The association between parent-reported provider communication quality and child obesity status: Variation by parent obesity and child race/ethnicity |
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| Affiliation: | 1. Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, USA;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;5. Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA;1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, USA;2. Albany Area Primary Health Care, Albany, USA;1. McGraw Patterson Center for Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA;2. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA;3. Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA;4. Susan F. Smith Center for Women''s Cancers, Dana-Farber Cancer Institute, Boston, MA, USA;5. Colon Cancer Alliance, Washington, DC, USA;6. Department of Nursing, Dana-Farber Cancer Institute, Boston, MA, USA;7. Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA;8. Division of Hematology and Oncology, University Hospitals Case Medical Center, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA;1. Yale School of Medicine & Yale School of Management, New Haven, USA;2. Department of Internal Medicine, Yale School of Medicine, New Haven, USA;1. Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands;2. Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands;3. Faculty of Health Sciences, University College of Southeast Norway, Drammen, Norway;1. Division of General Internal Medicine and Primary Care, Brigham and Women’s Hospital (Baer, Cho, Bates), Boston, Massachusetts;2. Countway Library of Medicine (Bain), Boston, Massachusetts;3. Harvard Medical School (Baer, Cho, Bates), Boston, Massachusetts;4. Harvard School of Public Health (Baer, Bates), Boston, Massachusetts;5. Division of Gastroenterology, Beth Israel Deaconess Medical Center (Walmer), Boston, Massachusetts;6. Partners HealthCare (Bates), Boston, Massachusetts;7. Inha University (Cho), Incheon, South Korea;1. Department of pediatric endocrinology and diabetology, university hospital of Angers, 4, rue Larrey, 49933 Angers cedex 9, France;2. Department of pediatric psychiatry, university hospital of Angers, 49933 Angers cedex 9, France;3. Pediatric follow-up care center Les Capucins, 49103 Angers cedex 02, France;4. Department of endocrinology, diabetology and nutrition, university hospital of Angers, 49933 Angers cedex 9, France;5. Department of general and metabolic surgery, Anjou clinic, 49044 Angers cedex 01, France;6. Department of pediatric surgery, university hospital of Angers, 49933 Angers cedex 9, France |
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| Abstract: | ObjectiveTo 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.MethodsWe 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.ResultsParents 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.ConclusionParents of obese children experienced better communication if parents were non-obese or children were non-Hispanic Black or Asian.Practice implicationsHealthcare providers should ensure effective communication with obese parents of obese children. |
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| Keywords: | Parent-reported pediatric provider communication Obesity Health disparities |
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