‘No such thing as one size fits all’: A survey of experiences of those with larger bodies in radiography

Introduction

Individuals living in larger bodies face significant barriers when accessing healthcare, including both internal and external weight stigma. Within radiography, challenges such as inadequate equipment, accessibility limitations, and discomfort during procedures contribute to healthcare avoidance and poorer outcomes. This study investigates personal experiences of individuals living in larger bodies who have experienced radiographic services (medical imaging and radiotherapy) in the UK, with a focus on facilities, equipment, and accessories.

Methods

Following institutional ethical approval, a cross-sectional survey was distributed via social media. The anonymous survey collected demographic data and invited participants to describe their most impactful experience within radiographic services. Basic content analysis was conducted on short text responses; then aligned with key quantitative responses and included alongside the results for illustrative purposes. Public engagement representatives contributed to the study design, ensuring inclusivity and appropriate terminology.

Results

92 participants completed the survey. The majority identified as female (79.3 %) and white (94.6 %), with ages ranging from 18 to 85 years. Most respondents (98.9 %) had experience with medical imaging, while 16.3 % had undergone radiotherapy. Key challenges included inadequately sized hospital gowns (55.3 %), chairs with armrests limiting accessibility, and a lack of adjustable imaging equipment for taller individuals. Humiliation and discomfort were frequently reported, particularly regarding ill-fitting gowns in public settings. Unlike medical imaging, radiotherapy participants did not report significant equipment-related concerns.

Conclusion

This study highlights the impact of inadequate radiographic equipment on individuals living in larger bodies, with both practical and emotional consequences.

Implications for practice

Findings suggest a need for improved accessibility to appropriately sized equipment and staff training to enhance patient experiences. Future research should explore emotional impacts and staff challenges to develop inclusive healthcare practices.