Weight bias and health care utilization: A scoping review

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dc.contributor.authorAlberga, Angela S.
dc.contributor.authorEdache, Iyoma Y.
dc.contributor.authorForhan, Mary
dc.contributor.authorRussell-Mayhew, Shelly
dc.date.accessioned2024-06-11T21:53:51Z
dc.date.available2024-06-11T21:53:51Z
dc.date.issued2019-07-22
dc.descriptionAlberga, A. S., Edache, I. Y., Forhan, M., & Russell-Mayhew, S. (2019). Weight bias and health care utilization: A scoping review. Primary Health Care Research & Development, 20, e116.
dc.description.abstractAim: The purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity. Background: Prior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services. Methods: PubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services. Findings: A thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and ‘doctor shopping’. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services.
dc.identifier.citationAlberga AS, Edache IY, Forhan M, Russell-Mayhew S. Weight bias and health care utilization: a scoping review. Primary Health Care Research & Development. 2019;20:e116. doi:10.1017/S1463423619000227
dc.identifier.doihttps://doi.org/10.1017/S1463423619000227
dc.identifier.urihttps://hdl.handle.net/1880/118876
dc.language.isoenen
dc.publisherCambridge University Press
dc.publisher.facultyWerklund School of Educationen
dc.publisher.hasversionpublishedVersion
dc.publisher.institutionConcordia, University of Alberta, University of Calgary
dc.publisher.policyhttps://www.cambridge.org/core/journals/primary-health-care-research-and-development/information/journal-policies/open-access-options
dc.rightsUnless otherwise indicated, this material is protected by copyright and has been made available with authorization from the copyright owner. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectobesity
dc.subjectprimary health care
dc.subjectweight stigma
dc.titleWeight bias and health care utilization: A scoping review
dc.typeArticle
ucalgary.scholar.levelFaculty
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