Lifestyle behavior counseling for women patients among a sample of California physicians

Jennifer C. Livaudais, Celia Patricia Kaplan, Jennifer S. Haas, Eliseo J. Pérez-Stable, Susan Stewart, Genevieve Des Jarlais

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: Physical inactivity, poor diet, excessive alcohol consumption, and smoking are modifiable risk factors associated with development of chronic diseases. Although the prevalence of diseases associated with these detrimental lifestyle behaviors is high among women in the United States, they may not receive adequate counseling from physicians. Methods: To predict physicians' lifestyle counseling practices, we assessed personal, professional, and health behavior characteristics from responses to a self-administered survey of breast cancer risk reduction practices. Subjects were California physicians identified through AMA Masterfile, in family practice, internal medicine, or obstetrics/gynecology, who were asked to report the percentages of women patients they counseled on physical activity, diet, alcohol, and smoking. Results: Of 1647 eligible physicians, 822 (50.0%) responded. Fifty-six percent reported counseling at least 75% of patients about physical activity, 54.6% about diet, and 44.8% about alcohol. More than three quarters (78.7%) counseled at least 75% of patients about smoking. In logistic regression analyses, woman gender, family practice, and internal medicine specialties emerged as significant predictors of counseling for all lifestyle behaviors. Older age was associated with dietary and alcohol counseling. Race/ethnicity was associated only with smoking counseling, and country of medical school was associated with counseling for physical activity and smoking. Sources of new medical knowledge emerged as predictors for all types of counseling, whereas physicians' own level of physical activity only predicted counseling about physical activity. Conclusions: Physicians' personal, professional, practice, and health behavior characteristics were associated with reported lifestyle counseling of women patients. Results reveal important directions for future physician-based interventions to improve counseling.

Original languageEnglish (US)
Pages (from-to)485-495
Number of pages11
JournalJournal of Women's Health
Volume14
Issue number6
DOIs
StatePublished - Jul 2005
Externally publishedYes

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Life Style
Counseling
Physicians
Smoking
Exercise
Family Practice
Health Behavior
Alcohols
Internal Medicine
Diet
Professional Practice
Risk Reduction Behavior
Medical Schools
Gynecology
Alcohol Drinking
Obstetrics
Chronic Disease
Logistic Models
Regression Analysis
Breast Neoplasms

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Livaudais, J. C., Kaplan, C. P., Haas, J. S., Pérez-Stable, E. J., Stewart, S., & Des Jarlais, G. (2005). Lifestyle behavior counseling for women patients among a sample of California physicians. Journal of Women's Health, 14(6), 485-495. https://doi.org/10.1089/jwh.2005.14.485

Lifestyle behavior counseling for women patients among a sample of California physicians. / Livaudais, Jennifer C.; Kaplan, Celia Patricia; Haas, Jennifer S.; Pérez-Stable, Eliseo J.; Stewart, Susan; Des Jarlais, Genevieve.

In: Journal of Women's Health, Vol. 14, No. 6, 07.2005, p. 485-495.

Research output: Contribution to journalArticle

Livaudais, JC, Kaplan, CP, Haas, JS, Pérez-Stable, EJ, Stewart, S & Des Jarlais, G 2005, 'Lifestyle behavior counseling for women patients among a sample of California physicians', Journal of Women's Health, vol. 14, no. 6, pp. 485-495. https://doi.org/10.1089/jwh.2005.14.485
Livaudais, Jennifer C. ; Kaplan, Celia Patricia ; Haas, Jennifer S. ; Pérez-Stable, Eliseo J. ; Stewart, Susan ; Des Jarlais, Genevieve. / Lifestyle behavior counseling for women patients among a sample of California physicians. In: Journal of Women's Health. 2005 ; Vol. 14, No. 6. pp. 485-495.
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