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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Use of person-centred language among scientific research focused on childhood obesity
Claudia Fisch1, John Whelan1, Sheridan Evans1
1Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma, USA.
Insights
Most medical articles on childhood obesity use stigmatizing language, failing to adhere to person-centered language (PCL) guidelines. Adopting PCL is crucial to reduce harm and improve mental health outcomes for children with obesity.
Area of Science:
- Pediatric Health
- Medical Communication
- Public Health
Background:
- Stigma in children with obesity begins early, impacting mental health and quality of life.
- Discriminatory language from peers, adults, and within medical literature exacerbates stigma.
- Childhood obesity stigma negatively affects children's well-being.
Purpose of the Study:
- To assess adherence to person-centered language (PCL) in childhood obesity medical publications.
- To identify the prevalence of stigmatizing terms in pediatric obesity research.
Main Methods:
- Searched PubMed for childhood obesity articles published between 2018-2020.
- Randomly selected articles from prominent childhood obesity journals.
- Analyzed articles for predetermined stigmatizing terms and PCL adherence.
Main Results:
- Only 21.7% of the 300 sampled articles adhered to PCL guidelines.
- The terms 'obese' (70.33%) and 'overweight' (63.7%) were most frequently used.
- Less common but still present stigmatizing terms included 'chubby', 'large', and 'fat'.
Conclusions:
- A significant majority of childhood obesity articles fail to use person-centered language.
- Advocating for PCL in the medical community is essential to mitigate the negative effects of stigma.
- Increased editorial and publisher stringency is recommended to promote PCL adoption.
Background:
Stigma towards children with obesity can begin as early as 3 years old, leading to increased risk for poorer mental health outcomes and lower quality of life. This includes discriminatory language used by peers and adults, which may be compounded by use within the medical community and in published research.
Objectives:
Our primary objective was to investigate adherence to person-centred language (PCL) in childhood obesity-related medical publications.
Methods:
We searched PubMed for childhood obesity-related articles from 2018 through 2020, from journals frequently publishing childhood-obesity-related research. Articles were randomized and searched for a list of predetermined, stigmatizing terms.
Results:
Of the sample of 300 articles, only 21.7% were adherent to PCL guidelines. The most frequent labels found were 'obese' appearing in 70.33% of articles and 'overweight' in 63.7%. Labels such as 'chubby', 'large', and 'fat' were less common, but still appeared in the medical literature.
Conclusions:
A majority of childhood obesity-related articles did not adhere to PCL guidelines. Given the negative effects of stigma among children with obesity, it is imperative to advocate for PCL use within the medical community. Increased stringency by journal editors and publishers may be the next step in this process.
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