Journal of Immigrant and Minority Health
Volume 18, Issue 6, 2016, Pages 1489-1497

Patient Activation is Inconsistently Associated with Positive Health Behaviors Among Obese Safety Net Patients (Article)

AuYoung M.* , Ponce N.A. , Duru O.K. , Bustamante A.V. , Mangione C.M. , Rodriguez H.P.
  • a Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States, Department of Veterans Affairs, Center for Clinical Management Research, VA HSR&D/CCMR (Mail Stop 152), P.O. Box 130170, Ann Arbor, MI 48113-0170, United States
  • b Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States, UCLA Center for Health Policy Research, University of California, Los Angeles, Los Angeles, CA, United States
  • c Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
  • d Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States
  • e Division of General Internal Medicine and Health Services Research, Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States
  • f Division of Health Policy and Management, School of Public Health, University of California, Berkeley, Berkeley, CA, United States

Abstract

We examine the association of patient activation and physical activity and fruit and vegetable consumption among obese safety net patients. Adult obese patients (n = 198) of three safety net clinics completed a survey assessing patient activation, physical activity, fruit and vegetable consumption, care experiences, and health status. Multivariate logistic regression models incrementally assessed the adjusted relation of patient activation and physical activity and fruit and vegetable consumption. In adjusted analyses, higher activated patients had higher odds [Odds ratio (OR) 1.58, p < 0.01] of consuming fruits and vegetables daily than less activated patients. There was no significant association between patient activation and regular physical activity. Engaging in regular physical activity appears to be difficult, even for highly activated patients. In contrast, additional fruit and vegetable consumption is a relatively easier change. Patient activation was inconsistently associated with two positive health behaviors among obese safety net patients. © 2015, Springer Science+Business Media New York.

Author Keywords

minority health health behaviors Patient activation Safety net clinics Practice redesign physical activity

Index Keywords

Safety-net Providers Communication exercise Vegetables fruit vegetable interpersonal communication human Health Behavior middle aged Odds Ratio statistics and numerical data professional-patient relationship obesity Professional-Patient Relations health status diet Logistic Models Humans psychology male female Socioeconomic Factors socioeconomics safety net hospital adult patient participation statistical model body mass Body Mass Index
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944704354&doi=10.1007%2fs10903-015-0285-y&partnerID=40&md5=e515a4e01387e0f873dc5bb9345fa156
DOI: 10.1007/s10903-015-0285-y
ISSN: 15571912
Cited by: 2
Original Language: English