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BMC Primary Care

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Open Access 01-12-2004 | Research article

Psychosocial risk factors for obesity among women in a family planning clinic

Authors: James E Rohrer, Barbara M Rohland

Published in: BMC Primary Care | Issue 1/2004

Abstract

Background

The epidemiology of obesity in primary care populations has not been thoroughly explored. This study contributes to filling this gap by investigating the relationship between obesity and different sources of personal stress, mental health, exercise, and demographic characteristics.

Methods

A cross-sectional survey using a convenience sample. Five hundred women who attended family planning clinics were surveyed and 274 provided completed answers to all of the questions analyzed in this study. Exercise, self-rated mental health, stress, social support, and demographic variables were included in the survey. Multiple logistic regression analysis was performed.

Results

After adjusting for mental health, exercise, and demographic characteristics of subjects, analysis of the data indicated that that being having a large family and receiving no support from parents were related to obesity in this relatively young low-income primary care sample, but self-reported stress and most types of social support were not significant.

Conclusion

Obesity control programs in primary care centers directed at low-income women should target women who have large families and who are not receiving support from their parents.

Sammel MD, Grisso JA, Freeman EW, Hollander L, Liu L, Liu S, Nelson DB, Battistini M: Weight gain among women in the late reproductive years. Fam Pract. 2003, 20 (4): 401-409. 10.1093/fampra/cmg411.CrossRefPubMed

Onyike CU, Crum RM, Lee HB, Lyketsos CG, Eaton W: Is Obesity Associated with Major Depression? Results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol. 2003, 158 (12): 1139-1147. 10.1093/aje/kwg275.CrossRefPubMed

Kaplan MS, Huguet N, Newson JT, McFarland BH, Lindsay J: Prevalence and Correlates of Overweight and Obesity Among Older Adults: Findings From the Canadian National Population Health Survey. J Gerontol A Biol Sci Med Sci. 2003, 58 (11): 1018-1030.CrossRefPubMed

Goodman E, Whitaker RC: A Prospective Study of the Role of Depression in the Development and Persistence of Adolescent Obesity. Pediatrics. 2002, 110 (3): 497-504. 10.1542/peds.110.3.497.CrossRefPubMed

Mustillo S, Worthman C, Erkanli A, Keeler G, Angold A, Costello EJ: Obesity and Psychiatric Disorder: Developmental Trajectories. Pediatrics. 2003, 111 (4): 851-859. 10.1542/peds.111.4.851.CrossRefPubMed

Goodman E, Slap GB, Huang B: The Public Health Impact of socioeconomic Status on Adolescent Depression and Obesity. Am J Public Health. 2003, 93 (11): 1844-1850.CrossRefPubMedPubMedCentral

Allen J, Markovitz J, Jacobs DR, Knox SS: Social Support and Health Behavior in Hostile Black and White Men and Women in CARDIA. Psychosom Med. 2001, 63: 609-618.CrossRefPubMed

Haas JS, Lee LB, Kaplan CP, Sonnemorn D, et al: The Association of Race, Socioeconomic Status, and Health Insurance Status With the Prevalence of Overweight Among children and Adolescents. Am J Public Health. 2003, 93 (12): 2105-2110.CrossRefPubMedPubMedCentral

Parkerson GR, Broadhead WE, Tse C-KJ: The Duke Health Profile, A 17-Item Measure of Health and Dysfunction. Med Care. 1990, 28 (11): 1056-1072.CrossRefPubMed

10.

Parkerson GR, Broadhead WE, Tse CK: Validation of the Duke Social Support and Stress Scale. Fam Med. 1991, 23 (5): 357-60.PubMed

11.

Carpenter KM, Hasin DS, Allison DB, Faith MS: Relationships between Obesity and DSM-IV Major Depressive Disorder, Suicide Ideation, and Suicide Attempts: Results from a General Population Study. Am J Public Health. 2000, 90: 251-257.CrossRefPubMedPubMedCentral

12.

Pikhart H, Bobak M, Siegrist J, Pajak A, Pywik S, Kyshergvi J, Gostatas A, Skodova Z, Marmot M: Psychosocial work characteristics and self rated health in four post-communist countries. J Epidemiol Health. 2001, 55: 624-630. 10.1136/jech.55.9.624.CrossRef

13.

Ala-Mursula L, Vahtera J, Kivmaki M, Kevin MV, Pentti J: Employee control over working times: associations with subjective health and sickness absences. J Epidemiol Community Health. 2002, 56: 272-278. 10.1136/jech.56.4.272.CrossRefPubMedPubMedCentral

14.

Eriksen W, Bruusgaard D, Knardahl S: Work factors as predictors of sickness absence: a three month prospective study of nurses' aides. Occup Environ Med. 2003, 60: 272-278. 10.1136/oem.60.4.271.CrossRef

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2296/5/20/prepub

Title: Psychosocial risk factors for obesity among women in a family planning clinic
Authors: James E Rohrer
Barbara M Rohland
Publication date: 01-12-2004
Publisher: BioMed Central
Published in: BMC Primary Care / Issue 1/2004
Electronic ISSN: 2731-4553
DOI: https://doi.org/10.1186/1471-2296-5-20

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Psychosocial risk factors for obesity among women in a family planning clinic

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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