患者对体重耻辱的看法 在医疗保健中的经验:定性分析
Kathleen M Robinson1,2, Kimberley A Robinson3, Aaron M Scherer1
1Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
概括
体重耻辱影响健康,但经验各不相同. 一些个人,特别是男性,在对体重的个人责任中找到赋权,而另一些人则面临与医疗保健相关的耻辱. 年龄和体型影响这些感知.
科学领域:
- 健康社会学健康的社会学.
- 医学社会学 医学社会学
- 质量健康研究 质量健康研究
背景情况:
- 体重耻辱涉及由于体重过重而造成的社会值,对健康产生负面影响,并导致避免医疗保健.
- 归因理论和戈夫曼的被坏的身份理论为理解体重耻辱提供了框架.
研究的目的:
- 探索多样化的体重耻辱经历,包括那些典型的代表性不足的身份.
- 分析性别,年龄和体型等因素如何塑造对体重耻辱的看法.
主要方法:
- 定性描述性研究,利用来自更大的调查的73条叙述性评论.
- 采用主题分析来确定参与者体验中的关键主题.
主要成果:
- 五个主题出现了:控制体重,不超重,缺乏帮助和同情心,暴露和尬,以及积极的经历.
- 超重的男性往往不认同自己有体重问题,并感觉到个人责任赋予了他们力量.
- 体型较大的参与者在临床环境中报告了更多的尬;年长的参与者有更多的积极经历.
结论:
- 在将体重视为个人责任与多因素状况之间存在着紧张关系.
- 医疗保健机构可以通过不足的资源和以体重为中心的咨询来维持体重耻辱.
- 没有个性化支持的生活方式建议可以加剧体重耻辱和健康结果.
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