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从教育到患者护理:体重歧视对医疗保健的影响。

From education to patient care: the impact of weight stigma in healthcare.

作者信息

D'Arpino Emma, Kardong-Edgren Suzie

机构信息

Department of Health Professions Education, MGH Institute of Health Professions, Boston, Massachusetts, USA.

出版信息

Proc (Bayl Univ Med Cent). 2025 Jul 25;38(5):769-778. doi: 10.1080/08998280.2025.2528397. eCollection 2025.

Abstract

This scoping review explored the literature about weight stigma in healthcare education and patient care and how it may impact individuals living in larger bodies. Two databases, MGH OneSearch and PubMed, were utilized, focusing on research published from 2013 to 2023 in English. A total of 18 articles were identified and used for this review. Evidence indicated that healthcare providers stigmatize patients living in larger bodies, both implicitly and explicitly. Studies found that medical students preferred thin patients and had strong anti-fat bias ( < 0.001). Weight bias in healthcare can lead to discrimination, impacting patients' mental and physical well-being, including heightened stress, altered caloric intake, fluctuations in body size, and declining overall health. The impact of weight stigma in healthcare is recognized but understudied. This review suggests that believing weight is within patient control fosters blame and stigma. Learning about weight stigma and developing nonstigmatizing education for healthcare students and providers should be a priority. Understanding how weight stigma may delay healthcare and increase chronic illness risk could encourage more compassionate care for patients in larger bodies.

摘要

本综述探讨了关于医疗保健教育和患者护理中体重歧视的文献,以及它如何影响体型较大的个体。我们使用了两个数据库,即麻省总医院一站式检索平台(MGH OneSearch)和PubMed,重点关注2013年至2023年以英文发表的研究。总共筛选出18篇文章用于本综述。证据表明,医疗保健提供者对体型较大的患者存在隐性和显性的歧视。研究发现,医学生更喜欢瘦患者,并且有强烈的反胖偏见(<0.001)。医疗保健中的体重偏见会导致歧视,影响患者的身心健康,包括压力增加、热量摄入改变、体型波动以及整体健康状况下降。医疗保健中体重歧视的影响已得到认可,但研究不足。本综述表明,认为体重在患者可控范围内会滋生指责和歧视。了解体重歧视并为医学生和医疗保健提供者开展非歧视性教育应成为优先事项。了解体重歧视如何可能延误医疗保健并增加慢性病风险,可能会促使对体型较大的患者给予更具同情心的护理。

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本文引用的文献

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