Table 4.
Incidence rate ratiosa of physician communication behaviors between overweight and obese patients compared to normal weight patients
| IRR (95% CI) | ||||
|---|---|---|---|---|
| Normal Range | Overweight | Obese | ||
| BMI 18.5–24.9 kg/m2 (n=28) | BMI 25–29.9 kg/m2 (n=60) | BMI ≥30 kg/m2 (n=120) | ||
| Biomedical | Medical Data Gathering | 1.00 | 1.18 (0.94–1.47) p=0.15 |
1.20 (0.99–1.46) p=0.06 |
|
| ||||
| Medical Education and Counseling | 1.00 | 1.08 (0.87–1.33) p=0.50 |
1.00 (0.81–1.22) p=0.99 |
|
|
| ||||
| Psychosocial/Lifestyle | Psychosocial/Lifestyle Data Gathering | 1.00 | 0.78 (0.53–1.15) p=0.21 |
0.82 (0.57–1.19) p=0.30 |
|
| ||||
| Psychosocial/Lifestyle Education and Counseling | 1.00 | 1.00 (0.66–1.53) p=0.98 |
0.88 (0.58–1.33) p=0.54 |
|
|
| ||||
| Rapport Building | Positive Rapport Building | 1.00 | 0.92 (0.81–1.05) p=0.22 |
0.96 (0.85–1.08) P=0.48 |
|
| ||||
| Emotional Rapport Building | 1.00 | 0.65 (0.48–0.88) p=0.01 |
0.69 (0.58–0.82) p<0.01 |
|
|
| ||||
| Social Rapport Building | 1.00 | 0.62 (0.34–1.11) p=0.11 |
0.86 (0.43–1.70) p=0.66 |
|
IRR, incidence rate ratio; BMI, body mass index
a
Multilevel Poisson regression model adjusted for patient age, sex, race, depressive symptoms, number of co-morbidities, physician familiarity with the patient, and visit length.