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Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic

Introduction Obesity being a global epidemic, currently has several adverse health outcomes. Weight stigma is a significant barrier to delivering quality services and also impairs clinical progress. We intended to study the association of stigma with demographic and clinical variables in obese patie...

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Autores principales: Jiwanmall, Stephen A, Kattula, Dheeraj, Nandyal, Munaf B, Parvathareddy, Sandhiya, Kirubakaran, Richard, Jebasingh, Felix, Paul, Thomas V, Thomas, Nihal, Kapoor, Nitin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375229/
https://www.ncbi.nlm.nih.gov/pubmed/35974866
http://dx.doi.org/10.7759/cureus.26837
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author Jiwanmall, Stephen A
Kattula, Dheeraj
Nandyal, Munaf B
Parvathareddy, Sandhiya
Kirubakaran, Richard
Jebasingh, Felix
Paul, Thomas V
Thomas, Nihal
Kapoor, Nitin
author_facet Jiwanmall, Stephen A
Kattula, Dheeraj
Nandyal, Munaf B
Parvathareddy, Sandhiya
Kirubakaran, Richard
Jebasingh, Felix
Paul, Thomas V
Thomas, Nihal
Kapoor, Nitin
author_sort Jiwanmall, Stephen A
collection PubMed
description Introduction Obesity being a global epidemic, currently has several adverse health outcomes. Weight stigma is a significant barrier to delivering quality services and also impairs clinical progress. We intended to study the association of stigma with demographic and clinical variables in obese patients to identify the obstacles in treatment-seeking, so stigma could be adequately addressed to improve clinical outcomes. Methods This study was a retrospective chart review in a Bariatric clinic in a tertiary care hospital. The weight self-stigma questionnaire (WSSQ) was routinely used in the clinic. Demographic and clinical data were collected for 146 obese patients.  Results Female patients (73%) had higher stigma scores. The mean total stigma score was 41.6(SD 3.83), the total self-devaluation score was 21.88(SD 2.10), total fear of enacted stigma was 21.26(SD 2.33). Multivariate analysis revealed an association between stigma with multiple dysfunctional eating patterns like bingeing, overeating, and grazing (Adjusted aOR 3.86, 95% CI- 1.66-8.96) and psychiatric diagnosis (adjusted aOR 3.00, CI- 1.25-7.17). Conclusion This study found an association between stigma and certain clinical variables that maintain and worsen obesity and comorbid psychiatric diagnoses. This highlights the importance of an assessment of mental health and stigma in general practice when dealing with patients with obesity. Treating the underlying psychiatric comorbidities and addressing unhealthy eating behaviors can help reduce self-stigma. Stigma is a barrier to treatment-seeking that needs to be addressed in the community.
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spelling pubmed-93752292022-08-15 Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic Jiwanmall, Stephen A Kattula, Dheeraj Nandyal, Munaf B Parvathareddy, Sandhiya Kirubakaran, Richard Jebasingh, Felix Paul, Thomas V Thomas, Nihal Kapoor, Nitin Cureus Endocrinology/Diabetes/Metabolism Introduction Obesity being a global epidemic, currently has several adverse health outcomes. Weight stigma is a significant barrier to delivering quality services and also impairs clinical progress. We intended to study the association of stigma with demographic and clinical variables in obese patients to identify the obstacles in treatment-seeking, so stigma could be adequately addressed to improve clinical outcomes. Methods This study was a retrospective chart review in a Bariatric clinic in a tertiary care hospital. The weight self-stigma questionnaire (WSSQ) was routinely used in the clinic. Demographic and clinical data were collected for 146 obese patients.  Results Female patients (73%) had higher stigma scores. The mean total stigma score was 41.6(SD 3.83), the total self-devaluation score was 21.88(SD 2.10), total fear of enacted stigma was 21.26(SD 2.33). Multivariate analysis revealed an association between stigma with multiple dysfunctional eating patterns like bingeing, overeating, and grazing (Adjusted aOR 3.86, 95% CI- 1.66-8.96) and psychiatric diagnosis (adjusted aOR 3.00, CI- 1.25-7.17). Conclusion This study found an association between stigma and certain clinical variables that maintain and worsen obesity and comorbid psychiatric diagnoses. This highlights the importance of an assessment of mental health and stigma in general practice when dealing with patients with obesity. Treating the underlying psychiatric comorbidities and addressing unhealthy eating behaviors can help reduce self-stigma. Stigma is a barrier to treatment-seeking that needs to be addressed in the community. Cureus 2022-07-14 /pmc/articles/PMC9375229/ /pubmed/35974866 http://dx.doi.org/10.7759/cureus.26837 Text en Copyright © 2022, Jiwanmall et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Jiwanmall, Stephen A
Kattula, Dheeraj
Nandyal, Munaf B
Parvathareddy, Sandhiya
Kirubakaran, Richard
Jebasingh, Felix
Paul, Thomas V
Thomas, Nihal
Kapoor, Nitin
Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title_full Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title_fullStr Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title_full_unstemmed Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title_short Weight Stigma in Patients With Obesity and Its Clinical Correlates: A Perspective From an Indian Bariatric Clinic
title_sort weight stigma in patients with obesity and its clinical correlates: a perspective from an indian bariatric clinic
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9375229/
https://www.ncbi.nlm.nih.gov/pubmed/35974866
http://dx.doi.org/10.7759/cureus.26837
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