Kimberly A Gudzune1, Wendy L Bennett2, Lisa A Cooper3, Sara N Bleich4. 1. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA. Electronic address: gudzune@jhu.edu. 2. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA. 3. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 4. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Abstract
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.
OBJECTIVE: To evaluate whether overweight and obesepatients 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 obesepatients 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.
Authors: Yendelela L Cuffee; J Lee Hargraves; Milagros Rosal; Becky A Briesacher; Antoinette Schoenthaler; Sharina Person; Sandral Hullett; Jeroan Allison Journal: Am J Public Health Date: 2013-09-12 Impact factor: 9.308
Authors: Kimberly A Gudzune; Sara N Bleich; Thomas M Richards; Jonathan P Weiner; Krista Hodges; Jeanne M Clark Journal: Obesity (Silver Spring) Date: 2013-05-13 Impact factor: 5.002
Authors: Leonard L Berry; Janet Turner Parish; Ramkumar Janakiraman; Lee Ogburn-Russell; Glen R Couchman; William L Rayburn; Jedidiah Grisel Journal: Ann Fam Med Date: 2008 Jan-Feb Impact factor: 5.166
Authors: Afton M Koball; Paul S Mueller; Julia Craner; Matthew M Clark; Sanjeev Nanda; Esayas B Kebede; Karen B Grothe Journal: Eat Weight Disord Date: 2016-07-29 Impact factor: 4.652
Authors: Wendy L Bennett; Nae-Yuh Wang; Kimberly A Gudzune; Arlene T Dalcin; Sara N Bleich; Lawrence J Appel; Jeanne M Clark Journal: Patient Educ Couns Date: 2015-05-27
Authors: Andrea E Kass; Annie Z Wang; Rachel P Kolko; Jodi C Holland; Myra Altman; Mickey Trockel; C Barr Taylor; Denise E Wilfley Journal: Eat Behav Date: 2014-12-27
Authors: Sean M Phelan; Rebecca M Puhl; Sara E Burke; Rachel Hardeman; John F Dovidio; David B Nelson; Julia Przedworski; Diana J Burgess; Sylvia Perry; Mark W Yeazel; Michelle van Ryn Journal: Med Educ Date: 2015-10 Impact factor: 6.251
Authors: Colin Malone; Diana S M Buist; Jasmin Tiro; William Barlow; Hongyuan Gao; John Lin; Rachel L Winer Journal: Prev Med Date: 2020-12-31 Impact factor: 4.018