Who is counseled to lose weight? Survey results and anthropometric data from 3,149 lower socioeconomic women

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Because obesity is a grave public health concern, this study examined the percentage of disadvantaged women who recalled ever having received weight loss advice from a healthcare provider and factors associated with such advice. This study was part of a 5-clinic, cervical cancer prevention trial. Patients not immediately postpartum completed a Spanish/English survey; height and weight were also obtained. Of the 3,149 respondents (response rate 83%), 2,138 (68%) were overweight or obese (body mass index (BMI) ≥ 25); 94% reported a household income of <$35,000/year; 69% were Hispanic; 10% non-Hispanic black; and 40% completed the survey in Spanish. Only one-third reported ever having been told to lose weight. Based on BMI, these rates were 15% in the 25-29.9 range (overweight); 34% within 30-34.9; 57% within 35-39.9; and 73% ≥ 40. In univariate analyses, among overweight women, diabetes or English-speaking was associated with weight loss advice. In multivariate analyses, being older, more educated, and diabetic were associated with such advice. 48% of non-Hispanic whites, 31% of non-Hispanic blacks, and 29% of Hispanic had a home scale. Among disadvantaged women, obesity alone does not determine who recalls weight loss advice. Language barriers and lack of a home scale merit further study to address obesity.

Original languageEnglish (US)
Pages (from-to)202-207
Number of pages6
JournalJournal of Community Health
Volume37
Issue number1
DOIs
StatePublished - Feb 2012

Keywords

  • Counseling
  • Disadvantaged
  • Obesity
  • Overweight
  • Weight loss advice
  • Women

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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