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US pediatric dentists' counseling practices in addressing childhood obesity
Journal article   Peer reviewed

US pediatric dentists' counseling practices in addressing childhood obesity

Jessica Y Lee, Daniel J Caplan, Ziya Gizlice, Alice Ammerman, Robert Agans and Alice E Curran
Pediatric dentistry, Vol.34(3), pp.245-250
05/2012
PMID: 22795160

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Abstract

Pediatric dentists could be in an excellent position to identify and intervene early for children at high risk for overweight or obesity; however, current practices and attitudes are uncertain. This study's purpose was to explore the practices and attitudes of pediatric dentists regarding weight-and caries-related counseling. Data were analyzed from 1,779 pediatric dentists responding to a 2008-09 survey of 4,154 randomly selected pediatric and 3,846 general dentists. Data were weighted to account for unequal probability of selection and nonresponse rates among regions and dentist types. Sixty-five percent of respondents reported increased proportions of overweight/obese pediatric patients since they began practice, and approximately 9% offered weight-related counseling. By contrast, approximately 80% provided caries-related counseling. Major barriers to providing weight-related counseling included fears of offending parents/patients (~54%) and appearing judgmental (~53%), lack of patient acceptance of weight-loss advice from dentists (~47%), not enough trained personnel to provide counseling (~43%), and insufficient time (~28%). Multivariable predictors of providing weight-related counseling included female sex, Hispanic ethnicity, nongroup practice setting, practice ownership, and dentist self-reported normal- or underweight status. Primary barriers to weight-related counseling cited by pediatric dentists reflect concerns about offending patients and caregivers. Training and counseling addressing these concerns may help boost counseling rates.
Child Counseling Female Humans Male Middle Aged Obesity - therapy Pediatric Dentistry - manpower Practice Patterns, Dentists United States

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