Goldring M R, Persky S
Columbia University New York NY USA.
Social and Behavioral Research Branch National Human Genome Research Institute Bethesda MD USA.
Obes Sci Pract. 2018 Apr 17;4(3):250-258. doi: 10.1002/osp4.162. eCollection 2018 Jun.
Women with overweight experience stigma in clinical interactions. Emerging evidence suggests that one near-term approach to offset the negative consequences of weight stigma could be to capitalize on benefits of patient-physician weight concordance. However, it is likely that patient attitudes towards physicians with overweight are complicated and multifaceted and may include stigmatization of providers with overweight.
Two-hundred ninety-eight women with overweight completed an online questionnaire and indicated preference for a physician who is 'overweight', 'not overweight', or indicated no preference. Participants provided reasons for their choice and answered questions about their weight-related beliefs and experiences.
The majority of women indicated no weight preference (63%), and a portion (36%) of the sample explicitly preferred physicians who are not overweight. Reasons provided for these preferences were primarily based on stereotyped notions of physician aptitude based on weight. Compared with having no preference, those who preferred physicians who are not overweight had fewer previous negative weight-related physician interactions and had increased beliefs about the controllability of weight.
These findings elucidate patient attitudes towards physicians with overweight in a sample at increased risk for weight stigmatization. Findings underscore the need for stigma-reducing interventions so that clinical experiences for both women and physicians with overweight can be improved.
超重女性在临床互动中会受到污名化。新出现的证据表明，一种抵消体重污名化负面影响的近期方法可能是利用患者与医生体重一致的益处。然而，患者对超重医生的态度可能很复杂且多面，可能包括对超重医疗服务提供者的污名化。
298名超重女性完成了一份在线问卷，表明对“超重”“不超重”的医生的偏好，或表示无偏好。参与者提供了选择的理由，并回答了有关其体重相关信念和经历的问题。
大多数女性表示没有体重偏好（63%），样本中有一部分（36%）明确更喜欢不超重的医生。这些偏好的理由主要基于基于体重的医生能力刻板观念。与无偏好的人相比，那些更喜欢不超重医生的人之前与医生的负面体重相关互动较少，并且对体重可控性的信念增强。
这些发现阐明了在体重污名化风险增加的样本中患者对超重医生的态度。研究结果强调了减少污名化干预措施的必要性，以便改善超重女性和超重医生的临床体验。
