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...

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Main Authors: Declan Watson, Katherine Hughes, Emma Robinson, Jacqueline Billette, Andrea E. Bombak
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
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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.
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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
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AT jacquelinebillette patientrecommendationsforproviderstoavoidstigmatizingweightinruralbasedwomenwithlowincome
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