在治疗2型糖尿病的医生中,糖尿病耻辱和体重耻辱:重叠的偏见模式
Brooke L Bennett1, Rebecca M Puhl2
1Rudd Center for Food Policy & Health, University of Connecticut, 1 Constitution Plaza, Suite 600, Hartford, CT 06103, USA.
医生对2型糖尿病 (T2D) 患者的偏见很普遍,许多医生认为他们惰和缺乏动力. 需要减少耻辱的干预措施,以改善对T2D和肥胖的护理.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 患有2型糖尿病 (T2D) 的患者经历了严重的耻辱,包括来自医疗保健提供者的耻辱.
- 对T2D患者的医生偏见研究不足,但对于有效的糖尿病护理至关重要.
- 识别这些偏见对于防止对医疗保健提供负面影响至关重要.
研究的目的:
- 评估医生对2型糖尿病 (T2D) 和肥胖患者的态度.
- 检查医生对T2D和肥胖的可控性和责怪的归因.
- 在糖尿病护理中识别潜在的与污名相关的障碍.
主要方法:
- 调查了205名专门从事内科或内分泌学的医生.
- 利用在线问卷来评估对T2D和肥胖患者的态度.
- 测量了医生对患者可控性和责任感的看法.
主要成果:
- 尽管有85%的医生感到准备好,但有三分之一的医生表示对T2D患者有负面的感觉 (例如,排斥).
- 医生经常将惰 (39%),缺乏动力 (44%) 和不服从 (44%) 归因于T2D患者.
- 与T2D相比,医生对肥胖患者的偏见略高.
结论:
- 医生对2型糖尿病 (T2D) 和肥胖的偏见和耻辱是重大问题.
- 需要有针对性的干预措施来减少治疗T2D和肥胖症的医生之间的耻辱感.
- 需要进一步的研究来了解T2D耻辱对患者护理和结果的影响.
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