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Barriers to Care for Pediatric Patients with Obesity

Sreevidya Bodepudi1,2, Malikiya Hinds2, Kayla Northam1

  • 1MGH Weight Center, Massachusetts General Hospital, Boston, MA 02114, USA.

Life (Basel, Switzerland)
|July 27, 2024
PubMed

Insights

Pediatric obesity treatment faces significant hurdles including stigma and social determinants. A comprehensive, team-based approach is needed to address these challenges for obese children.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Behavioral Medicine

Background:

  • Obesity in children is a growing concern with complex contributing factors.
  • Previous research has often addressed barriers to pediatric obesity treatment in isolation.
  • Recognized impediments include stigma, lifestyle change difficulties, social determinants, and healthcare access.

Purpose of the Study:

  • To review and synthesize the multifaceted challenges faced by pediatric patients during obesity treatment.
  • To highlight the need for a holistic and integrated approach to effectively manage childhood obesity.

Main Methods:

  • Literature review of existing research on pediatric obesity treatment barriers.
  • Analysis of challenges across individual, community, and policy levels.

Main Results:

  • Stigma, challenges in implementing lifestyle modifications, social determinants of health, and healthcare accessibility are significant barriers.
  • These barriers manifest at multiple levels: individual/family, community/school, and national policy.
  • Current research is compartmentalized, failing to address the interconnected nature of these impediments.

Conclusions:

  • A comprehensive, multidisciplinary, team-based strategy is essential for successful pediatric obesity treatment.
  • Understanding the interconnectedness of various barriers is crucial for developing effective interventions.
  • Addressing childhood obesity requires a coordinated effort across all societal levels.

Keywords:
barriershealth equityobesitypediatric obesitystigma

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