减轻体重耻辱感:通过教育解决医学生肥胖偏见的随机对照试验

Obesities Pub Date : 2024-04-17 DOI:10.3390/obesities4020008
Karen Marina López-Lara, Ana Carolina Cruz-Millán, Laura Fernanda Barrera-Hernández, Edith Valbuena-Gregorio, Moisés Omar Ayala-Burboa, M. A. Hernández-Lepe, F. Olivas-Aguirre
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摘要

除了肥胖本身带来的挑战,相当一部分人还会因为体重和体型而遭遇偏见和歧视。这种现象被称为体重污名化和体重偏见,似乎不仅被广大社会所延续,也被医疗服务提供者所延续,导致肥胖症患者之间的不信任和疏远,从而加剧了这一全球性问题。认识到体重成见是对人权的侵犯,而且与健康状况的下降有关,因此迫切需要在医疗保健领域探索基于证据的减轻体重成见的策略。这在专业发展的早期阶段尤为重要。方法:采用 60 分钟讲座实验设计进行随机对照试验,评估医疗保健专业本科生(n = 242)对肥胖的概念、信念和偏见的变化。结果语义网络分析显示,参与者认为肥胖与饮食和久坐习惯密切相关。此外,每四名医学生中就有三人认为肥胖是一种应由个人负责的疾病。虽然肥胖症患者被描述为软弱、懒惰和对食物有很高的亲和力,但这些偏见在教育干预后有所减少。结论根据肥胖和体重耻辱的多因素性质进行教育干预后,未来的医护专业人员有可能改变对肥胖的偏见和观念。
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Mitigating Weight Stigma: A Randomized Controlled Trial Addressing Obesity Prejudice through Education among Healthcare Undergraduates
Beyond the challenges presented by obesity itself, a considerable portion of the population encounters prejudice and discriminatory behavior based on their weight and size. This phenomenon, termed weight stigma and weight bias, appears to be perpetuated not only by the broader society but also by healthcare providers, leading to distrust and alienation among individuals with obesity, thereby exacerbating a global issue. Recognizing weight stigma as a violation of human rights and its association with declining health outcomes, there is a pressing need to explore evidence-based strategies for mitigating it within healthcare. This is especially crucial at the early stages of professional development. Methodology: A randomized controlled trial employing a 60 min lecture experimental design was conducted to evaluate changes in conceptions, beliefs, and prejudices toward obesity among healthcare undergraduates (n = 242). Results: Semantic network analysis revealed participants’ conceptualization of obesity as a condition closely linked to diet and sedentary habits. Moreover, three out of four healthcare students considered obesity a disease for which the individual is responsible. While individuals with obesity were described as weak, lazy, and having a high affinity for food, these prejudices decreased following the educational intervention. Conclusion: Following an educational intervention based on the multifactorial nature of obesity and weight stigma, it was possible to modify prejudices and conceptions about obesity among future healthcare professionals.
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