背景:医疗保健中的体重污名(由于体重而贬值)很常见,并且会影响人们对医疗保健的参与,健康行为,以及与供应商的关系。积极的患者-提供者关系(PPR)对于一个人的医疗保健参与和长期健康很重要。
目标:迄今为止,尚未有研究调查体重偏倚内化(由体重引起的自我污名;WBI)是否减轻体重污名对PPR的影响.我们预测,医疗保健中的体重污名与(I)对医生的信任呈负相关,(ii)医师同理心,(iii)与医生互动时的自主性和能力,和(Iv)感知的医师专业知识。我们还预测,WBI水平高的人在体重污名和PPR结果之间的关系最强。
方法:我们招募了女性(N=1,114)来完成一项关于医疗保健中体重污名的调查,WBI和先前引用的PPR结果。
结果:当控制年龄时,医疗保健和WBI中的体重污名与每个PPR结果相关,BMI,教育,收入,种族,和种族。唯一的例外是WBI与对医生的信任无关。一般不支持WBI会减轻医疗保健中体重污名对PPR结果的影响的假设。
结论:总体而言,这项研究强调了医疗保健中的体重污名以及自己的内在化如何对PPRs产生负面影响,特别是自主和有能力的人对他们的提供者的感觉,这对于一个人在他们的健康和医疗保健中发挥积极作用至关重要。
因为你的体重而被区别对待在医疗保健中是很常见的。由于与医生互动时的体重而受到不良治疗会影响他们是否与医生预约,他们怎么吃,以及他们将来如何与医生互动。这很重要,因为与医生的关系会影响他们的健康。我们预计医生对体重的负面经历会影响人们是否信任医生,认为他们的医生有同情心,认为他们的医生是专家,认为他们可以在医生身边做自己。我们还预计这将受到人们对自己体重的感受的影响。1,114名妇女完成了关于所有这些主题的问卷。与医生有关体重的负面经验以及对自己体重的思考不足与每个预期结果有关。唯一的例外是,人们对自己身体的感觉与信任医生无关。此外,人们对自身体重的感觉并不影响负面经历对这些结果的影响.总的来说,这项研究表明,当与医生互动时,关于体重的感觉和对话是多么重要。
BACKGROUND: Weight stigma (devaluation due to body weight) in healthcare is common and influences one\'s engagement in healthcare, health behaviors, and relationship with providers. Positive patient-provider relationships (PPR) are important for one\'s healthcare engagement and long-term health.
OBJECTIVE: To date, no research has yet investigated whether weight bias
internalization (self-stigma due to weight; WBI) moderates the effect of weight stigma on the PPR. We predict that weight stigma in healthcare is negatively associated with (i) trust in physicians, (ii) physician empathy, (iii) autonomy and competence when interacting with physicians, and (iv) perceived physician expertise. We also predict that those with high levels of WBI would have the strongest relationship between experiences of weight stigma and PPR outcomes.
METHODS: We recruited women (N = 1,114) to complete a survey about weight stigma in healthcare, WBI and the previously cited PPR outcomes.
RESULTS: Weight stigma in healthcare and WBI were associated with each of the PPR outcomes when controlling for age, BMI, education, income, race, and ethnicity. The only exception was that WBI was not associated with trust in physicians. The hypothesis that WBI would moderate the effect of weight stigma in healthcare on PPR outcomes was generally not supported.
CONCLUSIONS: Overall, this research highlights how weight stigma in healthcare as well as one\'s own
internalization negatively impact PPRs, especially how autonomous and competent one feels with their provider which are essential for one to take an active role in their health and healthcare.
Being treated differently because of your weight is common in healthcare. Being treated poorly because of one’s weight when interacting with physicians can influence whether they make appointments with their doctors, how they eat, and how they interact with doctors in the future. This is important because the relationship one has with their doctor impacts their health. We expected that negative experiences with doctors about weight would impact whether people trust doctors, think their doctor is empathetic, think their doctor is an expert, and think they can be themselves around their doctor. We also expected this to be impacted by how people feel about their own body weight. 1,114 women completed a questionnaire about all these topics. Negative experiences with doctors about weight and thinking poorly of their own weight were associated with each of the expected outcomes. The only exception is that the way one felt about their own body was not associated with trusting doctors. Also, the way people felt about their own weight did not impact the effect that negative experiences had on these outcomes. Overall, this study shows how important feelings and conversations about weight are when interacting with one’s doctor.