Patients' and professionals' experiences and perspectives of obesity in health‐care settings: a synthesis of current research

Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health‐care provision and health‐care professio...

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Published inHealth expectations : an international journal of public participation in health care and health policy Vol. 16; no. 2; pp. 119 - 142
Main Authors Mold, Freda, Forbes, Angus
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.06.2013
John Wiley & Sons, Inc
Subjects
Access
Archives & records
Attitude of Health Personnel
Attitude to Health
Attitudes
Avoidance behavior
Bias
Bibliographic literature
Bibliographies
Clinical decision making
Criteria
Decision making
Delivery of Health Care - methods
Delivery of Health Care - organization & administration
Emotional well being
Extraction
Family physicians
Health care
Health professionals
Health services
Health Services Accessibility - organization & administration
Humans
Medical personnel
Medical screening
Medicine
Mental health
Nurses
Nutrition research
Obese people
Obesity
Obesity - psychology
Obesity - therapy
Overweight
Patient Satisfaction
Patients
Physician-Patient Relations
Practice nursing
Prevention programs
Primary care
Professional attitudes
Qualitative research
Quality of Health Care
Research methodology
Review
Science
Search methods
Social sciences
Sociology
Stereotyping
Stigma
Stigmatization
Synthesis
Weight control
Womens health
Online AccessGet full text

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Abstract Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health‐care provision and health‐care professionals in providing care to obese patients. Search strategy  A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals. Inclusion Criteria  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically. Data Extraction  Data were extracted focusing on obesity, stigma and access to health‐care services. All included studies were subject to critical appraisal to assess the quality of the research. Findings  Thirty studies were identified. All the studies reported obesity impacting on health‐care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho‐emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Conclusion  Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health‐care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health‐care interactions and decision making.
AbstractList Background  Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care.Aim  To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients.Search strategy  A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals.Inclusion Criteria  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically.Data Extraction  Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research.Findings  Thirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures.Conclusion  Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making.
Background Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care. Aim To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients. Search strategy A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals. Inclusion Criteria Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically. Data Extraction Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research. Findings Thirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Conclusion Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making. 70 references
Background Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care. Aim To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients. Search strategy A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals. Inclusion Criteria Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically. Data Extraction Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research. Findings Thirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Conclusion Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making. Adapted from the source document.
Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care.BACKGROUNDObesity-related stigma likely influences how obese people interact with health-care professionals and access health care.To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients.AIMTo undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients.A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals.SEARCH STRATEGYA systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals.  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically.INCLUSION CRITERIA  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically.  Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research.DATA EXTRACTION  Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research.Thirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures.FINDINGSThirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures.Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making.CONCLUSIONObesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making.
Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health‐care provision and health‐care professionals in providing care to obese patients. Search strategy  A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals. Inclusion Criteria  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically. Data Extraction  Data were extracted focusing on obesity, stigma and access to health‐care services. All included studies were subject to critical appraisal to assess the quality of the research. Findings  Thirty studies were identified. All the studies reported obesity impacting on health‐care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho‐emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Conclusion  Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health‐care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health‐care interactions and decision making.
Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care. To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health-care provision and health-care professionals in providing care to obese patients. A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals.   Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically.   Data were extracted focusing on obesity, stigma and access to health-care services. All included studies were subject to critical appraisal to assess the quality of the research. Thirty studies were identified. All the studies reported obesity impacting on health-care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho-emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health-care interactions and decision making.
Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a synthesis of studies examining the views and experiences of both obese people in relation to their health‐care provision and health‐care professionals in providing care to obese patients. Search strategy  A systematic search of key electronic databases relating to professional or patient experiences of, or perspectives on, obesity was performed in 2008 and updated in 2010. Reference lists of article bibliographies were searched, along with hand searches of relevant journals. Inclusion Criteria  Studies were screened against explicit inclusion criteria and published between 1990 and 2010. Findings were examined and organized thematically. Data Extraction  Data were extracted focusing on obesity, stigma and access to health‐care services. All included studies were subject to critical appraisal to assess the quality of the research. Findings  Thirty studies were identified. All the studies reported obesity impacting on health‐care interactions. Key themes identified were experiences of stigma and feelings of powerlessness, treatment avoidance, psycho‐emotional functioning, professional attitudes, confidence and training, variations in health contact time and finally, differences in treatment options and preventative measures. Conclusion  Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health‐care providers. Given the increasing prevalence of obesity and the range of therapeutic options available, further work is necessary to understand how the presence of obesity affects health‐care interactions and decision making.
Author Forbes, Angus
Mold, Freda
AuthorAffiliation 2 Professor, FEND Chair in Clinical Diabetes Nursing, Department of Primary and Intermediate Care, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK
1 Information Specialist, Health and Social Care Division, University of Surrey, Guildford, Surrey
AuthorAffiliation_xml – name: 1 Information Specialist, Health and Social Care Division, University of Surrey, Guildford, Surrey
– name: 2 Professor, FEND Chair in Clinical Diabetes Nursing, Department of Primary and Intermediate Care, Florence Nightingale School of Nursing and Midwifery, King’s College London, London, UK
Author_xml – sequence: 1
  givenname: Freda
  surname: Mold
  fullname: Mold, Freda
– sequence: 2
  givenname: Angus
  surname: Forbes
  fullname: Forbes, Angus
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21645186$$D View this record in MEDLINE/PubMed
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Snippet Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a...
Background  Obesity‐related stigma likely influences how obese people interact with health‐care professionals and access health care. Aim  To undertake a...
Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care. To undertake a synthesis of studies...
Background  Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care.Aim  To undertake a...
Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care.BACKGROUNDObesity-related stigma...
Background Obesity-related stigma likely influences how obese people interact with health-care professionals and access health care. Aim To undertake a...
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SubjectTerms Access
Archives & records
Attitude of Health Personnel
Attitude to Health
Attitudes
Avoidance behavior
Bias
Bibliographic literature
Bibliographies
Clinical decision making
Criteria
Decision making
Delivery of Health Care - methods
Delivery of Health Care - organization & administration
Emotional well being
Extraction
Family physicians
Health care
Health professionals
Health services
Health Services Accessibility - organization & administration
Humans
Medical personnel
Medical screening
Medicine
Mental health
Nurses
Nutrition research
Obese people
Obesity
Obesity - psychology
Obesity - therapy
Overweight
Patient Satisfaction
Patients
Physician-Patient Relations
Practice nursing
Prevention programs
Primary care
Professional attitudes
Qualitative research
Quality of Health Care
Research methodology
Review
Science
Search methods
Social sciences
Sociology
Stereotyping
Stigma
Stigmatization
Synthesis
Weight control
Womens health
Title Patients' and professionals' experiences and perspectives of obesity in health‐care settings: a synthesis of current research
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1369-7625.2011.00699.x
https://www.ncbi.nlm.nih.gov/pubmed/21645186
https://www.proquest.com/docview/3067622606
https://www.proquest.com/docview/1349702930
https://www.proquest.com/docview/1373491878
https://www.proquest.com/docview/1399050244
https://pubmed.ncbi.nlm.nih.gov/PMC5060648
Volume 16
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