A model of weight‐based stigma in health care and utilization outcomes: Evidence from the learning health systems network

Autor: Sean M. Phelan, Katherine W. Bauer, David Bradley, Steven M. Bradley, Irina V. Haller, Manpreet S. Mundi, Lila J. Finney Rutten, Darrell R. Schroeder, Kristin Fischer, Ivana Croghan
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Obesity Science & Practice, Vol 8, Iss 2, Pp 139-146 (2022)
Druh dokumentu: article
ISSN: 2055-2238
DOI: 10.1002/osp4.553
Popis: Abstract Objective Obesity is stigmatized and people with obesity report experiencing stigmatizing situations when seeking health care. The implications of these experiences are not well understood. This study tests an indirect effects model of negative care experiences as an intermediate variable between obesity and care avoidance/utilization and switching primary care doctors. Methods A survey was completed by 2380 primary care patients in the Learning Health Systems Network (LHSNet) Clinical Data Research Network with a BMI >25 kg/m2. Measures included scales assessing stigmatizing situations, perceived patient‐centered communication, perceived respect, having delayed needed care, and having looked for a new primary doctor in the past 12 months. Sequential and serial indirect effects of care experiences and respect in the association between BMI and care utilization outcomes was modeled. Results The hypothesized model was supported by findings. The associations between BMI and delaying needed care (OR = 1.06, p
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