在全国样本中,医疗保健中的体重耻辱经历与自我报告的医疗保健回避之间的关联
Kathleen M Robinson1,2, Aaron M Scherer3, Alithea N Zorn4
1Department of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Iowa City Iowa USA.
Obesity science & practice
|October 27, 2025
概括
医疗保健中的体重耻辱,特别是在体检期间,驱使患者避免医疗保健. 解决污名的各个方面,特别是在检查期间,对于改善医疗保健准入至关重要.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 在医疗保健机构内,体重耻辱是普遍存在的,但往往不充分衡量.
- 现有的工具可能无法完全涵盖临床实践中患者体验的体重偏差.
- 体重耻辱可以显著阻止个人寻求必要的医疗护理.
研究的目的:
- 调查体检,提供者沟通和医疗环境如何导致体重耻辱.
- 评估这些体重耻辱经历对避免医疗保健的影响.
- 为测量这些经验,验证从医疗保健库存中的体重耻辱 (WSHCI) 中的项目.
主要方法:
- 在两组不同的在线参与者群体中利用了医疗保健库存 (WSHCI) 中的体重耻辱.
- 分析了特定体重耻辱经历和避免医疗保健之间的关联.
- 检查了耻辱化经历和避免医疗保健的累积数量之间的关系,控制人口统计.
主要成果:
- 所有测试的体重耻辱项目与避免医疗保健相关.
- 在体检期间经历的耻辱感显示出与避免医疗保健的最强相关性.
- 更高频率的污名化遭遇显著增加了避免医疗保健的可能性 (OR 1.31).
结论:
- 减少避免医疗保健需要在体检,沟通和建筑环境中解决体重耻辱问题.
- 尽量减少患者的整体负面体验,特别是体检期间的负面体验是关键.
- 针对体重耻辱的干预措施对于改善受影响患者医疗保健利用率至关重要.
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