Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender
TLDR
It is concluded that strong implicit and explicit anti-fat bias is as pervasive among MDs as it is among the general public.Abstract:
Overweight patients report weight discrimination in health care settings and subsequent avoidance of routine preventive health care. The purpose of this study was to examine implicit and explicit attitudes about weight among a large group of medical doctors (MDs) to determine the pervasiveness of negative attitudes about weight among MDs. Test-takers voluntarily accessed a public Web site, known as Project Implicit®, and opted to complete the Weight Implicit Association Test (IAT) (N = 359,261). A sub-sample identified their highest level of education as MD (N = 2,284). Among the MDs, 55% were female, 78% reported their race as white, and 62% had a normal range BMI. This large sample of test-takers showed strong implicit anti-fat bias (Cohen's d = 1.0). MDs, on average, also showed strong implicit anti-fat bias (Cohen's d = 0.93). All test-takers and the MD sub-sample reported a strong preference for thin people rather than fat people or a strong explicit anti-fat bias. We conclude that strong implicit and explicit anti-fat bias is as pervasive among MDs as it is among the general public. An important area for future research is to investigate the association between providers' implicit and explicit attitudes about weight, patient reports of weight discrimination in health care, and quality of care delivered to overweight patients.read more
Citations
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Journal ArticleDOI
Implicit bias in healthcare professionals: a systematic review
TL;DR: The evidence indicates that healthcare professionals exhibit the same levels of implicit bias as the wider population, and the need for the healthcare profession to address the role of implicit biases in disparities in healthcare is highlighted.
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Joint international consensus statement for ending stigma of obesity.
Francesco Rubino,Francesco Rubino,Rebecca M. Puhl,David E. Cummings,Robert H. Eckel,Donna H. Ryan,Jeffrey I. Mechanick,Jeffrey I. Mechanick,Joe Nadglowski,Ximena Ramos Salas,Phillip R. Schauer,Douglas Twenefour,Caroline M. Apovian,Caroline M. Apovian,Louis J. Aronne,Rachel L. Batterham,Rachel L. Batterham,Hans Rudolph Berthoud,Camilo Boza,Luca Busetto,Dror Dicker,Mary de Groot,Dan Eisenberg,Stuart W. Flint,Terry T.-K. Huang,Lee M. Kaplan,John P. Kirwan,Judith Korner,Theodore K. Kyle,Blandine Laferrère,Carel W. le Roux,La Shawn McIver,Geltrude Mingrone,Geltrude Mingrone,Patricia M. Nece,Tirissa J. Reid,Ann M. Rogers,Michael Rosenbaum,Randy J. Seeley,Antonio J. Torres,John B. Dixon +40 more
TL;DR: In this paper, a multidisciplinary group of international experts, including representatives of scientific organizations, reviewed available evidence on the causes and harms of weight stigma and, using a modified Delphi process, developed a joint consensus statement with recommendations to eliminate weight bias.
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Weight discrimination and bullying.
Rebecca M. Puhl,Kelly M. King +1 more
TL;DR: The nature and extent of weight stigmatization against overweight and obese individuals, as well as the resulting consequences that these experiences create for social, psychological, and physical health for children and adults who are targeted, are summarized.
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Stigma Experienced by Children and Adolescents With Obesity
TL;DR: This policy statement seeks to raise awareness regarding the prevalence and negative effects of weight stigma on pediatric patients and their families and provides 6 clinical practice and 4 advocacy recommendations regarding the role of pediatricians in addressing weight stigma.
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How and why weight stigma drives the obesity 'epidemic' and harms health.
A. Janet Tomiyama,Deborah Carr,Ellen M. Granberg,Brenda Major,Eric Robinson,Angelina R. Sutin,Alexandra Brewis +6 more
TL;DR: Weight stigma is likely to drive weight gain and poor health and thus should be eradicated, which can begin by training compassionate and knowledgeable healthcare providers who will deliver better care and ultimately lessen the negative effects of weight stigma.
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