Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income.

disparities health care low income rural weight bias weight stigma

Journal

Journal of patient-centered research and reviews
ISSN: 2330-0698
Titre abrégé: J Patient Cent Res Rev
Pays: United States
ID NLM: 101646624

Informations de publication

Date de publication:
2021
Historique:
entrez: 29 1 2021
pubmed: 30 1 2021
medline: 30 1 2021
Statut: epublish

Résumé

Weight stigma has become widespread within health care and disproportionately affects women, who are under greater appearance-based scrutiny than men. It is also well established that rural-based individuals with low incomes suffer greater health disparities compared with urban, higher-income counterparts, yet studies examining recommendations for nonstigmatizing health care among higher-weight women from low-income rural settings are lacking. This study examined the experiences and recommendations of higher-weight, low-income, rural women, with the aim of improving health care for similar populations. In-depth, semi-structured interviews were conducted in a rural region of the Midwestern United States to explore participants' recommendations for redressing stigma within health care. All participants (n=25) self-identified as higher-weight, low-income, rural women. All participants experienced or were aware of weight stigma within health care. Themes identified from responses were understanding patients and their situations, offering options and supplemental information, communicating effectively, taking time, and having a positive attitude. Patient recommendations focused on correcting physician biases, rapport-building, and providing holistic care. The findings suggest that weight stigma is prevalent within health care provided to low-income women in rural U.S. Midwest and that there are specific communication and training approaches that may reduce the prevalence of weight stigma in health care.

Identifiants

pubmed: 33511250
doi: 10.17294/2330-0698.1752
pii: jpcrr-8.1.20
pmc: PMC7834175
doi:

Types de publication

Journal Article

Langues

eng

Pagination

20-30

Informations de copyright

© 2021 Aurora Health Care, Inc.

Déclaration de conflit d'intérêts

Conflicts of Interest None.

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Auteurs

Declan Watson (D)

Department of Psychology, University of New Brunswick, Fredericton, Canada.

Katherine Hughes (K)

School of Health Sciences, Central Michigan University, Mount Pleasant, MI.

Emma Robinson (E)

Department of Sociology, University of New Brunswick, Fredericton, Canada.

Jacqueline Billette (J)

School of Health Sciences, Central Michigan University, Mount Pleasant, MI.

Andrea E Bombak (AE)

Department of Sociology, University of New Brunswick, Fredericton, Canada.

Classifications MeSH