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8. Can We Talk? Initiating Conversations between Women and Their Health Care Providers about Weight Loss Activities Using Self-rated Health

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Abstract:

Overweight/obese women are more likely to negatively rate their health status but less likely to utilize preventative health care services. Previous research indicates that under utilization can be attributed to provider bias against overweight/obese patients. My central hypothesis is that women’s subjective measure of their health status is an accurate measure of their actual clinical health status.

This research uses secondary data from the NHANES III (7,418 Non-Hispanic Black and Non-Hispanic White women (not pregnant)) to determine if self-rated health (SRH) can be predicted by women’s race/ethnicity, bmi, self-perception of body image, and co-morbidities of obesity. Results of the logistic regression indicate that there is little difference between how African American women and European American women assess their SRH and that women’s self-rated health was conceptualized according to their bmi, perception of being overweight, and their odds of having been diagnosed with hypertension and/or high cholesterol.

Positive SRH
 African American women who rated their health positively
 were more likely to have BMIs below 24.9 (1.16)
 were less likely to consider themselves overweight (.686)
 were less likely to have hypertension (.339)
 were less likely to have high cholesterol (.714)
 European American women who rated their health positively
 were more likely to have BMIs below 24.9 (1.03)
 were less likely to consider themselves overweight (.245)
 were less likely to have hypertension (.490)
 were less likely to have high cholesterol (3.00)
Negative SRH
 African American women who rated their health negatively
 were more likely to have BMIs above 24.9 (.858)
 were more likely to consider themselves overweight (1.45)
 were more likely to have hypertension (2.95)
 were more likely to have high cholesterol (1.40)
 European American women who rated their health negatively
 were more likely to have BMIs above 24.9 (.971)
 were more likely to consider themselves overweight (4.08)
 were more likely to have hypertension (2.04)
 were more likely to have high cholesterol (.333)

The results of this study indicate that SRH is logically conceived by both AA women and EA women. Previous research has indicated that self-rated health can indicate when and how people seek medical advice; can be used to assess disease; aspects of general well-being; and can assist in predicting people’s health behaviors (Komar et al. 2006). Self-rated health could be used to gauge whether women are ready to initiate weight loss activities such as exercising and dieting.

Most Common Document Word Stems:

like (18), health (15), women (15), rate (10), less (7), self (6), american (6), self-rat (5), high (5), overweight (5), cholesterol (5), hypertens (5), indic (5), srh (5), use (4), 24.9 (4), bmis (4), consid (4), negat (4), research (3), posit (3),

Author's Keywords:

Self-rated Health, Women, Obesity, Stigma
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Association:
Name: American Sociological Association
URL:
http://www.asanet.org


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URL: http://www.allacademic.com/meta/p182989_index.html
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MLA Citation:

Guy-Lee, Angela. "8. Can We Talk? Initiating Conversations between Women and Their Health Care Providers about Weight Loss Activities Using Self-rated Health" Paper presented at the annual meeting of the American Sociological Association, TBA, New York, New York City, Aug 11, 2007 Online <PDF>. 2008-08-15 <http://www.allacademic.com/meta/p182989_index.html>

APA Citation:

Guy-Lee, A. K. (2007, Aug) "8. Can We Talk? Initiating Conversations between Women and Their Health Care Providers about Weight Loss Activities Using Self-rated Health" Paper presented at the annual meeting of the American Sociological Association, TBA, New York, New York City Online <PDF> Retrieved 2008-08-15 from http://www.allacademic.com/meta/p182989_index.html

Publication Type: Poster
Abstract: Overweight/obese women are more likely to negatively rate their health status but less likely to utilize preventative health care services. Previous research indicates that under utilization can be attributed to provider bias against overweight/obese patients. My central hypothesis is that women’s subjective measure of their health status is an accurate measure of their actual clinical health status.

This research uses secondary data from the NHANES III (7,418 Non-Hispanic Black and Non-Hispanic White women (not pregnant)) to determine if self-rated health (SRH) can be predicted by women’s race/ethnicity, bmi, self-perception of body image, and co-morbidities of obesity. Results of the logistic regression indicate that there is little difference between how African American women and European American women assess their SRH and that women’s self-rated health was conceptualized according to their bmi, perception of being overweight, and their odds of having been diagnosed with hypertension and/or high cholesterol.

Positive SRH
 African American women who rated their health positively
 were more likely to have BMIs below 24.9 (1.16)
 were less likely to consider themselves overweight (.686)
 were less likely to have hypertension (.339)
 were less likely to have high cholesterol (.714)
 European American women who rated their health positively
 were more likely to have BMIs below 24.9 (1.03)
 were less likely to consider themselves overweight (.245)
 were less likely to have hypertension (.490)
 were less likely to have high cholesterol (3.00)
Negative SRH
 African American women who rated their health negatively
 were more likely to have BMIs above 24.9 (.858)
 were more likely to consider themselves overweight (1.45)
 were more likely to have hypertension (2.95)
 were more likely to have high cholesterol (1.40)
 European American women who rated their health negatively
 were more likely to have BMIs above 24.9 (.971)
 were more likely to consider themselves overweight (4.08)
 were more likely to have hypertension (2.04)
 were more likely to have high cholesterol (.333)

The results of this study indicate that SRH is logically conceived by both AA women and EA women. Previous research has indicated that self-rated health can indicate when and how people seek medical advice; can be used to assess disease; aspects of general well-being; and can assist in predicting people’s health behaviors (Komar et al. 2006). Self-rated health could be used to gauge whether women are ready to initiate weight loss activities such as exercising and dieting.

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Document Type: PDF
Page count: 3
Word count: 428
Text sample:
Angela K. Guy-Lee af5318@wayne.edu Wayne State University Can we talk? Initiating conversations between women and their health care providers about weight loss activities using self-rated health Overweight/obese women are more likely to negatively rate their health status but less likely to utilize preventative health care services. Previous research indicates that under utilization can be attributed to provider bias against overweight/obese patients. My central hypothesis is that women’s subjective measure of their health is an accurate measure of their actual
24.9 (.971) were more likely to consider themselves overweight (4.08) were more likely to have hypertension (2.04) Angela K. Guy-Lee af5318@wayne.edu Wayne State University were more likely to have high cholesterol (.333) The results of this study indicate that SRH is logically conceived by both AA women and EA women. Previous research has indicated that self-rated health can indicate when and how people seek medical advice; can be used to assess disease; aspects of general well-being; and can assist


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