Weight stigma in healthcare settings: the experience of Arab and Jewish bariatric surgery candidates in Israel.

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Yara Zahra-Zeitoun, Roni Elran-Barak, Rawan Salameh-Dakwar, Dvir Froylich, Gideon Sroka, Ahmed Assalia, Yael Latzer
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Abstract

Background: Weight-related stigma and discrimination are prevalent in our society with adverse biopsychosocial outcomes to people with obesity and morbid obesity. Studies suggest that weight bias in healthcare settings are quite prevalent, but there have been, as far as we know, lack of studies examining prevalence and correlates of weight bias experiences among bariatric surgery candidates in Israel. We aim to understand the nature and prevalence of weight stigma among bariatric surgery candidates. To identify differences between Jewish and Arab candidates. To examine the impact of weight stigma experiences on weight bias internalization (WBI).

Methods: A cross-sectional study was performed among 117 adult bariatric surgery candidates from three hospitals in northern Israel (47.8% Jews, 82.4% females, average BMI 42.4 ± 5.2 Kg/meter2). Patients who agreed to participate completed a structured questionnaire on the same day that the bariatric surgery committee met. WBI was measured using a validated 10-item scale. Experiences of weight stigma were measured using items adapted from prior international studies.

Results: About two thirds of the participants had at least one experience of weight stigma (teased, treated unfairly, or discriminated against because of their weight). As many as 75% of participants reported that weight served as a barrier to getting appropriate health care and as many as half of participants felt in the last year that a doctor judged them because of their weight. No significant differences were found between Arabs and Jews in the prevalence of weight stigma experiences and WBI. However, a trend towards more stigma experiences among Jews was noted. WBI was predicted by female gender and experiences of weight stigma, both in general and within healthcare settings.

Conclusions: Weight stigma towards bariatric surgery candidates in Israel is quite prevalent, and specifically in healthcare settings. It is important to adopt policy actions and intervention programs to improve awareness to this phenomenon among the general public and specifically among healthcare providers, as many healthcare providers may be unaware of the adverse effect of weight stigma and of ways in which they are contributing to the problem. Future studies may validate our findings using larger sample size and longitudinal design.

医疗机构中的体重耻辱:以色列阿拉伯人和犹太人减肥手术候选人的经历。
背景:在我们的社会中,与体重有关的羞辱和歧视非常普遍,对肥胖症和病态肥胖症患者造成了不良的生物心理社会影响。研究表明,医疗机构中的体重偏见相当普遍,但据我们所知,以色列还缺乏对减肥手术候选人体重偏见的普遍性和相关性的研究。我们旨在了解减肥手术候选者中体重成见的性质和普遍程度。确定犹太人和阿拉伯人之间的差异。研究体重蔑视经历对体重偏见内化(WBI)的影响:对以色列北部三家医院的 117 名成年减肥手术患者(47.8% 为犹太人,82.4% 为女性,平均体重指数为 42.4 ± 5.2 Kg/m2)进行了横断面研究。同意参与的患者在减肥手术委员会开会的当天填写了一份结构化问卷。体重成见采用经过验证的 10 项量表进行测量。体重污名化的经历则采用改编自之前国际研究的项目进行测量:结果:约三分之二的参与者至少有一次体重污名化的经历(因体重而被取笑、受到不公平对待或歧视)。多达 75% 的参与者表示,体重阻碍了他们获得适当的医疗保健服务,多达一半的参与者在过去一年中感到医生因为他们的体重而对他们评头论足。阿拉伯人和犹太人在体重蔑视经历的普遍程度和 WBI 方面没有发现明显差异。然而,我们注意到犹太人有更多体重鄙视经历的趋势。在一般情况下和在医疗机构中,女性的性别和体重鄙视经历都会影响 WBI:结论:在以色列,对减肥手术患者的体重鄙视非常普遍,尤其是在医疗机构。重要的是要采取政策行动和干预计划,提高公众,特别是医疗服务提供者对这一现象的认识,因为许多医疗服务提供者可能没有意识到体重鄙视的不利影响,也没有意识到他们是如何造成这一问题的。未来的研究可能会使用更大的样本量和纵向设计来验证我们的发现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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