Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Philipp-Rosenthal-Straße 55, 04103, Leipzig, Germany.
Integrated Research and Treatment Centre (IFB) Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany.
BMC Fam Pract. 2020 Aug 17;21(1):169. doi: 10.1186/s12875-020-01239-1.
Obesity is one of the most common and relevant health problems in need of urgent action in Germany. General practitioners (GPs) are the initial contact and thus one of the most important starting points for the successful treatment of overweight and obesity. The aim of the study was to assess the treatment practice and attitudes towards patients with obesity in primary health care in Germany.
Analyses were based on baseline data of the INTERACT trial of 47 GPs in central Germany. Stigmatizing attitudes were identified using the Fat Phobia Scale (FPS). In addition, questionnaires including sociodemographic information, attribution of causes of obesity, referral behavior and clinical activities were completed. Statistical investigations include descriptive analysis, principal component analysis, inference statistics and linear regression models.
GPs rated the quality of medical care for patients with obesity in Germany as below average. The FPS score revealed a value of 3.70, showing that GPs' attitudes towards patients with obesity are stigmatizing. Younger GP age, male gender and a lower number of referrals to specialists were associated with higher levels of stigmatizing attitudes.
Weight-related stigmatization has an impact on medical treatment. Obesity management guides would help to increase knowledge and reduce weight-related stigmatization in primary care, thereby improving medical care for obese and overweight patients.
肥胖是德国最常见和最相关的健康问题之一，急需采取行动。全科医生（GP）是初始接触者，因此是成功治疗超重和肥胖的最重要起点之一。本研究旨在评估德国初级卫生保健中治疗肥胖患者的实践和态度。
分析基于德国中部 47 名全科医生参与的 INTERACT 试验的基线数据。使用肥胖恐惧症量表（FPS）识别污名化态度。此外，还完成了包括社会人口学信息、肥胖原因归因、转诊行为和临床活动在内的问卷。统计调查包括描述性分析、主成分分析、推断统计和线性回归模型。
GP 对德国肥胖患者医疗质量的评价低于平均水平。FPS 评分显示 3.70，表明 GP 对肥胖患者的态度具有污名化。GP 年龄较小、男性和向专家转诊的次数较少与更高水平的污名化态度相关。
与体重相关的污名化会对治疗产生影响。肥胖管理指南将有助于提高初级保健中的知识水平并减少与体重相关的污名化，从而改善对肥胖和超重患者的医疗服务。
