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    Health-care access and weight change among young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study

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    Authors
    Tang, Joyce W.
    Allen, Norrina
    de Chavez, Peter
    Goff, David C. Jr.
    Kiefe, Catarina I.
    Lewis, Cora E.
    Carnethon, Mercedes
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2013-10-01
    Keywords
    UMCCTS funding
    health care accessibility
    body weight change
    Cardiovascular Diseases
    Clinical Epidemiology
    Epidemiology
    Health Services Administration
    Health Services Research
    Insurance
    Pathological Conditions, Signs and Symptoms
    Physiological Processes
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3574627/
    Abstract
    OBJECTIVE: Health-care access is associated with improved control of multiple chronic diseases, but the association between health-care access and weight change is unclear. The present study aims to test the association between health-care access and weight change. DESIGN: The Coronary Artery Risk Development in Young Adults (CARDIA) Study is a multicentre population-based prospective study. Weight change was calculated at 3 and 13 years after CARDIA year 7 (1992-1993). Health-care access was defined as no barriers or one or more barriers to access (health insurance gap, no usual source of care, not seeking care due to expense). Intermediary variables evaluated included history of dieting and use of diet pills, meal replacements or weight-control programmes. SETTING: Four cities in the USA. SUBJECTS: Participants were aged 18-30 years at baseline (1985-1986). Analyses include 3922 black and white men and women with relevant data from CARDIA years 7, 10 and 20 (1992-1993, 1995-1996 and 2005-2006, respectively). RESULTS: Mean weight change was +2.22 kg (+4.9 lb) by 3 years and +8.48 kg (+18.7 lb) by 13 years, with no differences by health-care access. Being on a weight-reducing diet was not consistently associated with health-care access across examinations. Use of diet pills, meal replacements or organized weight-control programmes was low, and did not vary by health-care access. CONCLUSIONS: Weight gain was high irrespective of health-care access. Public health and clinical approaches are needed to address weight gain.
    Source

    Tang JW, Allen N, de Chavez P, Goff DC Jr, Kiefe CI, Lewis CE, Carnethon M. Health-care access and weight change among young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Public Health Nutr. 2013 Oct;16(10):1796-800. doi:10.1017/S1368980012003813. Link to article on publisher's site

    DOI
    10.1017/S1368980012003813
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30110
    PubMed ID
    22894769
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    ae974a485f413a2113503eed53cd6c53
    10.1017/S1368980012003813
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