{"id":"https://openalex.org/W2728320161","doi":"https://doi.org/10.14423/smj.0000000000000672","title":"Underdiagnosis and Lower Rates of Office Visits for Overweight/Obese Pediatric Patients in Rural Compared with Urban Areas","display_name":"Underdiagnosis and Lower Rates of Office Visits for Overweight/Obese Pediatric Patients in Rural Compared with Urban Areas","publication_year":2017,"publication_date":"2017-07-01","ids":{"openalex":"https://openalex.org/W2728320161","doi":"https://doi.org/10.14423/smj.0000000000000672","mag":"2728320161","pmid":"https://pubmed.ncbi.nlm.nih.gov/28679018"},"language":"en","primary_location":{"id":"doi:10.14423/smj.0000000000000672","doi":"https://doi.org/10.14423/smj.0000000000000672","is_oa":false,"landing_page_url":"https://doi.org/10.14423/smj.0000000000000672","pdf_url":null,"source":{"id":"https://openalex.org/S89143414","display_name":"Southern Medical Journal","issn_l":"0038-4348","issn":["0038-4348","1541-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Southern Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054715753","display_name":"Christine SanGiovanni","orcid":"https://orcid.org/0000-0003-4799-1035","observed_orcids":["https://orcid.org/0000-0003-4799-1035"]},"institutions":[{"id":"https://openalex.org/I153297377","display_name":"Medical University of South Carolina","ror":"https://ror.org/012jban78","country_code":"US","type":"education","lineage":["https://openalex.org/I153297377"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christine SanGiovanni","raw_affiliation_strings":["From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston","institution_ids":["https://openalex.org/I153297377"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015831269","display_name":"James T. McElligott","orcid":"https://orcid.org/0000-0002-9577-9138","observed_orcids":["https://orcid.org/0000-0002-9577-9138"]},"institutions":[{"id":"https://openalex.org/I153297377","display_name":"Medical University of South Carolina","ror":"https://ror.org/012jban78","country_code":"US","type":"education","lineage":["https://openalex.org/I153297377"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James McElligott","raw_affiliation_strings":["From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston","institution_ids":["https://openalex.org/I153297377"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004240588","display_name":"Kristen Morella","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I153297377","display_name":"Medical University of South Carolina","ror":"https://ror.org/012jban78","country_code":"US","type":"education","lineage":["https://openalex.org/I153297377"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristen Morella","raw_affiliation_strings":["From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston","institution_ids":["https://openalex.org/I153297377"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057349838","display_name":"William T. Basco","orcid":"https://orcid.org/0000-0002-8626-7405","observed_orcids":["https://orcid.org/0000-0002-8626-7405"]},"institutions":[{"id":"https://openalex.org/I153297377","display_name":"Medical University of South Carolina","ror":"https://ror.org/012jban78","country_code":"US","type":"education","lineage":["https://openalex.org/I153297377"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William Basco","raw_affiliation_strings":["From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Departments of Pediatrics and Public Health, Medical University of South Carolina, Charleston","institution_ids":["https://openalex.org/I153297377"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I153297377"],"apc_list":null,"apc_paid":null,"fwci":0.5128,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.70326852,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"110","issue":"7","first_page":"480","last_page":"485"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12066","display_name":"Obesity and Health Practices","score":0.01720000058412552,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/childhood-obesity","display_name":"childhood obesity","score":0.984000027179718},{"id":"https://openalex.org/keywords/overweight","display_name":"overweight","score":0.5960000157356262},{"id":"https://openalex.org/keywords/underdiagnosis","display_name":"underdiagnosis","score":0.9829999804496765},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.843999981880188},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.7879999876022339},{"id":"https://openalex.org/keywords/office-visits","display_name":"office visits","score":0.7179999947547913},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.5350000262260437},{"id":"https://openalex.org/keywords/pediatric-weight-management","display_name":"pediatric obesity management","score":0.5120000243186951},{"id":"https://openalex.org/keywords/south-carolina","display_name":"South Carolina","score":0.9390000104904175}],"concepts":[{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.9270374774932861},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9017422795295715},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.7471842169761658},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6815109252929688},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6541205048561096},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.5477666854858398},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.540895938873291},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5236520767211914},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.5160834193229675},{"id":"https://openalex.org/C73269764","wikidata":"https://www.wikidata.org/wiki/Q954529","display_name":"Poisson regression","level":3,"score":0.5139316916465759},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.4559193253517151},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4408493638038635},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.43959394097328186},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.21346956491470337},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.11792808771133423},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11418667435646057},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003951","descriptor_name":"Diagnostic Errors","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006295","descriptor_name":"Health Resources","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009819","descriptor_name":"Office Visits","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013022","descriptor_name":"South Carolina","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014505","descriptor_name":"Urban Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D014600","descriptor_name":"Utilization Review","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D050177","descriptor_name":"Overweight","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D050177","descriptor_name":"Overweight","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D063766","descriptor_name":"Pediatric Obesity","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D063766","descriptor_name":"Pediatric Obesity","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.14423/smj.0000000000000672","doi":"https://doi.org/10.14423/smj.0000000000000672","is_oa":false,"landing_page_url":"https://doi.org/10.14423/smj.0000000000000672","pdf_url":null,"source":{"id":"https://openalex.org/S89143414","display_name":"Southern Medical Journal","issn_l":"0038-4348","issn":["0038-4348","1541-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Southern Medical Journal","raw_type":"journal-article"},{"id":"pmid:28679018","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28679018","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Southern medical journal","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7307999730110168}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.4000000059604645}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W125336671","https://openalex.org/W1516165140","https://openalex.org/W1741508236","https://openalex.org/W1773028493","https://openalex.org/W1857976594","https://openalex.org/W1948287158","https://openalex.org/W1983331859","https://openalex.org/W1983420944","https://openalex.org/W1983492707","https://openalex.org/W1995187600","https://openalex.org/W2002064918","https://openalex.org/W2016161224","https://openalex.org/W2025435078","https://openalex.org/W2030393755","https://openalex.org/W2040263461","https://openalex.org/W2059302758","https://openalex.org/W2121543110","https://openalex.org/W2128796858","https://openalex.org/W2132112425","https://openalex.org/W2139727647","https://openalex.org/W2145337239","https://openalex.org/W2152785791","https://openalex.org/W2153836957","https://openalex.org/W2165957087","https://openalex.org/W2419228228"],"related_works":["https://openalex.org/W4412791647","https://openalex.org/W1482301344","https://openalex.org/W2347197207","https://openalex.org/W2440584296","https://openalex.org/W2162933707","https://openalex.org/W2030393755","https://openalex.org/W2066998084","https://openalex.org/W2016161224","https://openalex.org/W2000596562","https://openalex.org/W3087382823"],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1],"study":[2],"compared":[3],"the":[4,24,94,126],"number":[5,127],"of":[6,16,27,97,128,141],"children":[7,40,81,117,129],"enrolled":[8,118],"in":[9,11,41,82,105,115,119,121],"Medicaid":[10,34,120],"rural":[12,49,53,116],"and":[13,23,52,72,91,143],"urban":[14],"areas":[15],"South":[17,43,122],"Carolina":[18,44],"with":[19,30,101],"an":[20,87,102],"overweight/obesity":[21,31,88,103],"diagnosis":[22,90,104,142],"mean":[25,95],"rates":[26],"office":[28,99],"visits":[29,100],"diagnosed.":[32],"METHODS:":[33],"claims":[35],"data":[36],"from":[37],"2012":[38],"for":[39],"three":[42],"counties,":[45],"categorized":[46],"as":[47,65],"urban,":[48],"high":[50],"resource,":[51,55],"low":[54],"were":[56,75],"used":[57],"to":[58,77,92,133,138,147],"identify":[59],"those":[60],"who":[61,130],"had":[62],"been":[63],"diagnosed":[64],"being":[66],"overweight/obese":[67,80],"during":[68],"any":[69],"encounter.":[70],"Logistic":[71],"Poisson":[73],"regressions":[74],"performed":[76],"predict":[78],"whether":[79],"each":[83,106],"county":[84],"would":[85],"receive":[86,131],"visit":[89],"calculate":[93],"rate":[96],"total":[98],"county.":[107],"RESULTS:":[108],"<":[109],"0.01).":[110],"CONCLUSIONS:":[111],"Overweight/obesity":[112],"is":[113],"underdiagnosed":[114],"Carolina,":[123],"which":[124],"affects":[125],"help":[132],"manage":[134],"their":[135],"weight.":[136],"Interventions":[137],"overcome":[139],"barriers":[140],"management":[144],"are":[145],"necessary":[146],"address":[148],"childhood":[149],"obesity":[150],"properly.":[151]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2017-07-14T00:00:00"}
