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Perceived Health Concerns and Barriers to Care in Persons With Overweight and Obesity: A Patient Survey
A Scott Keller1, Ryan T Hurt1, Darrell R Schroeder1
1Mayo Clinic, Rochester, MN, USA.
Objectives:
To identify patient characteristics, health concerns, and barriers to care based on overweight or obesity.
Methods:
A 50-question anonymous survey was administered to patients. Data were compared by body mass index (BMI).
Results:
Among 3976 distributed surveys, 899 were returned and 682 were analyzed. Most respondents were women (60%), White (94%), and married/partnered (65%) and had some college education (80%). Younger and unmarried persons had higher BMI (P < .001). Concern for quality of life (P < .001) and importance of lifestyle changes (P = .006) increased with BMI, but confidence in making changes decreased as BMI increased (P < .001). Perceived good health decreased with increasing BMI (P < .001), whereas depression and other comorbid conditions increased. Self-esteem decreased and stigma increased with higher BMI (both P < .001). Weight discussions with clinicians (P < .001) and belief that clinicians should be involved in weight management (P = .002) increased with BMI, yet self-perception of being judged by clinicians also increased (P < .001). As BMI increased, delays in seeking health care increased (P < .001).
Conclusions:
This survey study highlights perceived health concerns and barriers to care among persons with overweight and obesity. With higher BMI, self-esteem decreased, and stigma, self-perception of poor health, perception of being judged by clinicians, and delay in seeking medical care increased.
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