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Weight bias among primary care health professionals: personal attitude matters

机译:初级保健专业人员的体重偏倚:个人态度很重要

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Background and aims: Weight bias contributes to the production of health disparities. This study aims to investigate attitudes and professional practice patterns of primary health care providers towards obese patients. Methods: This study was designed as a cross-sectional survey carried out among primary care health professionals (PCHP) in one district of Istanbul. Among the total 134 doctors and nurses approached, 104 gave consent to participate (77.6%). All participants filled in a 24 item obesity perception survey (OPS) which contained two subtopics: personal attitudes and professional practice patterns. Participants were asked to rate each statement in the survey according to a 5 point Likert scale (from 0: totally disagree, to 5: totally agree). Results: Among the participants 23.1% (n=24) were male and 50.9% were physicians (n=53). The Cronbach's alpha for the whole perception scale was 0.86. Significantly more nurses than physicians do not want to work with (X2-4.62; p=0.032) and prefer not to provide service to an obese person (%2=8.17; p=0.004). When independent variables such as the personal attitudes subtopic score, body mass index, age, gender, professional status (nurse or doctor) and years of work experience were put in the stepwise linear regression analysis, the personal attitudes score was found to be accountable for 64% of the variance for professional practice patterns score (adjusted R2=0.64, p<0.000; B盨E: 0.69?05). Conclusions: Our findings showed that obesity elicited some negative attitudes from PCHPs and the professional practice patterns towards obese patients were associated with personal attitudes to a large extent.
机译:背景和目标:体重偏差会导致健康差异。本研究旨在调查初级保健提供者对肥胖患者的态度和专业实践模式。方法:本研究旨在作为在伊斯坦布尔一个地区的初级保健专业人士(PCHP)中进行的横断面调查而设计。在总共134位就诊的医生和护士中,有104位同意参加(77.6%)。所有参与者填写了一项包含24个项目的肥胖感知调查(OPS),其中包含两个子主题:个人态度和专业实践模式。要求参与者根据李克特(Likert)评分5分(从0:完全不同意,到5:完全同意)对调查中的每个陈述进行评分。结果:在参与者中,男性占23.1%(n = 24),医生占50.9%(n = 53)。整个感知量表的Cronbachα为0.86。不想与医生合作的护士多于医生(X2-4.62; p = 0.032),并且不愿意为肥胖者提供服务(%2 = 8.17; p = 0.004)。当将个人态度副题得分,体重指数,年龄,性别,职业状况(护士或医生)和工作年限等自变量进行逐步线性回归分析时,发现个人态度得分是负责任的专业实践模式得分的方差的64%(调整后的R2 = 0.64,p <0.000; B盨E:0.69?05)。结论:我们的研究结果表明,肥胖引起了PCHP的一些负面态度,并且对肥胖患者的专业实践模式在很大程度上与个人态度有关。

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