Screening and management of obesity and perception of weight status in medicaid recipients

Stephanie A. Rose, Yevgeniya Gokun, Jeffery Talbert, Joseph Conigliaro

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective. We sought to identify any correlations among primary care provider weight screening and counseling, patient weight perception, and weight loss attempt. Methods. We performed a cross- sectional analysis of obesity- related questions from 2009 and 2010 Kentucky Medicaid Adult Patient and Provider survey data. Results. 1,510 patients [46% obese (body mass index (BMI) ≥30 kg/m2), 26% overweight (BMI 25 to <30), 26% normal weight (BMI 18 to <25), and 2% underweight (BMI<18)] and 787 providers (41% primary care) met criteria. Patients and providers differed on report of physician weight loss counseling (46% versus 92%). Patient report of physician weight loss counseling and weight loss attempt were positively correlated (77% with versus 38% without counseling, p<.01). One- fifth of patients underperceived their weight. Patients reporting physician weight counseling were less likely to underperceive their weight (13% versus 23%, p<.0001). Conclusions. Weight loss attempt and accurate weight perception were positively correlated with physician weight discussion.

Original languageEnglish
Pages (from-to)34-46
Number of pages13
JournalJournal of Health Care for the Poor and Underserved
Issue numberSUPPL.2
StatePublished - May 2013


  • Diabetes
  • Hispanic
  • Intervention
  • Minorities
  • Obesity
  • Prevention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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