Price J H, Desmond S M, Krol R A, Snyder F F, O'Connell J K
Department of Health Promotion and Human Performance, University of Toledo, Ohio 43606.
Am J Prev Med. 1987 Nov-Dec;3(6):339-45.
This study examined 318 family practice physicians' beliefs, attitudes, and practices regarding obese patients. Most physicians surveyed were aware of the health effects of obesity and that normal weight is important to the health of their patients. Beliefs, attitudes, and practices differed significantly based on the physicians' sex, weight, years in practice, and belief that counseling patients on weight loss is professionally gratifying and that most obese patients can lose significant amounts of weight. A notable number of respondents held negative or stereotypical attitudes toward obese patients (i.e., obese patients lack self-control, are lazy and sad). The most commonly recommended weight loss techniques were decreasing caloric consumption (92 percent), participating in Weight Watchers (84 percent), consulting a dietitian/nutritionist (76 percent), and aerobic exercise (75 percent). The two sources of weight control information most frequently cited were past experience (73 percent) and medical journals (71 percent). The results of this survey indicate that there is considerable room for improvement in the beliefs, attitudes, and practices of family physicians regarding obese patients.
本研究调查了318名家庭医生对肥胖患者的信念、态度和做法。大多数接受调查的医生都了解肥胖对健康的影响，以及正常体重对患者健康的重要性。基于医生的性别、体重、从业年限，以及认为为患者提供减肥咨询能带来职业满足感和大多数肥胖患者能够大幅减重的信念，医生们的信念、态度和做法存在显著差异。相当数量的受访者对肥胖患者持有负面或刻板的态度（即肥胖患者缺乏自制力、懒惰且悲伤）。最常被推荐的减肥方法是减少热量摄入（92%）、参加慧俪轻体（84%）、咨询营养师/营养学家（76%）以及有氧运动（75%）。最常被提及的两个体重控制信息来源是过往经验（73%）和医学期刊（71%）。本次调查结果表明，家庭医生对肥胖患者的信念、态度和做法仍有很大的改进空间。
