Physician Characteristics Associated With Sugar-Sweetened Beverage Counseling Practices

Details

• Alternative Title:
  Am J Health Promot
• Personal Author:
  VanFrank, Brenna K. ; Park, Sohyun ; Foltz, Jennifer L. ; McGuire, Lisa C. ; Harris, Diane M.
• Description:
  Purpose ; Frequent sugar-sweetened beverage (SSB) consumption is associated with chronic disease. Although physician counseling can positively affect patient behavior, physicians' personal characteristics may influence counseling practices. We explored SSB-related topics physicians discuss when counseling overweight/obese patients and examined associations between physicians' SSB-related counseling practices and their personal and medical practice characteristics. ; Design ; Cross-sectional survey. ; Setting ; DocStyles survey, 2014. ; Participants ; A total of 1510 practicing US physicians. ; Measures ; Physician's SSB counseling on calories, added sugars, obesity/weight gain, health effects, consumption frequency, water substitution, and referral. ; Analysis ; Adjusted odds ratios (aORs) were calculated with multivariable logistic regression, adjusting for physician's personal and medical practice characteristics. ; Results ; Most physicians (98.5%) reported SSB-related counseling. The most reported topic was obesity/weight gain (81.4%); the least reported were added sugars (53.1%) and referral (35.0%). Physicians in adult-focused specialties had lower odds than pediatricians of counseling on several topics (aOR range: 0.26-0.64). Outpatient physicians had higher odds than inpatient physicians of counseling on consumption frequency and water substitution (aOR range: 1.60-2.01). Physicians consuming SSBs ≥1 time/day (15.7%) had lower odds than nonconsumers of counseling on most topics (aOR range: 0.58-0.68). ; Conclusion ; Most physicians reported SSB-related counseling; obesity/weight gain was discussed most frequently. Counseling opportunities remain in other topic areas. Opportunities also exist to strengthen SSB counseling practices in adult-focused specialties, inpatient settings, and among physicians who consume SSBs daily.
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• Keywords:
  • sugar-sweetened beverage
  • physicians
  • counseling
  • obesity
  • clinical setting
  • Adult
  • Attitude of Health Personnel
  • Beverages
  • Carbonated Beverages
  • Counseling
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• Source:
  Am J Health Promot. 32(6):1365-1374
• Pubmed ID:
  27956472
• Pubmed Central ID:
  PMC5612916
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  32
• Issue:
  6
• Download URL:
  https://stacks.cdc.gov/view/cdc/48346/cdc_48346_DS1.pdf
• File Type:
  [PDF - 357.20 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b59290ef1a7130065c009df8c0977ea90a7226ca711bc6f991a170e944f41b26