The relationship between patient income and physician discussion of health risk behaviors.
Context. - The US Preventive Services Task Force recommends that physicians assess patients'health risk behaviors, addressing those needing modification.
- To examine the relationship between patient income, health risk behaviors, the prevalence of physician discussion of these behaviors, and the receptiveness of patients to their physicians'advice.
- Employee survey.
- A random sample of 6549 Massachusetts state employees in 12 health plans.
Main Outcome Measures
- Data were obtained using a patient-completed mail survey.
Trend tests were used to discern differences in the prevalence of health risk behaviors, physician discussion of these behaviors, and patient receptiveness to discussions by patient income.
- Although unhealthy behaviors were common among all income groups, physician discussion of health risk behaviors fell far short of the universal risk assessment recommended by the US Preventive Services Task Force.
Low-income patients were more likely to be obese and smoke than high-income patients and were less likely to wear seat belts and exercise.
In contrast, stress and alcohol consumption increased with income, while the proportion of heavy drinkers did not vary significantly. (...)
Mots-clés Pascal : Comportement, Santé, Risque, Relation médecin malade, Discussion, Education santé, Evaluation, Homme, Prévention, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire
Mots-clés Pascal anglais : Behavior, Health, Risk, Physician patient relation, Discussion, Health education, Evaluation, Human, Prevention, United States, North America, America, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0017984
Code Inist : 002B30A03A. Création : 17/04/1998.