The role of weight, race, and health care experiences in care use among young men and women

Susan Persky, Hendrik de Heer, Colleen M. McBride, Robert J. Reid

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective Increases in overweight and obesity (O/O)-related morbidities and health care costs raise questions about how weight influences patients' health care use and care experiences. Past research has been inconsistent; however, prior study designs and samples have limited exploration of how this association might be influenced by gender, race, and the joint impact of these factors. Methods This analysis of 1,036 young, relatively healthy, ethnically diverse, insured adults assessed the influence of O/O, gender, and race on, and the role of health care experiences in primary and preventive care use over a 12-month period. Results The association of weight status with care use differed by gender. O/O men used more primary care visits; O/O women used fewer preventive care visits than their healthy weight counterparts. O/O men had poorer health care experiences than healthy weight men. African-American women reported poorer experiences, but those who were O/O reported greater trust in their provider. Care experience ratings did not explain the associations between BMI and care use. Conclusions Gender, race, and visit type together provide a context for O/O patient's care that may not be explained by care experiences. This context must be considered in efforts to encourage appropriate use of services.

Original languageEnglish (US)
Pages (from-to)1194-1200
Number of pages7
JournalObesity
Volume22
Issue number4
DOIs
StatePublished - 2014

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Obesity
Delivery of Health Care
Weights and Measures
Preventive Medicine
Primary Health Care
Patient Care
African Americans
Health Care Costs
Joints
Morbidity
Research

ASJC Scopus subject areas

  • Endocrinology
  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Medicine(all)

Cite this

The role of weight, race, and health care experiences in care use among young men and women. / Persky, Susan; de Heer, Hendrik; McBride, Colleen M.; Reid, Robert J.

In: Obesity, Vol. 22, No. 4, 2014, p. 1194-1200.

Research output: Contribution to journalArticle

Persky, Susan ; de Heer, Hendrik ; McBride, Colleen M. ; Reid, Robert J. / The role of weight, race, and health care experiences in care use among young men and women. In: Obesity. 2014 ; Vol. 22, No. 4. pp. 1194-1200.
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