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Contributory Factors Influencing Interdisciplinary Pediatric Weight Management Program Attendance for Racially

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Access to pediatric weight management programs is difficult for racially minoritized youth. This study found that proximity to the program and public health insurance influenced attendance for these underserved populations.

Keywords:
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Area of Science:

  • Pediatric Health
  • Health Disparities
  • Obesity Medicine

Background:

  • Childhood obesity presents complex biopsychosocial challenges.
  • Historically, racially minoritized youth face significant barriers to accessing weight management treatments.
  • Multifaceted approaches are essential for effective pediatric obesity treatment.

Purpose of the Study:

  • To examine factors affecting treatment attendance in racially minoritized youth within a pediatric weight management program.
  • To identify barriers and facilitators for accessing care among underserved populations.
  • To inform strategies for improving equitable access to childhood obesity interventions.

Main Methods:

  • Retrospective analysis of 228 participants' medical data from 2018-2021.
  • Collected data included demographics, insurance, telehealth use, health-related quality of life (HRQOL), and geographic distance.
  • Compared attendance patterns between racially minoritized and majority youth.

Main Results:

  • Racially minoritized youth residing in the Indianapolis area showed higher program attendance.
  • Underrepresentation was noted for racially minoritized participants living farther from the program site.
  • Racially minoritized families were more likely to have public health insurance compared to majority families.

Conclusions:

  • Geographic accessibility is a critical factor influencing participation in pediatric weight management.
  • Public insurance status is associated with attendance patterns in racially minoritized youth.
  • Targeted interventions are needed to enhance access and treatment for underserved youth with obesity.