Knowledge, Attitude, and Belief of Healthcare Professionals Toward Obesity Stigmatization.

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S499828

Hongmei Lang, Xingping Zhang, Na Yan, Juan Du, Xiaoyan Jiang

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引用次数: 0

Abstract

Objective: Obesity stigmatization, defined as the social devaluation and denigration of individuals because of their excess weight, represents a significant barrier to effective healthcare delivery. This study aimed to investigate healthcare professionals' knowledge about obesity-related health impacts, attitudes regarding weight bias (negative or discriminatory attitudes toward individuals with obesity), and beliefs about the causes and nature of obesity.

Methods: This cross-sectional study was conducted among healthcare professionals between Jan, 2024 and Feb, 2024 in The Department of General Medicine, Chengdu Second People's Hospital, using a self-designed questionnaire.

Results: A total of 388 valid questionnaires [303 (78.09%) female and a mean age of 37.71 ± 8.46 years] were included. The mean scores for knowledge, attitude, and belief were 6.70 ± 1.46 (possible range: 0-10), 38.41 ± 5.09 (possible range: 8-48), and 63.53 ± 15.35 (possible range: 0-120), respectively. Multivariate logistic regression analysis revealed that having body mass index ≥ 24.0 kg/m² (OR = 0.537, 95% CI: 0.331-0.873, P = 0.012) and nurse profession (OR = 0.546, 95% CI: 0.338-0.883, P = 0.014) were independently associated with knowledge. Knowledge (OR = 0.754, 95% CI: 0.600-0.949, P = 0.016), belief (OR = 0.915, 95% CI: 0.854-0.980, P = 0.011), and age (OR = 0.950, 95% CI: 0.906-0.995, P = 0.031) were independently associated with attitude. Moreover, structural equation modeling showed that knowledge had a significant direct effect on both belief (β = 0.845, P < 0.001) and attitude (β = -0.944, P < 0.001), as well as belief on attitude (β = -0.550, P < 0.001).

Conclusion: Healthcare professionals exhibited insufficient knowledge, negative attitude and belief toward obesity stigmatization. A pressing necessity arises for the implementation of targeted educational interventions and awareness programs within healthcare settings.

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医疗保健专业人员对肥胖污名化的知识、态度和信念。

肥胖污名化，定义为社会贬低和诋毁个人，因为他们的超重，是有效的医疗保健服务的一个重大障碍。本研究旨在调查医疗保健专业人员对肥胖相关健康影响的认知，对体重偏见的态度（对肥胖个体的消极或歧视态度），以及对肥胖原因和本质的信念。方法：采用自行设计的调查问卷，对成都市第二人民医院综合内科2024年1月- 2024年2月的卫生保健专业人员进行横断面调查。结果：共纳入有效问卷388份，其中女性303份（78.09%），平均年龄37.71±8.46岁。知识、态度、信念的平均得分分别为6.70±1.46分（可能范围0 ~ 10）、38.41±5.09分（可能范围8 ~ 48）、63.53±15.35分（可能范围0 ~ 120）。多因素logistic回归分析显示，体重指数≥24.0 kg/m²（OR = 0.537, 95% CI: 0.331 ~ 0.873, P = 0.012）和护士职业（OR = 0.546, 95% CI: 0.338 ~ 0.883, P = 0.014）与知识独立相关。知识（OR = 0.754, 95% CI: 0.600 ~ 0.949, P = 0.016）、信念（OR = 0.915, 95% CI: 0.854 ~ 0.980, P = 0.011）、年龄（OR = 0.950, 95% CI: 0.906 ~ 0.995, P = 0.031）与态度独立相关。结构方程模型表明，知识对信念（β = 0.845, P < 0.001）、态度（β = -0.944, P < 0.001）和信念对态度（β = -0.550, P < 0.001）均有显著的直接影响。结论：医护人员对肥胖污名化的认知不足，态度消极，信念不足。迫切需要在医疗保健环境中实施有针对性的教育干预和意识方案。

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

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.