Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK

As a complex condition that often arises due to numerous social, environmental and political factors, “obesity” can be understood by healthcare providers as a health outcome that is directly linked to issues that are outside of individual control. UK GPs who participated in a series of focus groups...

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Main Authors: Tanisha Jemma Rose Spratt, Anisa Hajizadeh, Laura Heath, Maryam Kebbe, Paul Aveyard
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321523001099
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author Tanisha Jemma Rose Spratt
Anisa Hajizadeh
Laura Heath
Maryam Kebbe
Paul Aveyard
author_facet Tanisha Jemma Rose Spratt
Anisa Hajizadeh
Laura Heath
Maryam Kebbe
Paul Aveyard
author_sort Tanisha Jemma Rose Spratt
collection DOAJ
description As a complex condition that often arises due to numerous social, environmental and political factors, “obesity” can be understood by healthcare providers as a health outcome that is directly linked to issues that are outside of individual control. UK GPs who participated in a series of focus groups examining attitudes about the role of individual responsibility in weight loss often demonstrated contradictory beliefs when asked about the relationship between obesity, personal responsibility and their patients’ (in)ability to take individual action. Whilst GPs who practised in affluent areas were more likely to draw connections between poverty and high rates of obesity, GPs who practised in disadvantaged areas were more likely to discuss the need for all patients to assume personal responsibility for their health behaviours regardless of their individual circumstances. This article examines how GPs from both groups conceptualised personal responsibility in relation to their patients’ weight and socioeconomic circumstances. We conclude by outlining the need for GPs to demonstrate empathy when engaging in weight-loss discussions with patients and offer practical support for patients who seek it that is mindful of their material circumstances.
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spelling doaj.art-a2c41425db3846f8bb4d74a5593e45532023-12-08T04:47:10ZengElsevierSSM: Qualitative Research in Health2667-32152023-12-014100325Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UKTanisha Jemma Rose Spratt0Anisa Hajizadeh1Laura Heath2Maryam Kebbe3Paul Aveyard4Department of Global Health and Social Medicine, King’s College London, Bush House, 40 Aldwych, London, WC2B 4BG, UK; Corresponding author.Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Woodstock Road, Oxford, OX2 6GG, UKNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Woodstock Road, Oxford, OX2 6GG, UKPennington Biomedical Research Centre, Louisiana State University, 6400 Perkins Road, Baton Rouge, LA, 70808, United StatesNuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Woodstock Road, Oxford, OX2 6GG, UKAs a complex condition that often arises due to numerous social, environmental and political factors, “obesity” can be understood by healthcare providers as a health outcome that is directly linked to issues that are outside of individual control. UK GPs who participated in a series of focus groups examining attitudes about the role of individual responsibility in weight loss often demonstrated contradictory beliefs when asked about the relationship between obesity, personal responsibility and their patients’ (in)ability to take individual action. Whilst GPs who practised in affluent areas were more likely to draw connections between poverty and high rates of obesity, GPs who practised in disadvantaged areas were more likely to discuss the need for all patients to assume personal responsibility for their health behaviours regardless of their individual circumstances. This article examines how GPs from both groups conceptualised personal responsibility in relation to their patients’ weight and socioeconomic circumstances. We conclude by outlining the need for GPs to demonstrate empathy when engaging in weight-loss discussions with patients and offer practical support for patients who seek it that is mindful of their material circumstances.http://www.sciencedirect.com/science/article/pii/S2667321523001099ObesityPublic health policyNeoliberalismHealthism
spellingShingle Tanisha Jemma Rose Spratt
Anisa Hajizadeh
Laura Heath
Maryam Kebbe
Paul Aveyard
Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
SSM: Qualitative Research in Health
Obesity
Public health policy
Neoliberalism
Healthism
title Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
title_full Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
title_fullStr Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
title_full_unstemmed Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
title_short Conceptualising lifestyle “choices:” A qualitative study of GP attitudes towards patients living with “obesity” in the UK
title_sort conceptualising lifestyle choices a qualitative study of gp attitudes towards patients living with obesity in the uk
topic Obesity
Public health policy
Neoliberalism
Healthism
url http://www.sciencedirect.com/science/article/pii/S2667321523001099
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