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荷兰 7 个不同专业的医疗保健专业人员对肥胖儿科患者的体重偏见态度。

Weight-biased attitudes about pediatric patients with obesity in Dutch healthcare professionals from seven different professions.

机构信息

Department of Health Science, Vrije Universiteit, Amsterdam, The Netherlands.

Rudd Center for Food Policy & Health, Department of Human Development & Family Sciences, University of Connecticut, Hartfort, CT, USA.

出版信息

J Child Health Care. 2023 Jun;27(2):243-252. doi: 10.1177/13674935221133953. Epub 2023 Mar 2.

Abstract

Little is known about the prevalence of negative weight-biased attitudes among Dutch healthcare professionals (HCPs) when treating children and adolescents with obesity and whether interdisciplinary differences are present. Accordingly, we asked Dutch HCPs that treat pediatric patients with obesity to complete a validated 22-item self-report questionnaire about their weight-biased attitudes. In total, 555 HCPs participated from seven different disciplines: 41 general practitioners (GPs), 40 pediatricians, 132 youth healthcare physicians, 223 youth healthcare nurses, 40 physiotherapists, 40 dieticians, and 39 mental health professionals. HCPs from all disciplines reported to experience negative weight-biased attitudes among themselves. Pediatricians and GPs scored highest on negative weight-biased attitudes, including frustrations in treating children with obesity, and feeling less confident and prepared to treat children with obesity. Dieticians scored the least negative weight-biased attitudes. Participants from all groups perceived weight bias expressed by their colleagues, toward children with obesity. These findings are comparable to results reported by adult HCPs from other countries. Interdisciplinary differences were found and underscore the need for more research on contributing factors that impact explicit weight bias among pediatric HCPs.

摘要

目前对于荷兰医疗保健专业人员(HCPs)在治疗肥胖儿童和青少年时是否存在消极的体重偏见以及是否存在跨学科差异知之甚少。因此,我们要求治疗儿科肥胖患者的荷兰 HCPs 完成一份经过验证的 22 项自我报告问卷,以了解他们的体重偏见态度。共有来自七个不同学科的 555 名 HCPs 参与了这项研究:41 名全科医生(GPs)、40 名儿科医生、132 名青年保健医生、223 名青年保健护士、40 名物理治疗师、40 名营养师和 39 名心理健康专业人员。所有学科的 HCPs 都报告说自己存在消极的体重偏见。儿科医生和全科医生在消极的体重偏见方面得分最高,包括在治疗肥胖儿童方面感到沮丧,以及在治疗肥胖儿童方面感到信心不足和准备不足。营养师的体重偏见得分最低。所有群体的参与者都认为同事对肥胖儿童存在体重偏见。这些发现与来自其他国家的成年 HCPs 报告的结果相似。跨学科差异已经存在,这凸显了需要更多研究影响儿科 HCPs 明确体重偏见的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3732/10240630/92ac0d4bd381/10.1177_13674935221133953-fig1.jpg

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