{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:20:41Z","timestamp":1777375241110,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2016,12,12]],"date-time":"2016-12-12T00:00:00Z","timestamp":1481500800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Frequent sugar-sweetened beverage (SSB) consumption is associated with chronic disease. Although physician counseling can positively affect patient behavior, physicians\u2019 personal characteristics may influence counseling practices. We explored SSB-related topics physicians discuss when counseling overweight\/obese patients and examined associations between physicians\u2019 SSB-related counseling practices and their personal and medical practice characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>DocStyles survey, 2014.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 1510 practicing US physicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures:<\/jats:title>\n                    <jats:p>Physician\u2019s SSB counseling on calories, added sugars, obesity\/weight gain, health effects, consumption frequency, water substitution, and referral.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis:<\/jats:title>\n                    <jats:p>Adjusted odds ratios (aORs) were calculated with multivariable logistic regression, adjusting for physician\u2019s personal and medical practice characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most physicians (98.5%) reported SSB-related counseling. The most reported topic was obesity\/weight gain (81.4%); the least reported were added sugars (53.1%) and referral (35.0%). Physicians in adult-focused specialties had lower odds than pediatricians of counseling on several topics (aOR range: 0.26-0.64). Outpatient physicians had higher odds than inpatient physicians of counseling on consumption frequency and water substitution (aOR range: 1.60-2.01). Physicians consuming SSBs \u22651 time\/day (15.7%) had lower odds than nonconsumers of counseling on most topics (aOR range: 0.58-0.68).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most physicians reported SSB-related counseling; obesity\/weight gain was discussed most frequently. Counseling opportunities remain in other topic areas. Opportunities also exist to strengthen SSB counseling practices in adult-focused specialties, inpatient settings, and among physicians who consume SSBs daily.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890117116680472","type":"journal-article","created":{"date-parts":[[2016,12,12]],"date-time":"2016-12-12T21:00:41Z","timestamp":1481576441000},"page":"1365-1374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Physician Characteristics Associated With Sugar-Sweetened Beverage Counseling Practices"],"prefix":"10.1177","volume":"32","author":[{"given":"Brenna K.","family":"VanFrank","sequence":"first","affiliation":[{"name":"Epidemic Intelligence Service, Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA, USA"},{"name":"Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sohyun","family":"Park","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Foltz","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA"},{"name":"US Public Health Service Commissioned Corps, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa C.","family":"McGuire","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane M.","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,12]]},"reference":[{"key":"bibr1-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e7492"},{"key":"bibr2-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1203388"},{"key":"bibr3-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-012-0259-6"},{"key":"bibr4-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosis.2014.01.037"},{"key":"bibr5-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.e184"},{"key":"bibr6-0890117116680472","unstructured":"U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015-2020 Dietary Guidelines for Americans. 8th ed; 2015. http:\/\/health.gov\/dietaryguidelines\/2015\/guidelines\/."},{"key":"bibr7-0890117116680472","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.112.057943"},{"key":"bibr8-0890117116680472","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2329C"},{"key":"bibr9-0890117116680472","unstructured":"Fitch A, Fox C, Bauerly K, Institute for Clinical Systems Improvement. 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