IF 3 3区 医学 Q1 COMMUNICATION
Makenzie Schroeder, Na Wang
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引用次数: 0

摘要

体重鄙视已被证明会对医疗保健造成严重后果,包括超重者的心理健康和身体健康状况不佳,以及其他社会不公正现象。然而,在患者与医护人员的互动中使用鄙视性语言(如 "肥胖")的全部影响仍不清楚。因此,我们在美国进行了一项在线实验(N = 501),以研究在与医疗服务提供者的对话中使用鄙视性语言的影响,包括对患者自我认知和医疗体验的影响。结果显示,医疗服务提供者发起的有关体重的鄙视性对话导致患者的体重自我鄙视程度升高,无法提高他们减肥的愿望(这可能是医疗服务提供者通过这些互动达到的目标)。此外,受到鄙视性谈话影响的患者会减少以患者为中心的交流,降低对医疗服务提供者的信任,降低医疗服务质量,并降低对医疗服务提供者的满意度。此外,本研究还发现,叙述性交通和感知体型对某些结果有一定的调节作用。因此,在医疗保健实践中,我们的研究结果表明,医疗保健提供者在与患者讨论体重问题时,应减少使用污名化语言,以此来改善患者的体重自我污名,并改善以患者为中心的沟通和相关结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What it Means to Call Your Patient Obese: The Impact of Communicating Weight Stigma in Patient-Provider Conversations.

Perceived weight stigma has been shown to have serious consequences in healthcare, including poorer mental health, physical health, and other social injustices for overweight individuals. However, the full impact of stigmatized language use (like "obese") in patient-provider interactions remains unclear. Therefore, we conducted an online experiment (N = 501) in the US to examine the effects of stigmatized language use in conversations with healthcare providers, including on patients' perceptions of themselves as well as their healthcare experience. Results show that stigmatized conversation about weight initiated by healthcare providers results in higher weight self-stigma among patients, failing to increase their desire to lose weight (likely a goal of providers via these interactions). Additionally, patients exposed to stigmatized conversation experience decreased patient-centered communication, lower trust in healthcare providers, decreased quality of healthcare, and decreased satisfaction with their healthcare providers. Furthermore, this study found some support for the moderating effect of narrative transportation and perceived body size on some of the outcomes. Hence, in healthcare practice, our results suggest that healthcare providers should reduce their use of stigmatized language when discussing weight with their patients as a way to improve weight self-stigma among patients as well as patient-centered communication and related outcomes.

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来源期刊
CiteScore
8.20
自引率
10.30%
发文量
184
期刊介绍: As an outlet for scholarly intercourse between medical and social sciences, this noteworthy journal seeks to improve practical communication between caregivers and patients and between institutions and the public. Outstanding editorial board members and contributors from both medical and social science arenas collaborate to meet the challenges inherent in this goal. Although most inclusions are data-based, the journal also publishes pedagogical, methodological, theoretical, and applied articles using both quantitative or qualitative methods.
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