Impact of weight bias and stigma on quality of care and outcomes for patients with obesity

Sean M Phelan, D. J. Burgess, M. W. Yeazel, W. L. Hellerstedt, Joan Griffin, M. van Ryn

Research output: Contribution to journalArticle

182 Citations (Scopus)

Abstract

The objective of this study was to critically review the empirical evidence from all relevant disciplines regarding obesity stigma in order to (i) determine the implications of obesity stigma for healthcare providers and their patients with obesity and (ii) identify strategies to improve care for patients with obesity. We conducted a search of Medline and PsychInfo for all peer-reviewed papers presenting original empirical data relevant to stigma, bias, discrimination, prejudice and medical care. We then performed a narrative review of the existing empirical evidence regarding the impact of obesity stigma and weight bias for healthcare quality and outcomes. Many healthcare providers hold strong negative attitudes and stereotypes about people with obesity. There is considerable evidence that such attitudes influence person-perceptions, judgment, interpersonal behaviour and decision-making. These attitudes may impact the care they provide. Experiences of or expectations for poor treatment may cause stress and avoidance of care, mistrust of doctors and poor adherence among patients with obesity. Stigma can reduce the quality of care for patients with obesity despite the best intentions of healthcare providers to provide high-quality care. There are several potential intervention strategies that may reduce the impact of obesity stigma on quality of care.

Original languageEnglish (US)
Pages (from-to)319-326
Number of pages8
JournalObesity Reviews
Volume16
Issue number4
DOIs
StatePublished - Apr 1 2015

Fingerprint

Quality of Health Care
Obesity
Weights and Measures
Health Personnel
Patient Compliance
Decision Making
Patient Care

Keywords

  • Delivery of health care
  • Obesity
  • Social stigma
  • Stereotyping

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Endocrinology, Diabetes and Metabolism

Cite this

Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. / Phelan, Sean M; Burgess, D. J.; Yeazel, M. W.; Hellerstedt, W. L.; Griffin, Joan; van Ryn, M.

In: Obesity Reviews, Vol. 16, No. 4, 01.04.2015, p. 319-326.

Research output: Contribution to journalArticle

Phelan, Sean M ; Burgess, D. J. ; Yeazel, M. W. ; Hellerstedt, W. L. ; Griffin, Joan ; van Ryn, M. / Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. In: Obesity Reviews. 2015 ; Vol. 16, No. 4. pp. 319-326.
@article{9fdf9abae6d34f25ac34f6504cf30095,
title = "Impact of weight bias and stigma on quality of care and outcomes for patients with obesity",
abstract = "The objective of this study was to critically review the empirical evidence from all relevant disciplines regarding obesity stigma in order to (i) determine the implications of obesity stigma for healthcare providers and their patients with obesity and (ii) identify strategies to improve care for patients with obesity. We conducted a search of Medline and PsychInfo for all peer-reviewed papers presenting original empirical data relevant to stigma, bias, discrimination, prejudice and medical care. We then performed a narrative review of the existing empirical evidence regarding the impact of obesity stigma and weight bias for healthcare quality and outcomes. Many healthcare providers hold strong negative attitudes and stereotypes about people with obesity. There is considerable evidence that such attitudes influence person-perceptions, judgment, interpersonal behaviour and decision-making. These attitudes may impact the care they provide. Experiences of or expectations for poor treatment may cause stress and avoidance of care, mistrust of doctors and poor adherence among patients with obesity. Stigma can reduce the quality of care for patients with obesity despite the best intentions of healthcare providers to provide high-quality care. There are several potential intervention strategies that may reduce the impact of obesity stigma on quality of care.",
keywords = "Delivery of health care, Obesity, Social stigma, Stereotyping",
author = "Phelan, {Sean M} and Burgess, {D. J.} and Yeazel, {M. W.} and Hellerstedt, {W. L.} and Joan Griffin and {van Ryn}, M.",
year = "2015",
month = "4",
day = "1",
doi = "10.1111/obr.12266",
language = "English (US)",
volume = "16",
pages = "319--326",
journal = "Obesity Reviews",
issn = "1467-7881",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Impact of weight bias and stigma on quality of care and outcomes for patients with obesity

AU - Phelan, Sean M

AU - Burgess, D. J.

AU - Yeazel, M. W.

AU - Hellerstedt, W. L.

AU - Griffin, Joan

AU - van Ryn, M.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - The objective of this study was to critically review the empirical evidence from all relevant disciplines regarding obesity stigma in order to (i) determine the implications of obesity stigma for healthcare providers and their patients with obesity and (ii) identify strategies to improve care for patients with obesity. We conducted a search of Medline and PsychInfo for all peer-reviewed papers presenting original empirical data relevant to stigma, bias, discrimination, prejudice and medical care. We then performed a narrative review of the existing empirical evidence regarding the impact of obesity stigma and weight bias for healthcare quality and outcomes. Many healthcare providers hold strong negative attitudes and stereotypes about people with obesity. There is considerable evidence that such attitudes influence person-perceptions, judgment, interpersonal behaviour and decision-making. These attitudes may impact the care they provide. Experiences of or expectations for poor treatment may cause stress and avoidance of care, mistrust of doctors and poor adherence among patients with obesity. Stigma can reduce the quality of care for patients with obesity despite the best intentions of healthcare providers to provide high-quality care. There are several potential intervention strategies that may reduce the impact of obesity stigma on quality of care.

AB - The objective of this study was to critically review the empirical evidence from all relevant disciplines regarding obesity stigma in order to (i) determine the implications of obesity stigma for healthcare providers and their patients with obesity and (ii) identify strategies to improve care for patients with obesity. We conducted a search of Medline and PsychInfo for all peer-reviewed papers presenting original empirical data relevant to stigma, bias, discrimination, prejudice and medical care. We then performed a narrative review of the existing empirical evidence regarding the impact of obesity stigma and weight bias for healthcare quality and outcomes. Many healthcare providers hold strong negative attitudes and stereotypes about people with obesity. There is considerable evidence that such attitudes influence person-perceptions, judgment, interpersonal behaviour and decision-making. These attitudes may impact the care they provide. Experiences of or expectations for poor treatment may cause stress and avoidance of care, mistrust of doctors and poor adherence among patients with obesity. Stigma can reduce the quality of care for patients with obesity despite the best intentions of healthcare providers to provide high-quality care. There are several potential intervention strategies that may reduce the impact of obesity stigma on quality of care.

KW - Delivery of health care

KW - Obesity

KW - Social stigma

KW - Stereotyping

UR - http://www.scopus.com/inward/record.url?scp=84925608287&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925608287&partnerID=8YFLogxK

U2 - 10.1111/obr.12266

DO - 10.1111/obr.12266

M3 - Article

C2 - 25752756

AN - SCOPUS:84925608287

VL - 16

SP - 319

EP - 326

JO - Obesity Reviews

JF - Obesity Reviews

SN - 1467-7881

IS - 4

ER -