Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income
Purpose: Weight stigma has become widespread within health care and disproportionately affects women, who are under greater appearance-based scrutiny than men. It is also well established that rural-based individuals with low incomes suffer greater health disparities compared with urban, higher-inco...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Advocate Aurora Health
2021-01-01
|
Series: | Journal of Patient-Centered Research and Reviews |
Subjects: | |
Online Access: | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1752&context=jpcrr |
_version_ | 1797934760571437056 |
---|---|
author | Declan Watson Katherine Hughes Emma Robinson Jacqueline Billette Andrea E. Bombak |
author_facet | Declan Watson Katherine Hughes Emma Robinson Jacqueline Billette Andrea E. Bombak |
author_sort | Declan Watson |
collection | DOAJ |
description | Purpose: Weight stigma has become widespread within health care and disproportionately affects women, who are under greater appearance-based scrutiny than men. It is also well established that rural-based individuals with low incomes suffer greater health disparities compared with urban, higher-income counterparts, yet studies examining recommendations for nonstigmatizing health care among higher-weight women from low-income rural settings are lacking. This study examined the experiences and recommendations of higher-weight, low-income, rural women, with the aim of improving health care for similar populations.
Methods: In-depth, semi-structured interviews were conducted in a rural region of the Midwestern United States to explore participants’ recommendations for redressing stigma within health care. All participants (n = 25) self-identified as higher-weight, low-income, rural women.
Results: All participants experienced or were aware of weight stigma within health care. Themes identified from responses were understanding patients and their situations, offering options and supplemental information, communicating effectively, taking time, and having a positive attitude. Patient recommendations focused on correcting physician biases, rapport-building, and providing holistic care.
Conclusions: The findings suggest that weight stigma is prevalent within health care provided to low-income women in rural U.S. Midwest and that there are specific communication and training approaches that may reduce the prevalence of weight stigma in health care. |
first_indexed | 2024-04-10T18:03:55Z |
format | Article |
id | doaj.art-849799e0affb4e54ba2694de8315eea6 |
institution | Directory Open Access Journal |
issn | 2330-0698 |
language | English |
last_indexed | 2024-04-10T18:03:55Z |
publishDate | 2021-01-01 |
publisher | Advocate Aurora Health |
record_format | Article |
series | Journal of Patient-Centered Research and Reviews |
spelling | doaj.art-849799e0affb4e54ba2694de8315eea62023-02-02T13:59:57ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982021-01-0181203010.17294/2330-0698.1752Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low IncomeDeclan Watson0Katherine Hughes1Emma Robinson2Jacqueline Billette3Andrea E. Bombak4University of New Brunswick, Fredericton, CanadaCentral Michigan University, Mount Pleasant, MIUniversity of New Brunswick, Fredericton, CanadaCentral Michigan University, Mount Pleasant, MIUniversity of New Brunswick, Fredericton, CanadaPurpose: Weight stigma has become widespread within health care and disproportionately affects women, who are under greater appearance-based scrutiny than men. It is also well established that rural-based individuals with low incomes suffer greater health disparities compared with urban, higher-income counterparts, yet studies examining recommendations for nonstigmatizing health care among higher-weight women from low-income rural settings are lacking. This study examined the experiences and recommendations of higher-weight, low-income, rural women, with the aim of improving health care for similar populations. Methods: In-depth, semi-structured interviews were conducted in a rural region of the Midwestern United States to explore participants’ recommendations for redressing stigma within health care. All participants (n = 25) self-identified as higher-weight, low-income, rural women. Results: All participants experienced or were aware of weight stigma within health care. Themes identified from responses were understanding patients and their situations, offering options and supplemental information, communicating effectively, taking time, and having a positive attitude. Patient recommendations focused on correcting physician biases, rapport-building, and providing holistic care. Conclusions: The findings suggest that weight stigma is prevalent within health care provided to low-income women in rural U.S. Midwest and that there are specific communication and training approaches that may reduce the prevalence of weight stigma in health care.https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1752&context=jpcrrweight stigmaweight biasruralhealth carelow incomedisparities |
spellingShingle | Declan Watson Katherine Hughes Emma Robinson Jacqueline Billette Andrea E. Bombak Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income Journal of Patient-Centered Research and Reviews weight stigma weight bias rural health care low income disparities |
title | Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income |
title_full | Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income |
title_fullStr | Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income |
title_full_unstemmed | Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income |
title_short | Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income |
title_sort | patient recommendations for providers to avoid stigmatizing weight in rural based women with low income |
topic | weight stigma weight bias rural health care low income disparities |
url | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1752&context=jpcrr |
work_keys_str_mv | AT declanwatson patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome AT katherinehughes patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome AT emmarobinson patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome AT jacquelinebillette patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome AT andreaebombak patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome |