Kaitz Jenesse, Ray Sukanya, Harkins Debra
Department of Psychology, Suffolk University, Boston, USA.
Women Health. 2020 Mar;60(3):260-270. doi: 10.1080/03630242.2019.1635562. Epub 2019 Jun 26.
Disordered eating and body image concerns continue to be rising problems for young women that come with significant mental and physical health risks. Primary care may be a potential avenue for early identification and intervention of eating and body image issues. However, few studies have explored this area in depth. Preliminary studies show that few women discuss these issues with their primary care providers (PCPs), and the barriers to these conversations remain unknown. This study used an open-ended survey to explore women's narratives concerning their experiences and barriers to discussing eating and body image issues with their PCPs. A total sample of 102 female college students (aged 18-35 years) in the Boston area completed self-report questionnaires online (February 2015 through January 2016). Themes in both communication and relationship domain emerged. Communication themes for participants included: health information, prompting by the PCP, and other barriers. Relationship themes included: patient and provider characteristics, negative and positive emotions, and trust. According to these participants, many women experience negative interactions with their providers when discussing these sensitive topics. Strategies for improving these outcomes in primary care are discussed.
饮食失调和身体形象问题对于年轻女性而言，仍然是日益严重的问题，会带来重大的身心健康风险。初级保健可能是早期识别和干预饮食及身体形象问题的一个潜在途径。然而，很少有研究深入探讨这一领域。初步研究表明，很少有女性会与她们的初级保健医生（PCP）讨论这些问题，而这些对话的障碍仍然未知。本研究采用开放式调查，以探究女性关于她们与初级保健医生讨论饮食和身体形象问题的经历及障碍的叙述。波士顿地区102名年龄在18至35岁之间的女大学生组成的总样本，于网上完成了自我报告问卷（2015年2月至2016年1月）。沟通和关系领域的主题均有出现。参与者的沟通主题包括：健康信息、初级保健医生的提示以及其他障碍。关系主题包括：患者和提供者的特征、负面和正面情绪以及信任。根据这些参与者的说法，许多女性在讨论这些敏感话题时会与她们的提供者产生负面互动。文中讨论了在初级保健中改善这些结果的策略。
