Women's Relationships With Healthcare and Providers: The Role of Weight Stigma in Healthcare and Weight Bias Internalization.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Annals of Behavioral Medicine Pub Date : 2024-11-16 DOI:10.1093/abm/kaae044

Karen E Wetzel, Mary S Himmelstein

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引用次数: 0

Abstract

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.

Purpose: 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.

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妇女与医疗保健和提供者的关系：医疗保健中的体重羞辱和体重偏见内化的作用。

背景：在医疗保健领域，体重耻辱（因体重而贬值）很常见，它会影响人们对医疗保健的参与、健康行为以及与医疗服务提供者的关系。目的：迄今为止，尚未有研究调查体重偏见内化（体重导致的自我污名；WBI）是否会调节体重污名对患者-医疗服务提供者关系（PPR）的影响。我们预测，医疗保健中的体重成见与以下因素呈负相关：(i) 对医生的信任；(ii) 医生的同情心；(iii) 与医生互动时的自主性和能力；(iv) 感知到的医生专业知识。我们还预测，WBI 水平高的人的体重鄙视经历与 PPR 结果之间的关系最为密切：我们招募了妇女（N = 1,114），让她们完成一项关于医疗保健中的体重鄙视、WBI 和之前提到的 PPR 结果的调查：结果：在控制年龄、体重指数（BMI）、教育程度、收入、种族和民族的情况下，医疗保健中的体重鄙视和 WBI 与每项 PPR 结果都有关联。唯一例外的是，WBI 与对医生的信任无关。关于 WBI 将缓和医疗保健中的体重成见对 PPR 结果的影响的假设总体上未得到支持：总之，这项研究强调了医疗保健中的体重烙印以及个人自身的内化如何对个人健康计划产生负面影响，尤其是个人对其医疗服务提供者的自主性和胜任感，这对个人在其健康和医疗保健中发挥积极作用至关重要。

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

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .