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Patients who feel judged about their weight have lower trust in their primary care providers
Open accessAbstract
Objective To evaluate whether overweight and obese patients have less trust in their primary care providers (PCPs) if they feel judged about their weight by these PCPs. Methods We conducted a national internet-based survey of 600 adults engaged in primary care with a BMI ≥ 25 kg/m(2) in 2012. Our dependent variable was high patient trust in their PCP (score ≥ 8/10). Our independent variable was "feeling judged about my weight by my PCP" dichotomized as "often/sometimes" versus "never." We conducted a multivariate logistic regression model adjusted for patient and PCP factors using survey weights. Results Overall, 21% felt that their PCP judged them about their weight. Respondents who perceived judgment were significantly less likely to report high trust in their PCP [OR 0.55, 95% CI 0.31-0.98]. Conclusion While only a fifth of overweight and obese patients perceived weight-related judgment from their PCPs, these patients were significantly less likely to report high trust in these providers. Given patients' decreased trust in providers who convey weight-related judgment, our results raise concerns about potential effects on the doctor-patient relationship and patient outcomes. Practice implications Addressing provider stigma toward patients with obesity could help build trust in these patient-provider relationships and improve quality of care.
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Patients who report having experienced weight bias in the healthcare setting have poor treatment outcomes and might be more likely to avoid future care.
“patients who report having experienced weight bias in the healthcare setting have poor treatment outcomes40 and might be more likely to avoid future care41.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [40]
The Conclusion reports lower trust among patients who felt judged about their weight and raises concern about possible effects on care and patient outcomes. It does not establish that those patients had poor treatment outcomes. The separate claim about avoiding future care carries citation 41, not the citation attached to treatment outcomes. (LLM, conf=0.86)
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The Stigma of Obesity: A Review and Update
Puhl, R. M., & Heuer, C. A. (2009) · Obesity · doi:10.1038/oby.2008.636 · Cited by 3,323
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Research works printed but not linked: 24
- Berry, 2008, Patients’ commitment to their primary physician and why it matters, Ann Fam Med, 6, 6, 10.1370/afm.757 · DOI
- Ratanawongsa, 2011, Challenges in primary care relationships: seeing it from both sides, Patient Educ Couns, 85, 40, 10.1016/j.pec.2010.07.042 · DOI
- Jones, 2012, Patient trust in physicians and adoption of lifestyle behaviors to control high blood pressure, Patient Educ Couns, 89, 57, 10.1016/j.pec.2012.06.003 · DOI
- Ratanawongsa, 2013, Communication and medication refill adherence: the Diabetes Study of Northern California, JAMA Intern Med, 173, 210, 10.1001/jamainternmed.2013.1216 · DOI
- Cuffee, 2013, Reported racial discrimination, trust in physicians, and medication adherence among inner-city African Americans with hypertension, Am J Public Health, 103, e55, 10.2105/AJPH.2013.301554 · DOI
- Puhl, 2001, Bias, discrimination, and obesity, Obes Res, 9, 788, 10.1038/oby.2001.108 · DOI
- Puhl, 2013, The effect of physicians’ body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice, Int J Obes, 37, 1415, 10.1038/ijo.2013.33 · DOI
- Puhl, 2006, Confronting and coping with weight stigma: an investigation of overweight and obese adults, Obesity (Silver Spring), 14, 1802, 10.1038/oby.2006.208 · DOI · Paper page
- Huizinga, 2009, Physician respect for patients with obesity, J Gen Intern Med, 24, 1236, 10.1007/s11606-009-1104-8 · DOI
- Buxton, 2013, Obese women's perceptions and experiences of healthcare and primary care providers, Nurs Res, 62, 252, 10.1097/NNR.0b013e318299a6ba · DOI
- Bleich, 2013, How does physician BMI impact patient trust and perceived stigma, Prev Med, 57, 120, 10.1016/j.ypmed.2013.05.005 · DOI
- Puhl, 2013, Motivating or stigmatizing? Public perceptions of weight-related language used by health providers, Int J Obes (London), 37, 6122, 10.1038/ijo.2013.17 · DOI
- Keeter, 2000, Consequences of reducing non-response in a national telephone survey, Public Opin. Q., 64, 125, 10.1086/317759 · DOI
- Johnson, 2004, Patient race/ethnicity and quality of patient–physician communication during medical visits, Am J Public Health, 94, 2084, 10.2105/AJPH.94.12.2084 · DOI · Paper page
- Ghods, 2008, Patient–physician communication in primary care visits with African–Americans and whites with depression, J Gen Intern Med, 23, 600, 10.1007/s11606-008-0539-7 · DOI
- Mechanic, 2000, Concepts of trust among patients with serious illness, Soc Sci Med, 51, 657, 10.1016/S0277-9536(00)00014-9 · DOI · Paper page
- O’Malley, 2004, The role of trust in use of preventive services among low-income African–American women, Prev Med, 38, 777, 10.1016/j.ypmed.2004.01.018 · DOI
- Amy, 2006, Barriers to routine gynecological cancer screening for White and African–American obese women, Int J Obes (Lond), 30, 147, 10.1038/sj.ijo.0803105 · DOI
- Heo, 2004, Overweight, obesity, and colorectal cancer screening: disparity beween men and women, BMC Public Health, 4, 53, 10.1186/1471-2458-4-53 · DOI
- Maruthur, 2009, mammography: a systematic review and meta-analysis, J Gen Intern Med, 24, 665, 10.1007/s11606-009-0939-3 · DOI
- Maruthur, 2009, The association of obesity and cervical cancer screening: a systematic review and meta-analysis, Obesity (Silver Spring), 17, 375, 10.1038/oby.2008.480 · DOI
- Gudzune, 2013, Physicians build less rapport with obese patients, Obesity (Silver Spring), 21, 2146, 10.1002/oby.20384 · DOI · Paper page
- Swift, 2013, Are anti-stigma films a useful strategy for reducing weight bias among trainee healthcare professionals Results of a pilot randomized controlled trial, Obes Facts, 6, 91, 10.1159/000348714 · DOI
- Gudzune, 2013, Doctor shopping my overweight and obese patients is associated with increased healthcare utilization, Obesity (Silver Spring), 21, 1328, 10.1002/oby.20189 · DOI
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Sorted by citations
Joint international consensus statement for ending stigma of obesity
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0803-x · Cited by 1,152
“Evidence suggests that physicians spend less time in appointments and provide less education about health to patients with obesity compared with thinner patients 17 , and patients who report having experienced weight bias in the healthcare setting have poor treatment outcomes 40 and might be more likely to avoid futur…”
BackgroundWeight bias and health care utilization: A scoping review
Alberga, A. S., Edache, I. Y., Forhan, M., & Russell-Mayhew, S. (2019) · Primary Health Care Research & Development · doi:10.1017/s1463423619000227 · Cited by 348
Puhl, R. M., Lessard, L. M., Himmelstein, M. S., & Foster, G. D. (2021) · PLOS ONE · doi:10.1371/journal.pone.0251566 · Cited by 233
Weight Stigma and Barriers to Effective Obesity Care
Puhl, R. M. (2023) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2023.02.002 · Cited by 117
Phelan, S. M., Bauer, K. W., Bradley, D., Bradley, S. M., Haller, I. V., Mundi, M. S., Finney Rutten, L. J., Schroeder, D. R., Fischer, K., & Croghan, I. (2022) · Obesity Science & Practice · doi:10.1002/osp4.553 · Cited by 57
Pudney, E. V., Himmelstein, M. S., Puhl, R. M., & Foster, G. D. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.112854 · Cited by 37
Weight‐Related Terms Differentially Affect Self‐Efficacy and Perception of Obesity
Hopkins, C. M., & Bennett, G. G. (2018) · Obesity · doi:10.1002/oby.22255 · Cited by 17
Metadata
- Authors
- Gudzune, K. A., Bennett, W. L., Cooper, L. A., & Bleich, S. N.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2014-10
- Volume
- 97
- Issue
- 1
- Pages
- 128-131
- ISSN
- 0738-3991 (ISSN-L)
- PMC
- PMC4162829
- OpenAlex
- W2045790156
- Cited by
- 143
- References
- 1
- Citations by year
- 2026: 16 · 2025: 21 · 2024: 20 · 2023: 14 · 2022: 8 · 2021: 11 · 2020: 15 · 2019: 9 · 2018: 9 · 2017: 12 · 2016: 4 · 2015: 3 · 2014: 1
- FWCI
- 6.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P50HL0105187, K23HL116601, K23HL098476, K24HL083113, K01HL096409)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity, overweight, weight stigma, physician-patient trust, primary care, physician-patient relationship, provider stigma, body mass index
- MeSH terms
- Adult, Aged, Cross-Sectional Studies, Emotions, Female, Humans, Male, Middle Aged, Negativism, Obesity, Patients, Perception, Physician-Patient Relations, Primary Health Care, Self Concept, Socioeconomic Factors, Stereotyping, Body Mass Index, Logistic Models, Outcome Assessment, Health Care, Internet, Trust, Overweight, Physicians, Primary Care
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