Rudd Center for Food Policy & Health, University of Connecticut, 1 Constitution Plaza, Suite 600, Hartford, CT 06103, USA.
Rudd Center for Food Policy & Health, University of Connecticut, 1 Constitution Plaza, Suite 600, Hartford, CT 06103, USA; Department of Human Development and Family Sciences, University of Connecticut, 348 Mansfield Road, U-1058, Storrs, CT 06269-1058, USA.
Diabetes Res Clin Pract. 2023 Aug;202:110827. doi: 10.1016/j.diabres.2023.110827. Epub 2023 Jul 13.
Adults with type 2 diabetes (T2D) report experiencing stigma across multiple settings, including stigmatizing interactions with their healthcare providers. However, research examining physician biases toward patients with T2D is scarce. Identifying stigma-related barriers in diabetes care is essential to prevent providers' biases from impairing health care delivery. This study assessed attitudes towards individuals with T2D and obesity among physicians who treat T2D.
Physicians specializing in internal medicine or endocrinology (n = 205) completed a series of online questionnaires assessing their attitudes towards patients with T2D and obesity, and their attributions of controllability and blame of individuals with T2D and obesity.
While 85% of physicians felt professionally prepared and confident to treat patients with T2D, 1/3 reported being repulsed by patients with T2D and view them as lazy (39%), lacking motivation (44%), and non-compliant with treatment (44%). Many witnessed professionals in their field making negative comments about patients with T2D (44%). Physicians endorsed worse levels of bias towards patients with obesity than T2D, but differences were small.
Findings highlight the need for stigma reduction interventions for physicians addressing both T2D and obesity. Research assessing the effects of T2D stigma on quality of patient care and health outcomes is needed.
2 型糖尿病（T2D）患者在多个环境中都会经历污名化，包括与医疗保健提供者的负面互动。然而，研究检查医生对 T2D 患者的偏见的研究很少。识别与糖尿病护理相关的障碍对于防止提供者的偏见影响医疗保健的提供至关重要。本研究评估了治疗 T2D 的医生对 T2D 和肥胖患者的态度。
专门从事内科或内分泌学的医生（n=205）完成了一系列在线问卷，评估他们对 T2D 和肥胖患者的态度，以及他们对 T2D 和肥胖患者的可控性和责任归因。
虽然 85%的医生认为自己有专业能力和信心治疗 T2D 患者，但有 1/3的医生表示对 T2D 患者感到反感，认为他们懒惰（39%）、缺乏动力（44%）和不遵守治疗（44%）。许多人目睹了他们所在领域的专业人士对 T2D 患者做出负面评价（44%）。医生对肥胖患者的偏见程度比 T2D 患者更严重，但差异较小。
研究结果强调了需要为医生提供减少污名化干预，以解决 T2D 和肥胖问题。需要评估 T2D 污名对患者护理质量和健康结果的影响的研究。
