PACIFIC ISLANDER CANCER CONTROL NETWORK. This study aims to assess frequency, content and impact of weight and diet counseling provided by primary care physicians to such patients. METHODS: We conducted an observational study on clinical prevention in 2 university-based primary care clinics staffed by 35 residents. We included 893 consecutive patients of whom 396 (44%) were overweight or obese (body mass index > 25 kg/m2). We interviewed patients after the index visit to assess counseling performed by residents during the three last visits. At 1 year, we mailed a questionnaire to assess patients' self-reported behavior change and weight loss (60% responders). We compared outcomes according to the quality of physician counseling (4 ± 6 vs. 1 ± 3 strategies used). RESULTS: Physicians infrequently advised overweight and obese patients about weight and diet: informing of health risks (40%); recommending to lose weight (40%); assessing motivation to lose weight (34%). They rarely used strategies facilitating behavior change: planning specific dietary changes (24%), setting a target weight (14%) and written material (14% 5) ). We calculated descriptive statistics using the Chi-square test and used generalized linear models to determine the independent effect of adverse computing habits on UEMD symptoms and functional impairment. RESULTS: Our sample included 46% women and 38% racial/ethnic minorities. 29% reported never having UE pain related to computer use, 30% had experienced pain in the past, 36% had pain in the past and current pain (in preceding 2 weeks), and 5% only had current pain. We defined``intensive computer users'' as students who typically computed for > 4h/day or spent !4h computing without getting out of the chair at least once a month. 66% were intensive computer users. Women were more intensive users (p = 0.05), reported more functional impairment due to UEMDs (p = 0.013), and had more upper arm (p = 0.07), shoulder (p = 0.001), and neck pain (p < 0.0001) than men. Worse mental health scores were associated with increased reported UE pain (p = 0.01) and functional impairment (p < 0.0001). Controlling for sex, mental health, and overall health, intensive computer use independently predicted higher UEMD symptom (Type III SS p=0.03) and pain severity scores (p = 0.01). CONCLUSION: Most college students in this sample engage in intensive computer use and have UE pain with computing. We found a significant independent association between intensive use and UEMD symptomatology. Our results suggest that programs to foster healthy computing skills may prevent long-term disability from UEMDs as students enter the work force. with attitudes (r = À0.15, P = 0.000 and r = À.0.12, P = 0.004, respectively) at the bivariate level. When included in the final model, the relationship between ethnicity and attitudes toward joint replacement was no longer significant; adjusted OR 0.66 (95% CI 0.38 ± 1.14).