沙特阿拉伯一家教学医院医护人员的肥胖污名。
Obesity Stigma Among Healthcare Workers in a Teaching Hospital in Saudi Arabia.
机构信息
Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
Department of Family Medicine, Alrafeeah Primary healthcare Center, Rural Network, Eastern Health Cluster, Ministry of Health, Saudi Arabia.
出版信息
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241303326. doi: 10.1177/21501319241303326.
BACKGROUND
Obesity is a significant public health issue in Saudi Arabia. Rising obesity rates increase the risk of weight bias and stigma, even among healthcare workers.
OBJECTIVES
This study assesses weight stigma in healthcare workers, with findings intended to inform strategies for creating a more supportive healthcare environment for patients with obesity.
METHODS
This cross-sectional study was conducted in a university hospital in the Eastern Province of Saudi Arabia. Healthcare workers completed self-administered questionnaires, including the Attitudes toward Obese Persons Scale (ATOP) and the Beliefs about Obese Persons Scale (BAOP), which assess levels of positive attitudes and beliefs about obesity, respectively. Data were analyzed using SPSS.
RESULTS
The study included 266 healthcare workers (HCWs), mean age 33.21 years, with 54.5% female. The ATOP mean score was 64.4, and BAOP mean score was 18.3, indicating moderate negative attitudes and beliefs toward obesity. Significant differences in ATOP scores were found based on age, patient interactions, and years of experience.
DISCUSSION
Our study aligns with international findings, revealing significant weight stigma among healthcare workers in Saudi Arabia. Such stigma can negatively impact patient care, leading to biased treatment and poorer health outcomes. Societal norms and personal biases contribute to this stigma, despite misconceptions regarding its supposed motivational effects. Addressing this requires comprehensive training and education for healthcare providers. Policymakers should include weight bias education into medical curricula and establish anti-discrimination policies to promote inclusivity and respect.
CONCLUSIONS
Our study highlights obesity stigma among Saudi healthcare workers and the need for targeted interventions. Creating a supportive, nonjudgmental environment can enhance patient-provider relationships and improve healthcare outcomes for individuals with obesity.
背景
肥胖是沙特阿拉伯的一个重大公共卫生问题。肥胖率的上升增加了体重偏见和耻辱感的风险，即使在医疗保健工作者中也是如此。
目的
本研究评估医疗保健工作者中的体重耻辱感，其研究结果旨在为创建一个更支持肥胖患者的医疗保健环境提供策略。
方法
这项横断面研究在沙特阿拉伯东部省的一所大学医院进行。医疗保健工作者完成了自我管理的问卷，包括对肥胖者的态度量表（ATOP）和对肥胖者的信念量表（BAOP），分别评估对肥胖的积极态度和信念水平。使用 SPSS 进行数据分析。
结果
研究包括 266 名医疗保健工作者（HCWs），平均年龄 33.21 岁，其中 54.5%为女性。ATOP 的平均得分为 64.4，BAOP 的平均得分为 18.3，表明对肥胖的态度和信念中等偏负面。ATOP 评分存在显著差异，基于年龄、与患者的互动和工作经验年限。
讨论
我们的研究与国际研究结果一致，表明沙特阿拉伯的医疗保健工作者中存在显著的体重耻辱感。这种耻辱感会对患者护理产生负面影响，导致治疗偏见和健康结果较差。社会规范和个人偏见促成了这种耻辱感，尽管存在对其所谓激励作用的误解。解决这个问题需要对医疗保健提供者进行全面的培训和教育。政策制定者应将体重偏见教育纳入医学课程，并制定反歧视政策，以促进包容性和尊重。
结论
我们的研究强调了沙特阿拉伯医疗保健工作者中的肥胖耻辱感问题，需要采取有针对性的干预措施。创造一个支持性、非评判性的环境可以增强医患关系，并改善肥胖患者的医疗保健结果。
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