Correlates of Physicians' Prevention-Related Practices: Findings From the Women Physicians' Health Study

Frank, Erica; Rothenberg, Richard; Lewis, Charles E.; Belodoff, Brooke F.

doi:10.1001/archfami.9.4.359

Cited by 227 publications

(183 citation statements)

References 30 publications

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“…Other studies have demonstrated that physicians' personal behavior influences practice behavior, with respect to exercise 24,25 and preventive care 26 . We found that personal experience with the test was also an important factor related to test ordering for patients, perhaps as a result of increased physicians' familiarity with the test and comfort in ordering it for patients.…”

Section: Discussionmentioning

confidence: 99%

Genomic Risk Profiling: Attitudes and Use in Personal and Clinical Care of Primary Care Physicians Who Offer Risk Profiling

et al. 2011

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BACKGROUND: Genomic risk profiling involves the analysis of genetic variations linked through statistical associations to a range of disease states. There is considerable controversy as to how, and even whether, to incorporate these tests into routine medical care. OBJECTIVE: To assess physician attitudes and uptake of genomic risk profiling among an 'early adopter' practice group. DESIGN: We surveyed members of MDVIP, a national group of primary care physicians (PCPs), currently offering genomic risk profiling as part of their practice. POPULATION: All physicians in the MDVIP network (N =356) RESULTS: We obtained a 44% response rate. One third of respondents had ordered a test for themselves and 42% for a patient. The odds of having ordered personal testing were 10.51-fold higher for those who felt well-informed about genomic risk testing (p < 0.0001). Of those who had not ordered a test for themselves, 60% expressed concerns for patients regarding discrimination by life and longterm/disability insurers, 61% about test cost, and 62% about clinical utility. The odds of ordering testing for their patients was 8.29-fold higher among respondents who had ordered testing for themselves (p < 0.0001). Of those who had ordered testing for patients, concerns about insurance coverage (p = 0.014) and uncertain clinical utility (p = 0.034) were associated with a lower relative frequency of intention to order testing again in the future. CONCLUSIONS: Our findings demonstrate that respondent familiarity was a key predictor of physician ordering behavior and clinical utility was a primary concern for genomic risk profiling. Educational and interpretive support may enhance uptake of genomic risk profiling.

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Section: Discussionmentioning

confidence: 99%

Genomic Risk Profiling: Attitudes and Use in Personal and Clinical Care of Primary Care Physicians Who Offer Risk Profiling

et al. 2011

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“…Primary care physicians (PCPs) are more likely to practice prevention-related counseling than specialists. 18 Thus patients who have a primary care physician as their usual source of care are more likely to receive counseling regarding weight loss and maintaining a healthy weight, and to attempt weight loss. In landmark studies by Shi et al 19 and Starfield et al, 20 US states with more primary care physicians had lower mortality rates and higher birth weights.…”

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confidence: 99%

Access to Primary Care in US Counties Is Associated with Lower Obesity Rates

Gaglioti

Petterson

Bazemore³

et al. 2016

The Journal of the American Board of Family Medicine

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Background: Obesity causes substantial morbidity and mortality in the United States. Evidence shows that primary care physician (PCP) supply correlates positively with improved health, but its association with obesity in the United States as not been adequately characterized. Our purpose was to characterize the association between PCP supply in US counties and adult obesity.Methods: We performed a multivariate logistic regression analysis to examine the relationship between county-level PCP supply and individual obesity status. We controlled for individual variables, including sex, race, marital status, income, and insurance status, and county-level variables, including rurality and poverty. Results: Higher county-level PCP supply was associated with lower adult obesity after controlling for common confounders. Individuals living in counties with the most robust PCP supply were about 20% less likely to be obese (P < .01) than those living in counties with the lowest PCP supply.Conclusions

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“…Physician example and advice can pivotally impact upon lifestyle-related cancer risk factors (LRCRF), especially smoking, among their patients and the general population 3) . This may be particularly important for female physicians who provide standards for other women 4,5) . Unfortunately, in much of the world, the LRCRF are very prevalent in the general population and among physicians, especially women.…”

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confidence: 99%

Workplace Stressors and Lifestyle‐Related Cancer Risk Factors among Female Physicians: Assessment Using the Occupational Stress Index

Belkić

Nedic²

2007

Journal of Occupational Health

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. Participants completed the physician-specific version of the Occupational Stress Index (OSI). Self-reported data concerning LRCRF and working conditions were cross-validated with medical records, as well as with worksite measurements and expert observations. A total of 35 (31.3%) of the physicians were current smokers and 10 (8.9%) were heavy smokers (>20 cigarettes/day); 23 (20.5%) had a body mass index (BMI) of 28 or more, and 11 (9.8%) were obese (BMI≥30). Only 27 (24.1%) regularly engaged in recreational physical activity (PA). Slightly over 5% consumed alcohol daily. Altogether 15 (13.4%) had a low lifestyle-related cancer risk profile (not a current smoker, BMI<28, regular recreational PA and no daily alcohol consumption). Total OSI and several OSI aspects, particularly threat avoidance alone or in combination, showed significant multivariate associations with LRCRF, as did individual OSI elements. The latter included long work hours, restricted problem-solving strategy, insufficient help with clinical difficulties and supervisory responsibility (obesity and/or sedentariness) and problems hampering patient care (smoking). There is an urgent need to lower the LRCRF among female physicians in Field Studythis high risk region. Our findings suggest that diminishing the work stressor burden should be considered when developing intervention strategies aimed at these risk factors. (J Occup Health 2007; 49: 61-71)

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Correlates of Physicians' Prevention-Related Practices: Findings From the Women Physicians' Health Study

Abstract: Being a primary care practitioner and having related healthy habits oneself were the most significant correlates of US women physicians' self-reported prevention-related counseling and screening practices. These findings suggest potential new directions for physician training.

Cited by 227 publications

References 30 publications

Genomic Risk Profiling: Attitudes and Use in Personal and Clinical Care of Primary Care Physicians Who Offer Risk Profiling

Genomic Risk Profiling: Attitudes and Use in Personal and Clinical Care of Primary Care Physicians Who Offer Risk Profiling

Access to Primary Care in US Counties Is Associated with Lower Obesity Rates

Workplace Stressors and Lifestyle‐Related Cancer Risk Factors among Female Physicians: Assessment Using the Occupational Stress Index

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