Use of preventive services of overweight and obese Europeans aged 50-79 years.

TitleUse of preventive services of overweight and obese Europeans aged 50-79 years.
Publication TypeJournal Article
Year of Publication2007
AuthorsPeytremann-Bridevaux, I, Santos-Eggimann, B
JournalJ Gen Intern Med
Date Published2007 Jul
KeywordsAged, Body Mass Index, Cross-Sectional Studies, Europe, Female, Health Services Accessibility, Health Surveys, Humans, Male, Middle Aged, Obesity, Overweight, Physician-Patient Relations, Preventive Medicine, Primary Health Care

BACKGROUND: Although frequent contacts with health care systems may represent more opportunities to receive preventive services, excess body weight has been linked to decreased access to preventive services and quality of care.

OBJECTIVE: The objective of the study is to examine whether obese and overweight, compared to normal weight persons, have different experiences of preventive care.

DESIGN: The study design is cross-sectional. Baseline data (2004) of a population-based survey conducted in 10 European countries.

PARTICIPANTS: The participants were noninstitutionalized adults, 13,859, (50-79 years) with body mass index (BMI) > or = 18.5 kg/m2, who answered the baseline and supplementary questionnaires (overall response rate of 51.3%) of the Survey of Health, Ageing and Retirement in Europe (SHARE).

MEASUREMENTS: BMI was divided into normal weight (BMI, 18.5-24.9 kg/m2), overweight (BMI, 25.0-29.9 kg/m2), and obesity (BMI >30 kg/m2). Reported dependent variables were: influenza immunization, colorectal and breast cancer screening, discussion and recommendation about physical activity, and weight measurement. We performed multivariate logistic regressions, adjusting for age, sex, education, income, smoking, alcohol consumption, physical activity, and country.

RESULTS: Overweight and obesity were associated with higher odds of receiving influenza immunization but not with receipt of breast or colorectal cancer screening. Overweight and obese individuals mentioned more frequently that their general practitioner discussed physical activity or checked their weight, which was not explained by chronic diseases or the number of ambulatory care visits.

CONCLUSIONS: These first data from SHARE did not suggest that overweight or obesity were associated with decreased use of preventive services.

Alternate URL

Alternate JournalJ Gen Intern Med
Citation Key / SERVAL ID2499
PubMed ID17404799
PubMed Central IDPMC2219714
Grant ListOGHA 04-064 / / PHS HHS / United States
P01 AG005842 / AG / NIA NIH HHS / United States
P01 AG08291 / AG / NIA NIH HHS / United States
P30 AG12815 / AG / NIA NIH HHS / United States
U01 AG09740-13S2 / AG / NIA NIH HHS / United States
Y1-AG-4553-01 / AG / NIA NIH HHS / United States


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