在医疗保健专业人员中隐含和明确的权重偏见
Jane W Liang1, Christie Buonpane2, Shengxuan Wang3
1Division of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA. jane.w.liang@kp.org.
International journal of obesity (2005)
|August 5, 2025
概括
医疗保健中的体重偏差会对超重和肥胖患者产生负面影响. 医疗保健工作者表现出持续的隐性和明确的体重偏差,需要教育和干预来改善患者护理.
科学领域:
- 医学社会学 医学社会学
- 健康心理学 心理健康心理学
- 公共卫生 公共卫生
背景情况:
- 医疗保健机构的体重偏差会对患者的护理和健康结果产生负面影响.
- 隐式和显式权重偏差是影响患者体验的可测量构造.
- 以前的研究表明体重偏差的流行,但对医疗保健专业人员的大规模数据有限.
研究的目的:
- 评估医疗保健工作者和非医疗保健工作者之间隐性和明确体重偏差的流行情况和趋势.
- 为了比较不同职业群体的体重偏差水平,包括诊断/治疗从业者.
- 为了检查性别差异和体重偏差的时间变化.
主要方法:
- 来自Project Implicit (2006-2022) 的100多万份在线调查答案的分析.
- 使用隐式关联测试 (IAT) 来测量隐式偏见.
- 雇员自我报告明确偏见的措施.
主要成果:
- 在医疗保健工作者,其他医疗保健工作者和非医疗保健工作者中发现了持续的隐性和明确的体重偏差.
- 诊断和治疗从业者可能会表现出更高水平的明确体重偏差.
- 一般来说,男性对肥胖个体表现出更明确的负面态度;明确的体重偏见显示出随着时间的推移下降的趋势.
结论:
- 体重偏差仍然是医疗保健系统中的一个重要问题,影响了患者的护理.
- 对医疗保健专业人员进行有针对性的教育,以识别和减轻体重偏差至关重要.
- 需要采取干预措施来解决隐性和显式体重偏差,以改善超重和肥胖患者的健康公平.
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