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Updated: Jan 7, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

健康リスク行動修正に関する臨床医のアドバイスのばらつき：横断研究

Rebecca D Sullenger¹, Benjamin D Sommers²

¹Duke University School of Medicine, 8 Searle Center Dr, Durham, NC 27710, USA; Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue Boston, MA 02115, USA.

American journal of preventive medicine

|December 28, 2025

要旨

Introduction:

Clinician advice to modify health behaviors can vary by patient race/ethnicity and sex, though prior studies are mixed and show variation over time. Research examining the role of insurance type is limited.

Methods:

The 2022 National Health Information Survey (NHIS) was analyzed in 2024 to estimate survey-weighted proportions of receiving clinician advice and associations with demographic factors among three at-risk groups: 1) adults who smoke cigarettes, 2) adults who engage in heavy drinking, and 3) adults with diabetes, hypertension, and/or obesity, who are insufficiently active.

Results:

In each relevant population, 47.5% received advice to quit smoking, 6.8% to decrease drinking, and 35.7% to increase physical activity. The odds of receiving advice to quit smoking were lower among Non-Hispanic (NH) Black (adjusted odds ratio (aOR) 0.68 [95%CI, 0.53-0.87]) and Hispanic adults (aOR 0.46 [95%CI, 0.30-0.69]) relative to NH White adults, and adults with no insurance (aOR 0.36 [95%CI, 0.24-0.56]) and private insurance (aOR 0.55, [95%CI, 0.39-0.77]) compared to Medicare. Men had higher odds (aOR: 2.36 [95%CI, 1.84-3.02]) of being advised to decrease drinking. Hispanic adults (aOR 1.27 [95%CI, 1.05-1.54]) had higher odds of receiving advice to increase physical activity; uninsured adults (aOR 0.51 [95%CI, 0.35-0.73]), men (aOR 0.85 [95%CI, 0.76-0.96]), and adults over 64 had lower odds. Adults aged 18-34 were the least likely to receive smoking or alcohol counseling.

Conclusion:

Many at-risk adults do not receive clinician advice to modify relevant health behaviors. Counseling rates vary by patient demographic factors, highlighting opportunities to improve health equity in preventive care.

キーワード:

臨床医のアドバイス格差健康行動変容

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