Breaking News
January 23, 2019 - Risk for Uninsurance in AMI Patients Reduced With Medicaid Expansion
January 23, 2019 - Readmissions reduction program may be associated with increase in patient-level mortality
January 23, 2019 - Fostering translation and communication in medicine and beyond
January 23, 2019 - To Fight Fatty Liver, Avoid Sugary Foods and Drinks
January 23, 2019 - TPU scientists develop new implants that double the rate of bone lengthening in kids
January 23, 2019 - New sessions at Pittcon 2019
January 23, 2019 - Insilico to present latest findings in AI for Drug Discovery at 3rd Annual SABPA FTD Forum
January 23, 2019 - Opioid overdose patients can be safely discharged an hour after administration of naloxone
January 23, 2019 - Scientists find bacterial extracellular vesicles in human blood
January 23, 2019 - Researchers gain new insights into development of necrotizing enterocolitis in preemies
January 23, 2019 - Medical expert advises people with epilepsy not to stockpile medicines
January 23, 2019 - Bedfont to exhibit NObreath FeNO monitor at Arab Health 2019
January 23, 2019 - Nicotinamide riboside supplementation confers significant physiological benefits to mothers and offspring
January 23, 2019 - Increasing temperatures may help preserve crop nutrition
January 23, 2019 - Many Oncologists in the Dark About LGBTQ Health Needs
January 23, 2019 - Epigenetic change causes fruit fly babies to inherit diet-induced heart disease
January 23, 2019 - Erasing memories could reduce relapse rates among drug addicts
January 23, 2019 - African Americans who smoke cigarettes are more likely to develop peripheral artery disease
January 23, 2019 - Unique data combination helps FinnGen researchers to fund links between genetic factors and health
January 23, 2019 - Parents’ mental health problems associated with reactive attachment disorder in children
January 23, 2019 - Graphene Flagship project studies impact of graphene and related materials on our health
January 23, 2019 - The connection between the Pope and contraceptive pills
January 23, 2019 - Prior dengue infection could protect children from symptomatic Zika
January 23, 2019 - Previous dengue virus infection associated with protection from symptomatic Zika
January 23, 2019 - VISTA checkpoint implicated in pancreatic cancer immunotherapy resistance
January 23, 2019 - The Tiny Camera That Could Revolutionize Cardiovascular Surgery
January 23, 2019 - Peptide isolated from soil fungi has antitumor and antibacterial properties
January 23, 2019 - TGen identifies polio-like virus as potential cause of Acute Flaccid Myelitis outbreak
January 23, 2019 - Migrants and refugees do not bring disease and are at greater health risk themselves says WHO
January 23, 2019 - Examing the effects of menopause in workplace
January 23, 2019 - Enemy number 1 – Air pollution and climate change top of WHO agenda
January 23, 2019 - Two Positive Phase III studies of Tafenoquine for the Radical Cure of Plasmodium vivax Malaria Published in The New England Journal of Medicine
January 23, 2019 - World Trade Center responders at increased risk for head and neck cancers
January 23, 2019 - Low-sugar diet leads to significant improvement in nonalcoholic fatty liver disease in boys
January 23, 2019 - Chaos in bodily regulation can optimize our immune system, finds study
January 23, 2019 - Short, text-based exercises can increase happiness for adults recovering from substance use disorders
January 23, 2019 - Body size may have greater influence on women’s lifespan than men
January 23, 2019 - Groundbreaking tool helps visualize neuronal activity with near-infrared light
January 23, 2019 - Prior dengue immunity in children may be protective against symptomatic Zika
January 23, 2019 - Holocaust survivors with PTSD and their offspring exhibit more unhealthy behavior patterns
January 23, 2019 - Scientists discover new genetic mutations causing inherited deaf-blindness
January 23, 2019 - UC team designs new naloxone-dispensing smart device
January 23, 2019 - Torrent Pharmaceuticals Limited Issues Voluntary Nationwide Recall of Losartan Potassium Tablets, USP and Losartan Potassium and Hydrochlorothiazide Tablets, USP
January 23, 2019 - Brain activity shows development of visual sensitivity in autism
January 23, 2019 - Two hour gap between dinner and sleep is overrated says Japanese research
January 23, 2019 - Fear and embarrassment are causing smear test numbers to plummet
January 23, 2019 - Protein-secreting device implanted in epileptic rats reduces seizures, improves cognition
January 23, 2019 - Reintroduction project recovers current wild population of green turtle in Cayman Islands
January 23, 2019 - Cancer survivors face greater financial burden related to medical bills
January 23, 2019 - PSA screening reduces prostate cancer deaths by 30%
January 23, 2019 - LSTM receives grant to help improve health of people living in informal settlements
January 23, 2019 - Hemochromatosis Mutation Linked to Other Morbidity
January 23, 2019 - Why early diagnosis of autism should lead to early intervention
January 23, 2019 - Aspirin May Lower Stroke Risk in Women with History of Preeclampsia
January 23, 2019 - Exposure to certain chemicals may be linked to decrease in blood pressure during pregnancy
January 23, 2019 - Bowel cancer on the rise among younger Australians
January 23, 2019 - Scientists have reversed memory loss in a mouse model of Alzheimer’s
January 23, 2019 - Defective molecular master switch could lead to age-related macular degeneration
January 23, 2019 - Researchers identify how concussions may contribute to seizures
January 23, 2019 - Short interval between last meal of the day and bedtime may not affect blood glucose levels
January 23, 2019 - Still Too Many Highway Deaths Tied to Speeding
January 23, 2019 - Prenatal valproate exposure linked to increased ADHD risk
January 23, 2019 - Compound identified that may help treat heart failure
January 23, 2019 - Undiagnosed Asthma in Urban Adolescents May Be Common
January 23, 2019 - Study describes metabolism of intestinal microbiota in babies for the first time
January 22, 2019 - Study links concussions to development of epilepsy
January 22, 2019 - Specialist-led hospital bereavement service may help restrain legal action after difficult deaths
January 22, 2019 - Genetic study reveals possible new routes to treating osteoarthritis
January 22, 2019 - Blood test may detect early signs of lung-transplant rejection
January 22, 2019 - Blood marker could aid in early prediction of Alzheimer’s progression
January 22, 2019 - Orthodontic treatment does not guarantee future dental health
January 22, 2019 - Rutgers researchers discover cause of bone loss in people with joint replacements
January 22, 2019 - Diversity among rural Africans extends to their gut microbiomes
January 22, 2019 - Newly developed biological system lets cells to create self-curving cornea
January 22, 2019 - VTv Therapeutics Announces Publication of Comprehensive Data in Science Translational Medicine Detailing the Discovery and Clinical Development of TTP399, including Results of Phase 2 AGATA Study
January 22, 2019 - about one in three adults with prediabetes has arthritis
January 22, 2019 - A look at how data is democratizing health care
January 22, 2019 - Alcohol-Linked Disease Overtakes Hep C As Top Reason For Liver Transplant
January 22, 2019 - Researchers identify new genes linked with age-related macular degeneration
January 22, 2019 - MPFI researchers identify synaptic logic for connections between two brain hemispheres
Study links past experiences with bias and avoidance of doctors in women with higher BMI

Study links past experiences with bias and avoidance of doctors in women with higher BMI

image_pdfDownload PDFimage_print

A study out of Drexel University’s Dornsife School of Public Health linked past experiences with bias and discrimination and avoidance of doctors in women with higher body weights.

Most studies that look into body weight and its effect on healthcare visits don’t consider the experiences of weight stigma or patients’ feelings about their own bodies. But the lead author of this study, Janell Mensinger, PhD, wanted to look into these factors because she believes that the way the United States health system currently views body size could be actively hurting patients.

“What is important here is that women with higher body mass index tend to avoid healthcare and the reasons for that are often due to their experiences of weight discrimination,” said Mensinger, an associate research professor in the Dornsife School of Public Health. “We need to help healthcare professionals understand that seeing a provider is highly charged with stress and anxiety, and there are methods to reduce those feelings.”

That understanding could come through what’s been termed the “weight inclusive approach,” which seeks to eliminate biases that doctors might carry into interactions with their patients. Currently, most United States doctors follow what’s been termed the “weight normative approach,” in which benchmarks are set for body size and lead to specific advice and action.

Instead, Mensinger and others hope to implement the “weight inclusive approach,” which would include training for health professionals to combat biases against individuals with higher weights and put a halt to unprompted discussions of body size.

“Weight is a data point, but that is it,” Mensinger said. “Tracking how it changes might provide clues to things going on in someone’s life and body, but it is much more complicated than we are made to believe.”

Mensinger’s study, published in the June edition of the journal Body Image, sought to provide a research-backed reason for why the weight inclusive approach would help.

For the study’s survey, more than 300 women participated. It recorded data used to calculate each participant’s body mass index (BMI, weight in kilograms divided by height in meters squared), and any experiences or feelings of weight stigma, body shame, body guilt, healthcare stress, and healthcare avoidance.

Although BMIs are considered problematic by many, including the metric in this study is necessitated because, despite its problems, it is still measured and used by healthcare providers to dictate treatment.

“We worked in the reality of what is happening, not what should be happening,” Mensinger said. “Of course, we wish BMI were not considered, but the aim of this study was to understand the mechanisms connecting an existing relationship that has long been established in healthcare settings.”

Data from Mensinger’s survey showed significant associations that progressed between each factor that was measured, moving from higher BMIs to, eventually, avoidance of doctor visits.

“Experiences of weight stigma often lead to self-directed stigma. Self-directed stigma tends to lead to body-related shame and guilt, which then leads to stress regarding the healthcare encounter,” Mensinger explained. “And people who are stressed about the encounters tend to avoid them.”

In the “weight normative approach,” benchmarks for BMIs are generally set and lead to specific advice and action. For example, a BMI of 25 or above is considered “overweight”, and often leads to unsolicited weight counseling during visits. A BMI of 30 or more is often met with indiscriminate prescriptions for weight loss through calorie restriction and exercise. Assumptions are made about what and how much the person is eating and whether or not the person is exercising.

Mensinger believes her study shows that this type of approach in healthcare settings is doing more harm than good.

“We’re talking about a vulnerable population and we’re putting them at a greater risk,” Mensinger said. “We need to be aware of these system-level problems that are keeping people from going to appointments that would be saving lives.”

Source:

http://drexel.edu/now/archive/2018/April/Bias-Keeping-Women-With-Higher-Weights-Away-from-Doctor-Offices/

Tagged with:

About author

Related Articles