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Weight bias and health care utilization: a scoping review

AIM: The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity. BACKGROUND: Prior studies have found discrepancies in the use...

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Autores principales: Alberga, Angela S., Edache, Iyoma Y., Forhan, Mary, Russell-Mayhew, Shelly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650789/
https://www.ncbi.nlm.nih.gov/pubmed/32800008
http://dx.doi.org/10.1017/S1463423619000227
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author Alberga, Angela S.
Edache, Iyoma Y.
Forhan, Mary
Russell-Mayhew, Shelly
author_facet Alberga, Angela S.
Edache, Iyoma Y.
Forhan, Mary
Russell-Mayhew, Shelly
author_sort Alberga, Angela S.
collection PubMed
description AIM: The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity. BACKGROUND: Prior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services. METHODS: PubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services. FINDINGS: A thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and ‘doctor shopping’. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services.
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spelling pubmed-66507892019-08-05 Weight bias and health care utilization: a scoping review Alberga, Angela S. Edache, Iyoma Y. Forhan, Mary Russell-Mayhew, Shelly Prim Health Care Res Dev Review AIM: The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity. BACKGROUND: Prior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services. METHODS: PubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services. FINDINGS: A thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and ‘doctor shopping’. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services. Cambridge University Press 2019-07-22 /pmc/articles/PMC6650789/ /pubmed/32800008 http://dx.doi.org/10.1017/S1463423619000227 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Alberga, Angela S.
Edache, Iyoma Y.
Forhan, Mary
Russell-Mayhew, Shelly
Weight bias and health care utilization: a scoping review
title Weight bias and health care utilization: a scoping review
title_full Weight bias and health care utilization: a scoping review
title_fullStr Weight bias and health care utilization: a scoping review
title_full_unstemmed Weight bias and health care utilization: a scoping review
title_short Weight bias and health care utilization: a scoping review
title_sort weight bias and health care utilization: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6650789/
https://www.ncbi.nlm.nih.gov/pubmed/32800008
http://dx.doi.org/10.1017/S1463423619000227
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