No description available.

No description available.

No description available.

No description available.

This preliminary study examined the relation between weight and parent-reported psychosocial concerns among youth presenting to pediatric primary care clinics serving rural Appalachia. Parents of youth presenting for a sick or well child visit completed a demographic questionnaire and the Pediatric Symptom Checklist in the waiting area prior to their office visit. Standardized body mass index (zBMI) were computed based on information retrieved. Psychosocial concerns, specifically attention difficulties, were found to be significantly and negatively correlated with zBMI. Higher zBMI was found in youth with clinically significant (versus non-significant) internalizing scores and clinically non-significant (versus significant) attention difficulty scores. Additional research is needed to understand the complex relationship between weight and psychosocial concerns among youth presenting to rural pediatric primary care. An understanding of the relation between these factors may facilitate prevention/intervention efforts.

Objective: To examine the prevalence of psychosocial concerns presenting in 3 pediatric primary care clinics serving rural Appalachia. The association between pediatric weight status and psychosocial concerns was examined. Methods: Caregivers of children presenting in one of 3 pediatric primary care facilities completed a demographic questionnaire and the Pediatric Symptom Checklist. Results: Approximately 21.4% of children were identified as having a clinically significant behavioral health concern. Among children with available weight status data, ~53% of the children were identified as overweight. Children identified having significant behavioral concerns were more likely to have a lower weight status than those with nonsignificant behavioral concerns. Specifically, children with lower z-BMI tended to have more attention problems. Conclusions: Psychosocial concerns and childhood overweight are prevalent concerns in pediatric primary care serving rural residents. Further research is needed to understand the complex relationship between weight status and psychosocial concerns to development more effective prevention and intervention programs.