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. 2018 Apr 6;26(5):814–818. doi: 10.1002/oby.22173

Table 1.

Factors associated with obesity care cascade engagement, US adults ages 30‐64

Perceived as having overweight Wants to lose weight Tried to lose weight Sought health professional
AOR 95% CI P AOR 95% CI P AOR 95% CI P AOR 95% CI P
BMI at examination a, b 2.94 2.17‐3.99 0.000 2.20 1.39‐3.51 0.001 1.12 1.03‐1.23 0.010 1.06 0.93‐1.20 0.403
BMI at 25 a, c 0.73 0.63‐0.84 0.000 0.68 0.50‐0.91 0.011 1.13 1.05‐1.23 0.003 0.97 0.86‐1.10 0.655
Age d 0.95 0.80‐1.12 0.530 0.74 0.50‐1.10 0.140 0.94 0.85‐1.05 0.286 0.78 0.64‐0.95 0.014
Male 0.44 0.34‐0.57 0.000 0.76 0.48‐1.19 0.227 0.59 0.49‐0.72 0.000 0.61 0.45‐0.81 0.001
Insurance e 1.24 0.87‐1.77 0.221 1.64 0.88‐3.04 0.117 1.25 1.03‐1.52 0.027 2.15 1.36‐3.40 0.001
Education
Less than high school 1.00 — — 1.00 — — 1.00 — — 1.00 — —
High school or equivalent f 2.52 1.73‐3.67 0.000 1.01 0.42‐2.41 0.989 1.12 0.87‐1.44 0.385 1.19 0.72‐1.99 0.489
More than high school 2.69 1.96‐3.70 0.000 1.68 0.67‐4.25 0.267 1.88 1.49‐2.37 0.000 1.83 1.17‐2.88 0.009
Diabetes e 1.47 1.03‐2.09 0.034 1.16 0.45‐2.97 0.752 1.60 1.19‐2.14 0.002 1.74 1.12‐2.71 0.015
Arthritis e 1.08 0.75‐1.57 0.668 3.21 1.40‐7.39 0.007 1.28 1.04‐1.56 0.018 1.19 0.84‐1.68 0.316
Physical difficulty g 1.18 0.70‐1.97 0.527 1.03 0.21‐5.13 0.970 0.70 0.56‐0.87 0.002 1.65 1.05‐2.59 0.030
Race
Non‐Hispanic white 1.00 — — 1.00 — — 1.00 — — 1.00 — —
Non‐Hispanic black 0.30 0.22‐0.42 0.000 0.66 0.35‐1.26 0.208 1.20 0.97‐1.48 0.097 1.12 0.88‐1.43 0.343
Hispanic 0.75 0.50‐1.14 0.176 0.90 0.44‐1.86 0.778 1.28 1.00‐1.64 0.048 0.89 0.62‐1.28 0.529
Other 0.55 0.29‐1.07 0.079 1.22 0.26‐5.79 0.798 1.32 0.87‐2.02 0.186 0.88 0.50‐1.54 0.641
Survey year
2005‐2006 1.00 — — 1.00 — — 1.00 — — 1.00 — —
2007‐2008 0.53 0.34‐0.81 0.004 0.81 0.31‐2.14 0.666 0.74 0.61‐0.89 0.002 0.94 0.63‐1.42 0.781
2009‐2010 0.60 0.39‐0.94 0.025 1.09 0.41‐2.87 0.866 0.74 0.57‐0.95 0.020 0.78 0.52‐1.17 0.230
2011‐2012 0.54 0.30‐0.95 0.034 0.68 0.28‐1.65 0.384 0.79 0.58‐1.08 0.134 0.90 0.64‐1.27 0.537
Subpopulation (n) 4,585 4,170 4,093 2,756

Multivariable AORs estimated using continuation ratio logit model with coefficients freely varying across stages. Analysis incorporated sample weights and accounted for complex design of NHANES.

a

BMI at examination and BMI at 25 effect sizes scaled for 5‐kg/m2 units.

b

BMI at examination calculated with measured height and weight.

c

BMI at 25 calculated with measured height and recalled weight at age 25.

d

Age effect size scaled for 10‐y unit.

e

Self‐reported diabetes, arthritis, and insurance status.

f

High school or equivalent includes GED.

g

Physical difficulty included 6 measures of physical function indicated by difficulty walking a quarter of a mile; walking up 10 steps; stooping, crouching, or kneeling; lifting or carrying 10 lb; walking between rooms on the same floor; or standing up from an armless chair.

AOR, adjusted odds ratio; GED, general equivalency diploma; NHANES, National Health and Nutrition Examination Survey.