Journal of primary care & community health · 2024
Perceived Health Concerns and Barriers to Care in Persons With Overweight and Obesity: A Patient Survey.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Keller A Scott, Hurt Ryan T, Schroeder Darrell R, DeJesus Ramona S, Ganesh Ravindra, Fokken Shawn C, Mundi Manpreet S, Bonnes Sara L, Lawson Donna K, Njeru Jane W, Vincent Ann, Ebbert Jon O, Ghosh Karthik, Abu Lebdeh Haitham S, Hensrud Donald D, Nanda Sanjeev, Croghan Ivana T
Аннотация
OBJECTIVES: To identify patient characteristics, health concerns, and barriers to care based on overweight or obesity.
METHODS: A 50-question anonymous survey was administered to patients. Data were compared by body mass index (BMI).
RESULTS: Among 3976 distributed surveys, 899 were returned and 682 were analyzed. Most respondents were women (60%), White (94%), and married/partnered (65%) and had some college education (80%). Younger and unmarried persons had higher BMI (P < .001). Concern for quality of life (P < .001) and importance of lifestyle changes (P = .006) increased with BMI, but confidence in making changes decreased as BMI increased (P < .001). Perceived good health decreased with increasing BMI (P < .001), whereas depression and other comorbid conditions increased. Self-esteem decreased and stigma increased with higher BMI (both P < .001). Weight discussions with clinicians (P < .001) and belief that clinicians should be involved in weight management (P = .002) increased with BMI, yet self-perception of being judged by clinicians also increased (P < .001). As BMI increased, delays in seeking health care increased (P < .001).
CONCLUSIONS: This survey study highlights perceived health concerns and barriers to care among persons with overweight and obesity. With higher BMI, self-esteem decreased, and stigma, self-perception of poor health, perception of being judged by clinicians, and delay in seeking medical care increased.
METHODS: A 50-question anonymous survey was administered to patients. Data were compared by body mass index (BMI).
RESULTS: Among 3976 distributed surveys, 899 were returned and 682 were analyzed. Most respondents were women (60%), White (94%), and married/partnered (65%) and had some college education (80%). Younger and unmarried persons had higher BMI (P < .001). Concern for quality of life (P < .001) and importance of lifestyle changes (P = .006) increased with BMI, but confidence in making changes decreased as BMI increased (P < .001). Perceived good health decreased with increasing BMI (P < .001), whereas depression and other comorbid conditions increased. Self-esteem decreased and stigma increased with higher BMI (both P < .001). Weight discussions with clinicians (P < .001) and belief that clinicians should be involved in weight management (P = .002) increased with BMI, yet self-perception of being judged by clinicians also increased (P < .001). As BMI increased, delays in seeking health care increased (P < .001).
CONCLUSIONS: This survey study highlights perceived health concerns and barriers to care among persons with overweight and obesity. With higher BMI, self-esteem decreased, and stigma, self-perception of poor health, perception of being judged by clinicians, and delay in seeking medical care increased.