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Journal of Immigrant and Minority Health

, Volume 18, Issue 6, pp 1489–1497 | Cite as

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

  • Mona AuYoung
  • Ninez A. Ponce
  • O. Kenrik Duru
  • Arturo Vargas Bustamante
  • Carol M. Mangione
  • Hector P. Rodriguez
Original Paper

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.

Keywords

Patient activation Physical activity Safety net clinics Practice redesign Health behaviors Minority health 

Notes

Acknowledgments

The authors would like to thank Lindsay Kimbro and Socorro Ochoa for their assistance in the questionnaire development and translation process. Thanks to Ms. Kimbro, Ms. Ochoa, and clinic leaders for their assistance in the data collection process. Finally, thanks to the patients for their interest and participation in the survey process.

Funding

This research was funded by the NIH/National Heart, Lung, and Blood Institute: California Comparative Effectiveness and Outcomes Improvement (CEOI) Center Grant #RC2HL101811. Author AuYoung was supported by the UCLA Graduate Division Dissertation Year Fellowship.

Compliance with Ethical Standards

Conflict of interest

We have no conflicting or competing interests to report.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Mona AuYoung
    • 1
    • 4
  • Ninez A. Ponce
    • 1
    • 5
  • O. Kenrik Duru
    • 2
  • Arturo Vargas Bustamante
    • 1
  • Carol M. Mangione
    • 2
  • Hector P. Rodriguez
    • 3
  1. 1.Department of Health Policy and Management, Fielding School of Public HealthUniversity of California, Los AngelesLos AngelesUSA
  2. 2.Division of General Internal Medicine and Health Services Research, Geffen School of MedicineUniversity of California, Los AngelesLos AngelesUSA
  3. 3.Division of Health Policy and Management, School of Public HealthUniversity of California, BerkeleyBerkeleyUSA
  4. 4.Department of Veterans Affairs, Center for Clinical Management ResearchVA HSR&D/CCMR (Mail Stop 152)Ann ArborUSA
  5. 5.UCLA Center for Health Policy ResearchUniversity of California, Los AngelesLos AngelesUSA

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