The Association of BMI Status With Adolescent Preventive Screening

Jasik, Carolyn Bradner; Adams, Sally; Irwin, Charles E.; Ozer, Elizabeth M.

doi:10.1542/peds.2010-2559

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…Similar strategies of pooling data across survey years have been used to look at dietary behaviors and other health behaviors and outcomes. 18,19 …”

Section: Methodsmentioning

confidence: 99%

Racial and Ethnic Disparities in Dietary Intake among California Children

Guerrero¹

2016

Journal of the Academy of Nutrition and Dietetics

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Background The prevalence of childhood obesity among racial and ethnic minority groups is high. Multiple factors affect the development of childhood obesity including dietary practices. Objective To examine the racial and ethnic differences in reported dietary practices among the largest minority groups of California children. Methods Data from the 2007 and 2009 California Health Interview Survey were analyzed using multivariate regression with survey weights to examine how race, ethnicity, socio-demographics, and child factors were associated with specific dietary practices. Results The sample included 15,902 children ages 2-11. In multivariate regressions, substantial differences in fruit juice, fruit, vegetable, sugar-sweetened beverages, sweets, and fast food consumption were found among the major racial and ethnic groups of children. Asians regardless of interview language were more likely than Whites to have low vegetable intake (Asians English interview OR, 1.20; 95% CI, 1.01-1.43; Asians non-English-interview OR, 2.09; 95% CI, 1.23-3.57) and low fruit (Asians English interview OR, 1.69; 95% CI, 1.41-2.03; Asians non-English interview OR, 3.04; 95% CI, 2.00-4.62) consumption. Latinos regardless of interview language were also more likely than Whites to have high fruit juice (Latinos English interview OR, 1.54; 95% CI and 1.28-1.84; Latinos non-English interview OR, 1.29; 95% 1.02-1.62) and fast food (Latinos English interview OR 1.74; 95% CI, 1.46-2.08 2.16; Latinos non-English interview OR 1.48; 95% CI, 1.16-1.91) consumption; but Latinos were less likely than Whites to consume sweets (Latinos English interview OR, 0.81; 95% CI, 0.66-0.99; Latinos non-English interview OR, 0.56; 95% CI 1.16-1.91). Conclusions Significant racial and ethnic differences exist in the dietary practices of California children. Increased fruit and vegetable consumption appears to be associated with parental education but not income. Our findings suggest that anticipatory guidance and dietary counseling might benefit from tailoring to specific ethnic groups to potentially address disparities in overweight and obesity.

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“…Similar strategies of pooling data across survey years have been used to look at dietary behaviors and other health behaviors and outcomes. 18,19 …”

Section: Methodsmentioning

confidence: 99%

Racial and Ethnic Disparities in Dietary Intake among California Children

Guerrero¹

2016

Journal of the Academy of Nutrition and Dietetics

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“…Estimates of receipt of clinical preventive services among AYAs, based on clinician [ 31 – 33 ] and patient/caregiver report [ 34 – 39 ], suggest suboptimal levels. Only 40% of sexually active 15- to 21-year-old females reported receiving a chlamydia test in the prior year (2006–2010 data [ 40 ]), and only 66% of pediatricians in a 2012 national survey reported counseling most of their adolescent patients about tobacco use [ 41 ].…”

Section: Clinical Preventive Servicesmentioning

confidence: 99%

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Harris

Aalsma

Weitzman

et al. 2017

Journal of Adolescent Health

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We reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. Despite professional consensus on recommended services for adolescents, a strong evidence base for services for young adults, and improved financial access to services with the Affordable Care Act’s provisions, receipt of preventive services remains suboptimal. Further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth. To optimize the clinical encounter, promising clinician-focused strategies to improve delivery of preventive services include screening and decision support tools, particularly when integrated into electronic medical record systems and supported by training and feedback. Although results have been mixed, interventions have moved beyond increasing service delivery to demonstrating behavior change. Research on emerging technology—such as gaming platforms, mobile phone applications, and wearable devices—suggests opportunities to expand clinicians’ reach; however, existing research is based on limited clinical settings and populations. Improved monitoring systems and further research are needed to examine preventive services facilitators and ensure that interventions are effective across the range of clinical settings where youth receive preventive care, across multiple populations, including young adults, and for more vulnerable populations with less access to quality care.

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“…Other positive predictors for identification included female gender and non-Hispanic ethnicity. A higher rate of physician identification for obesity has been reported previously among females (25)(26)(27). Females may be more likely than males to share their concerns about their weight with their physicians, thus prompting greater identification.…”

Section: Discussionmentioning

confidence: 72%

Identification and counseling for obesity among children on psychotropic medications in ambulatory settings

Eneli

Wang

Kelleher

2013

Obesity

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Objective: To examine identification and counseling for obesity at pediatric office visits associated with psychotropic medications. Design and Methods: Analysis of ambulatory care visits by children 2-17 years in the National Ambulatory Medical Care Surveys and outpatient component of the National Hospital Ambulatory Medical Care Surveys from 2005 to 2008. Physician identification of obesity was determined using ICD-9 CM diagnostic codes. Results: In 2005-2008, there were 38,539 pediatric ambulatory care visits weighted to represent 600 million pediatric visits nationally. Psychotropic medications were associated with 5.2% of visits. The prevalence of overweight/obesity (BMI 85th%tile) was 15.9% for visits without psychotropic medication, 19.4% and 16.8% for visits associated with nonobesogenic and obesogenic psychotropic medications, respectively. Controlling for age, gender, and BMI, obesity was more likely to be identified at visits associated with psychotropic medications (OR 5.2, 95% CI 3-8.8), among females (OR 1.6, 95% CI 1.1-2.3) and non-Hispanics (OR 1.5, 95% CI 1.0-2.4). At visits with psychotropic medications, dietary counseling was provided at 11.4%, while blood pressure and cholesterol screening were obtained at 6.9% and 6.8% of these visits, respectively. Conclusions: Our results indicate suboptimal identification and counseling for obesity children who are prescribed psychotropic medications, despite their increased risk for weight gain.

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The Association of BMI Status With Adolescent Preventive Screening

Cited by 9 publications

References 27 publications

Racial and Ethnic Disparities in Dietary Intake among California Children

Racial and Ethnic Disparities in Dietary Intake among California Children

Research on Clinical Preventive Services for Adolescents and Young Adults: Where Are We and Where Do We Need to Go?

Identification and counseling for obesity among children on psychotropic medications in ambulatory settings

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