Physician screening for multiple behavioral health risk factors - PubMed (original) (raw)
Physician screening for multiple behavioral health risk factors
Elliot J Coups et al. Am J Prev Med. 2004 Aug.
Abstract
Background: Screening rates in primary care for single behavioral health risk factors are widely documented. However, such risk factors cluster in individuals and populations. This article examines the number and types of behavioral risk factors that U.S. adults reported, and reported having been screened for in their last routine medical checkup.
Methods: The sample consisted of 16,818 adults from the 1998 National Health Interview Survey who reported having a routine checkup in the past year. Respondents completed questions regarding four behavioral risk factors (physical inactivity, overweight, cigarette smoking, risky drinking), and provider screening for behaviors related to these risk factors.
Results: Half of the sample (52.0%) reported having two or more of the four risk factors, and more than half (59.4%) were screened for two or more risk behaviors during their last routine checkup, although 28.6% reported being screened for none of them. Respondents reporting at least one risk factor were screened for an average of 57.7% of their own risk factors. Women, adults with lower levels of income and education, and those aged 65 and older, reported being screened for fewer of their risk factors.
Conclusions: While guidelines for risk factor screening and intervention typically focus on single behavioral risk factors, most primary care patients present with, and are screened for, more than one. Behavioral risk factor screening tools and interventions must be expanded to cover multiple risks. Additionally, efforts are needed to reduce the substantial missed opportunities for screening, and to eliminate demographic disparities in screening practices and accuracy.
Similar articles
- Multiple behavioral risk factors for colorectal cancer and colorectal cancer screening status.
Coups EJ, Manne SL, Meropol NJ, Weinberg DS. Coups EJ, et al. Cancer Epidemiol Biomarkers Prev. 2007 Mar;16(3):510-6. doi: 10.1158/1055-9965.EPI-06-0143. Cancer Epidemiol Biomarkers Prev. 2007. PMID: 17372246 - Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey.
Fine LJ, Philogene GS, Gramling R, Coups EJ, Sinha S. Fine LJ, et al. Am J Prev Med. 2004 Aug;27(2 Suppl):18-24. doi: 10.1016/j.amepre.2004.04.017. Am J Prev Med. 2004. PMID: 15275670 - Dental screening and referral of young children by pediatric primary care providers.
dela Cruz GG, Rozier RG, Slade G. dela Cruz GG, et al. Pediatrics. 2004 Nov;114(5):e642-52. doi: 10.1542/peds.2004-1269. Pediatrics. 2004. PMID: 15520094 - Assessing multiple risk behaviors in primary care. Screening issues and related concepts.
Babor TF, Sciamanna CN, Pronk NP. Babor TF, et al. Am J Prev Med. 2004 Aug;27(2 Suppl):42-53. doi: 10.1016/j.amepre.2004.04.018. Am J Prev Med. 2004. PMID: 15275673 Review. - Multiple behavioral risk factor interventions in primary care. Summary of research evidence.
Goldstein MG, Whitlock EP, DePue J; Planning Committee of the Addressing Multiple Behavioral Risk Factors in Primary Care Project. Goldstein MG, et al. Am J Prev Med. 2004 Aug;27(2 Suppl):61-79. doi: 10.1016/j.amepre.2004.04.023. Am J Prev Med. 2004. PMID: 15275675 Review.
Cited by
- Remaining Life Expectancy Measurement and PSA Screening of Older Men.
Kotwal AA, Mohile SG, Dale W. Kotwal AA, et al. J Geriatr Oncol. 2012 Jul 1;3(3):196-204. doi: 10.1016/j.jgo.2012.02.003. J Geriatr Oncol. 2012. PMID: 22773938 Free PMC article. - Healthy lifestyle behaviors among older U.S. adults with and without disabilities, Behavioral Risk Factor Surveillance System, 2003.
McGuire LC, Strine TW, Okoro CA, Ahluwalia IB, Ford ES. McGuire LC, et al. Prev Chronic Dis. 2007 Jan;4(1):A09. Epub 2006 Dec 15. Prev Chronic Dis. 2007. PMID: 17173717 Free PMC article. - Discussing patient's lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008.
Noordman J, Verhaak P, van Dulmen S. Noordman J, et al. BMC Fam Pract. 2010 Nov 9;11:87. doi: 10.1186/1471-2296-11-87. BMC Fam Pract. 2010. PMID: 21062427 Free PMC article. - Responding to Young People's Health Risks in Primary Care: A Cluster Randomised Trial of Training Clinicians in Screening and Motivational Interviewing.
Sanci L, Chondros P, Sawyer S, Pirkis J, Ozer E, Hegarty K, Yang F, Grabsch B, Shiell A, Cahill H, Ambresin AE, Patterson E, Patton G. Sanci L, et al. PLoS One. 2015 Sep 30;10(9):e0137581. doi: 10.1371/journal.pone.0137581. eCollection 2015. PLoS One. 2015. PMID: 26422235 Free PMC article. Clinical Trial. - Health Lifestyle Behaviors among U.S. Adults.
Saint Onge JM, Krueger PM. Saint Onge JM, et al. SSM Popul Health. 2017 Dec;3:89-98. doi: 10.1016/j.ssmph.2016.12.009. SSM Popul Health. 2017. PMID: 28785602 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Miscellaneous