体重偏见和耻辱如何破坏医疗保健的获取和利用
Rebecca L Pearl1, Miriam Sheynblyum2
1Department of Clinical and Health Psychology, College of Public Health and Health Professions, University of Florida, Box 100165, Gainesville, 32610-0165, FL, USA. rebecca.pearl@phhp.ufl.edu.
体重偏见和污名化对肥胖患者的医疗保健获得和利用造成了重大障碍. 解决这些问题需要进行结构性变革,以消除歧视性政策和做法.
科学领域:
- 医学社会学 医学社会学
- 公共卫生政策 公共卫生政策
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 在医疗保健机构中,体重偏见和耻辱是普遍存在的.
- 现有的政策往往会为照顾肥胖患者创造障碍.
研究的目的:
- 审查最近关于体重偏见和耻辱如何影响医疗保健获取和利用的证据.
- 识别影响患者护理的歧视性政策和提供者态度.
主要方法:
- 对最近关于医疗保健中的体重耻辱的研究进行文献综述.
- 分析与肥胖护理相关的政策和提供者的行为.
主要成果:
- 体重歧视政策 (例如,BMI截止值) 限制了医疗保健的获取.
- 虽然提供者耻辱仍然存在,但最近的数据并没有将其与肥胖治疗转诊联系起来.
- 患者的耻辱经历导致避免医疗保健和减少利用.
- 污名对处方新的抗肥胖药物的影响需要进一步调查.
结论:
- 体重偏见和耻辱显著阻碍肥胖患者获得和利用医疗保健.
- 结构性变化对于拆除医疗保健中的体重歧视障碍至关重要.
- 需要进一步研究污名化在获取新肥胖治疗方法中的作用.
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