Weight bias and health care utilization: a scoping review.
obesity
primary health care
weight stigma
Journal
Primary health care research & development
ISSN: 1477-1128
Titre abrégé: Prim Health Care Res Dev
Pays: England
ID NLM: 100897390
Informations de publication
Date de publication:
22 07 2019
22 07 2019
Historique:
entrez:
18
8
2020
pubmed:
18
8
2020
medline:
21
10
2020
Statut:
epublish
Résumé
The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity. Prior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services. PubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services. A thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and 'doctor shopping'. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services.
Sections du résumé
AIM
The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity.
BACKGROUND
Prior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services.
METHODS
PubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services.
FINDINGS
A thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and 'doctor shopping'. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services.
Identifiants
pubmed: 32800008
pii: S1463423619000227
doi: 10.1017/S1463423619000227
pmc: PMC6650789
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e116Subventions
Organisme : CIHR
Pays : Canada
Références
Obes Surg. 2002 Feb;12(1):14-8
pubmed: 11868290
J Midwifery Womens Health. 2010 Jul-Aug;55(4):344-56
pubmed: 20630361
J Adv Nurs. 2008 Oct;64(2):139-46
pubmed: 18764854
Women Health. 1993;20(2):45-57
pubmed: 8372479
Prev Chronic Dis. 2004 Jan;1(1):A04
pubmed: 15634366
Obesity (Silver Spring). 2008 May;16(5):1129-34
pubmed: 18356847
N S W Public Health Bull. 2002 Jul;13(7):163-5
pubmed: 12451413
Br J Gen Pract. 2006 Sep;56(530):666-72
pubmed: 16953998
Arch Fam Med. 2000 Sep-Oct;9(9):854-60
pubmed: 11031392
Ann Behav Med. 2009 Jun;37(3):350-5
pubmed: 19548044
Arch Fam Med. 1994 Oct;3(10):888-92
pubmed: 8000560
Prim Health Care Res Dev. 2013 Oct;14(4):367-72
pubmed: 23237022
Arch Fam Med. 1998 Jul-Aug;7(4):381-4
pubmed: 9682694
Int J Obes Relat Metab Disord. 2001 Oct;25(10):1525-31
pubmed: 11673776
J Midwifery Womens Health. 2016 Mar-Apr;61(2):217-23
pubmed: 26840998
Nurs Res. 2013 Jul-Aug;62(4):252-9
pubmed: 23817283
Int J Obes (Lond). 2006 Jan;30(1):147-55
pubmed: 16231037
J Am Acad Nurse Pract. 2002 Dec;14(12):554-61
pubmed: 12567923
Obesity (Silver Spring). 2016 Jun;24(6):1207-9
pubmed: 27129601
Clin Obes. 2016 Jun;6(3):175-88
pubmed: 27166133
Prev Chronic Dis. 2011 Sep;8(5):A94
pubmed: 21843424
Obesity (Silver Spring). 2013 Oct;21(10):2146-52
pubmed: 23512862
Obes Rev. 2015 Apr;16(4):319-26
pubmed: 25752756
Obesity (Silver Spring). 2009 May;17(5):941-64
pubmed: 19165161
J Consult Clin Psychol. 1982 Dec;50(6):820-40
pubmed: 7174975
Am J Prev Med. 2007 Jun;32(6):525-31
pubmed: 17533069
Clin Obes. 2014 Feb;4(1):39-44
pubmed: 25425131
Int J Obes (Lond). 2008 Jun;32(6):992-1000
pubmed: 18317471
Int J Obes (Lond). 2013 Apr;37(4):612-9
pubmed: 22777543
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
J Prim Health Care. 2013 Sep 01;5(3):199-205
pubmed: 23998170
Obes Sci Pract. 2016 Jun;2(2):128-135
pubmed: 27293804
Patient Educ Couns. 2014 Oct;97(1):128-31
pubmed: 25049164
Obes Facts. 2014;7(3):211-20
pubmed: 24903462
Obesity (Silver Spring). 2014 Jan;22(1):79-85
pubmed: 23836723
J Health Psychol. 2008 Jan;13(1):131-8
pubmed: 18086724
Obesity (Silver Spring). 2014 Sep;22(9):1952-5
pubmed: 24942593
Am Fam Physician. 2001 Jun 1;63(11):2185-96
pubmed: 11417771
BMC Health Serv Res. 2014 May 16;14:220
pubmed: 24885429