Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.

Overweight patients report weight discrimination in health care settings and subsequent avoidance of routine preventive health care. The purpose of this study was to examine implicit and explicit attitudes about weight among a large group of medical doctors (MDs) to determine the pervasiveness of ne...

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Main Authors: Janice A Sabin, Maddalena Marini, Brian A Nosek
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3492331?pdf=render
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author Janice A Sabin
Maddalena Marini
Brian A Nosek
author_facet Janice A Sabin
Maddalena Marini
Brian A Nosek
author_sort Janice A Sabin
collection DOAJ
description Overweight patients report weight discrimination in health care settings and subsequent avoidance of routine preventive health care. The purpose of this study was to examine implicit and explicit attitudes about weight among a large group of medical doctors (MDs) to determine the pervasiveness of negative attitudes about weight among MDs. Test-takers voluntarily accessed a public Web site, known as Project Implicit®, and opted to complete the Weight Implicit Association Test (IAT) (N = 359,261). A sub-sample identified their highest level of education as MD (N = 2,284). Among the MDs, 55% were female, 78% reported their race as white, and 62% had a normal range BMI. This large sample of test-takers showed strong implicit anti-fat bias (Cohen's d = 1.0). MDs, on average, also showed strong implicit anti-fat bias (Cohen's d = 0.93). All test-takers and the MD sub-sample reported a strong preference for thin people rather than fat people or a strong explicit anti-fat bias. We conclude that strong implicit and explicit anti-fat bias is as pervasive among MDs as it is among the general public. An important area for future research is to investigate the association between providers' implicit and explicit attitudes about weight, patient reports of weight discrimination in health care, and quality of care delivered to overweight patients.
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spelling doaj.art-51174201eea04fe0a905572dd41a470e2022-12-21T19:07:36ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-01711e4844810.1371/journal.pone.0048448Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.Janice A SabinMaddalena MariniBrian A NosekOverweight patients report weight discrimination in health care settings and subsequent avoidance of routine preventive health care. The purpose of this study was to examine implicit and explicit attitudes about weight among a large group of medical doctors (MDs) to determine the pervasiveness of negative attitudes about weight among MDs. Test-takers voluntarily accessed a public Web site, known as Project Implicit®, and opted to complete the Weight Implicit Association Test (IAT) (N = 359,261). A sub-sample identified their highest level of education as MD (N = 2,284). Among the MDs, 55% were female, 78% reported their race as white, and 62% had a normal range BMI. This large sample of test-takers showed strong implicit anti-fat bias (Cohen's d = 1.0). MDs, on average, also showed strong implicit anti-fat bias (Cohen's d = 0.93). All test-takers and the MD sub-sample reported a strong preference for thin people rather than fat people or a strong explicit anti-fat bias. We conclude that strong implicit and explicit anti-fat bias is as pervasive among MDs as it is among the general public. An important area for future research is to investigate the association between providers' implicit and explicit attitudes about weight, patient reports of weight discrimination in health care, and quality of care delivered to overweight patients.http://europepmc.org/articles/PMC3492331?pdf=render
spellingShingle Janice A Sabin
Maddalena Marini
Brian A Nosek
Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
PLoS ONE
title Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
title_full Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
title_fullStr Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
title_full_unstemmed Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
title_short Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
title_sort implicit and explicit anti fat bias among a large sample of medical doctors by bmi race ethnicity and gender
url http://europepmc.org/articles/PMC3492331?pdf=render
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