Michelle S Wong1, Nakiya N Showell2, Sara N Bleich3, Kimberly A Gudzune4, Kitty S Chan5. 1. Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, USA. Electronic address: Mwong23@jhu.edu. 2. Division of General Pediatrics & Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, USA. 3. Harvard T.H. Chan School of Public Health, Boston, USA. 4. Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University School of Medicine, Baltimore, USA; Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA. 5. Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, USA.
Abstract
OBJECTIVE: To examine the association between healthcare provider communication quality and child obesity status, and the role of parent obesity and child race/ethnicity regarding this association. METHODS: We conducted a cross-sectional secondary data analysis with the 2011-2013 Medical Expenditures Panel Survey of parents with children ages 6-12 (n=5390). We used multivariable logistic regression to examine the association of parent-reported healthcare provider communication quality (explaining well, listening carefully, showing respect, and spending enough time) with child obesity status, and effect modification by parent obesity and child race/ethnicity. RESULTS: Parents of obese children were more likely to report that their child's healthcare provider listened carefully (OR=1.41, p=0.002) and spent enough time (OR=1.33, p=0.022) than parents of non-obese children. Non-obese parents of obese children experienced better communication in the domains of listening carefully (p<0.001) and spending enough time (p=0.007). Parents of obese non-Hispanic Asian children and non-Hispanic Black children were more likely to report that providers explained things well (p=0.043) and listened carefully (p=0.012), respectively. CONCLUSION: Parents of obese children experienced better communication if parents were non-obese or children were non-Hispanic Black or Asian. PRACTICE IMPLICATIONS: Healthcare providers should ensure effective communication with obese parents of obese children.
OBJECTIVE: To examine the association between healthcare provider communication quality and childobesity status, and the role of parent obesity and child race/ethnicity regarding this association. METHODS: We conducted a cross-sectional secondary data analysis with the 2011-2013 Medical Expenditures Panel Survey of parents with children ages 6-12 (n=5390). We used multivariable logistic regression to examine the association of parent-reported healthcare provider communication quality (explaining well, listening carefully, showing respect, and spending enough time) with childobesity status, and effect modification by parent obesity and child race/ethnicity. RESULTS: Parents of obesechildren were more likely to report that their child's healthcare provider listened carefully (OR=1.41, p=0.002) and spent enough time (OR=1.33, p=0.022) than parents of non-obesechildren. Non-obese parents of obesechildren experienced better communication in the domains of listening carefully (p<0.001) and spending enough time (p=0.007). Parents of obese non-Hispanic Asian children and non-Hispanic Black children were more likely to report that providers explained things well (p=0.043) and listened carefully (p=0.012), respectively. CONCLUSION: Parents of obesechildren experienced better communication if parents were non-obese or children were non-Hispanic Black or Asian. PRACTICE IMPLICATIONS: Healthcare providers should ensure effective communication with obese parents of obesechildren.
Authors: Robert P Schwartz; Robin Hamre; William H Dietz; Richard C Wasserman; Eric J Slora; Esther F Myers; Susan Sullivan; Helaine Rockett; Kathleen A Thoma; Gema Dumitru; Kenneth A Resnicow Journal: Arch Pediatr Adolesc Med Date: 2007-05
Authors: Kathryn I Pollak; Paul Nagy; John Bigger; Alicia Bilheimer; Pauline Lyna; Xiaomei Gao; Michael Lancaster; R Chip Watkins; Fred Johnson; Sanjay Batish; Joseph A Skelton; Sarah Armstrong Journal: Patient Educ Couns Date: 2015-08-11
Authors: Che Wan Jasimah Wan Mohamed Radzi; Hashem Salarzadeh Jenatabadi; Ayed R A Alanzi; Mohd Istajib Mokhtar; Mohd Zufri Mamat; Nor Aishah Abdullah Journal: Int J Environ Res Public Health Date: 2019-02-10 Impact factor: 3.390