OBJECTIVE: Health professionals' weight bias may impair obese patients' interactions with providers. However, few studies have examined how negative provider attitudes affect the patient-provider relationship for obese patients. We hypothesized that higher patient body mass index (BMI) would be negatively associated with patient-provider relationship quality. METHODS: We analyzed data from the 2007 Health Tracking Household Survey. BMI was the independent variable, and patient-perceived quality of the patient-provider relationship was the outcome. We performed log-binominal regression analyses accounting for complex survey design to examine the association of BMI with the patient-provider relationship. RESULTS: Of the 15,197 adult survey respondents, the 6427 who answered the quality of care questions were eligible for analysis. Overall, 29% had a normal range BMI, 34% were overweight, and 37% were obese. We found few differences in ratings of the patient-provider relationship for overweight and obese respondents when compared to respondents with a normal range BMI. CONCLUSION: These unexpected findings may have occurred due to patients' inability to perceive providers' weight bias, measurement error in questionnaire items, or decreasing weight bias among health professionals. PRACTICE IMPLICATIONS: Patient's positive perceptions of providers may indicate promise for health professionals acting as motivators of behavior change in obese patients.
OBJECTIVE: Health professionals' weight bias may impair obesepatients' interactions with providers. However, few studies have examined how negative provider attitudes affect the patient-provider relationship for obesepatients. We hypothesized that higher patient body mass index (BMI) would be negatively associated with patient-provider relationship quality. METHODS: We analyzed data from the 2007 Health Tracking Household Survey. BMI was the independent variable, and patient-perceived quality of the patient-provider relationship was the outcome. We performed log-binominal regression analyses accounting for complex survey design to examine the association of BMI with the patient-provider relationship. RESULTS: Of the 15,197 adult survey respondents, the 6427 who answered the quality of care questions were eligible for analysis. Overall, 29% had a normal range BMI, 34% were overweight, and 37% were obese. We found few differences in ratings of the patient-provider relationship for overweight and obese respondents when compared to respondents with a normal range BMI. CONCLUSION: These unexpected findings may have occurred due to patients' inability to perceive providers' weight bias, measurement error in questionnaire items, or decreasing weight bias among health professionals. PRACTICE IMPLICATIONS: Patient's positive perceptions of providers may indicate promise for health professionals acting as motivators of behavior change in obesepatients.
Authors: Christina C Wee; Russell S Phillips; E Francis Cook; Jennifer S Haas; Ann Louise Puopolo; Troyen A Brennan; Helen R Burstin Journal: J Gen Intern Med Date: 2002-02 Impact factor: 5.128
Authors: Jessica Y Breland; Michelle S Wong; Susan M Frayne; Katherine J Hoggatt; W Neil Steers; Fay Saechao; Donna L Washington Journal: Womens Health Issues Date: 2019-06-25