完全没有能力或只有轻微的舒适。这些发现表明，医生将受益于关于安全有效的儿童肥胖干预策略的额外培训和教育，以有效地将体重问题的讨论纳入初级保健环境。
The purpose of this study was to survey physicians regarding their attitudes and practices related to the treatment of pediatric obesity in a primary care setting. Surveys were sent to physicians who were members of the American Academy of Pediatrics and the American Academy of Family Physicians practicing in the Southern New England area (Connecticut, Massachusetts, and Rhode Island). The 14-item survey consisted of three main areas of focus: attitudes toward obesity, treatment and referral approaches, and barriers to addressing weight concerns in children and adolescents. Physicians estimated that 27.7% of their adolescent and 23% of their child patients are overweight. The frequency with which physicians address weight issues with both child and adolescent patients appears to increase incrementally with the patient's level of overweight. When addressing obesity, one fourth of physicians think that they are not at all or only slightly competent, while 20% report feeling not at all or only slightly comfortable. These findings suggest that physicians would benefit from additional training and education regarding safe and efficacious intervention strategies for pediatric obesity, to effectively integrate the discussion of weight issues into the primary care setting.