Obesity bias among preclinical and clinical chiropractic students and faculty at an integrative health care institution: A cross-sectional study

Kadar, Gena E.; Thompson, Helen

doi:10.7899/jce-17-15

Cited by 3 publications

(4 citation statements)

References 79 publications

(113 reference statements)

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“…Moreover, lower BAOP score points out tendency towards anti-obese attitudes such as accusing obese individuals as lazy and deprived of selfcontrol [22]. Mean score of 17.9 with BAOP scale was reported to be associated with anti-obesity attitude [21].…”

Section: Discussionmentioning

confidence: 96%

“…A low score on BAOP suggests that obesity is controllable as obese individuals cause their obesity by themselves. Nevertheless, a high score on BAOP scale indicates a stronger belief that obesity is not under the control of the obese person [20,21]. Moreover, lower BAOP score points out tendency towards anti-obese attitudes such as accusing obese individuals as lazy and deprived of selfcontrol [22].…”

Section: Discussionmentioning

confidence: 99%

“…Usta et al found out that nursing students who had a previous history of diet and regular physical exercise believed that obesity was controlled by individuals [9]. Kadar et al tried to assess the obesity bias among 143 preclinical and clinical chiropractic students and 30 faculty members [24]. Average scores of BAOP scale were 31.68±5.19, 31.26±4.83, 27.93± 4.85 and 30.07±7.85 in the student and faculty member groups, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…BAOP scores of preclinical faculty group was significantly higher than each student groups. As a result, obesity bias was common among students and faculty members [24]. Yilmaz et al aimed to assess whether there was prejudice towards obese people among 190 student nurses and 189 registered nurses using BAOP [14].…”

Section: Discussionmentioning

confidence: 99%

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Obesity is not related to individuals but to environmental conditions; from the perspective of obese patients

Yüksel¹,

Ozkan²

2022

RJMM

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Background: The Beliefs About Obese Persons Scale (BAOP) is used among non-obese people in English speaking countries to evaluate their opinions on obese people. Nevertheless, the data are scarce from the view of obese people. Therefore, we wanted to test BAOP on obese patients in order to evaluate their opinions from the perspective of obese patients. Methods: Between August 2019-June 2020, 115 (76.7%) female and 35 (23.3%) male, a total of 150 obese patients who were admitted to the general surgery department to be evaluated for bariatric surgey, were included in this study. Local ethics committee approval was obtained (2019/08-10). These obese patients were asked to fill out BAOP, which included 8 statements in which each statement was valued between -3 to +3 points. Results: Mean score of BAOP within all obese patients was 34.87 ± 8.12 (range: 5-48). The average score of BAOP was 34.33 ± 8.60 (range: 5-48) in females and 36.62 ± 6.06 (range: 21-48) in males (p = 0.14). The frequency of the answers given by the male and female patients to the 5th statement, which was “Most obese people eat more than non-obese people”, showed a statistically significant difference (p = 0.03). Conclusions: Obese patients had higher BAOP scores compared to previous BAOP studies performed with non-obese people. Within this study, obese patients considered obesity as a condition which was not under their control.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Obesity is not related to individuals but to environmental conditions; from the perspective of obese patients

Yüksel¹,

Ozkan²

2022

RJMM

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Feasibility of a Loving Kindness Intervention for Mitigating Weight Stigma in Nursing Students: A Focus on Self-Compassion

Joseph

Raque

2023

Mindfulness

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Objectives Preliminary research on self-compassion as a target for reducing forms of bias is promising, yet healthcare provider self-compassion has not yet been explored in relationship to weight bias. Healthcare providers commonly endorse weight stigma and bias, contributing to health disparities for patients with “obesity.” The current study explores the feasibility of the self-compassion loving kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students. Method Participants (189 nursing students) were randomly assigned to the LKM condition or body scan control condition before engaging in an implicit bias task and answering self-report measures of internalization of the thin ideal, weight bias, positive attitudes towards people with “obesity,” positive emotions, self-compassion, cognitive flexibility, and compassionate care. Results Statistically significant differences in self-compassion, cognitive flexibility, weight bias, and compassionate care failed to be found between the groups. Participants in the LKM condition endorsed significantly higher levels of positive emotionality compared to the control condition. Higher levels of self-compassion were related to lower levels of weight bias for participants in both conditions. Multiple linear regression analyses revealed that internalization of the thin ideal and self-compassion accounted for 19.2% of the variance in positive attitudes towards people with “obesity.” Conclusions This study suggests the importance of examining self- and other-compassion in the context of weight stigma. Its findings exemplify the complexity of weight stigma and the need to further explore the mechanisms to be targeted to effectively reduce healthcare professionals’ bias. Pre-registration This study is not preregistered.

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Evaluation of morbid obese patients with attitudes toward obese persons scale prior to bariatric surgery: Obesity from the perspective of real patients

Yüksel¹,

Ozkan²

2022

RJMM

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Background: The number of studies with the application of scales, such as Attitudes Toward Obese Persons Scale (ATOP), on morbid obese patients are limited. Therefore, we wanted to examine the attitudes toward obese people through the eyes of morbid obese patients. Methods: Between October 2019 - April 2020, 70 female and 20 male, morbid obese patients, who were admitted to the general surgery department to be evaluated for bariatric surgery were included in this study. These 90 morbid obese patients were asked to fill out ATOP, which included 20 statements. Results: The mean ATOP score of all morbid obese patients was 63.44±18.58 (range:19-116). The mean ATOP score of female patients was 63.47±20.34 (range:19-116), whereas the mean ATOP score of male patients was 63.35±10.69 (range:43-80) (p=0.98). The frequency of the responses given by the male and female patients to the third statement, which was “Most obese people are more self-conscious than other people” pointed out a statistically significant difference (p=0.02). Conclusions: Based on ATOP scores gained from morbid obese patients, 60% of morbid obese patients did not feel as happy as non-obese people, whereas 74.4% of the morbid obese patients thought that obese people were not as healthy as nonobese people. Moreover, ATOP scores which were slightly higher than 60 points in both female and male morbid obese patients indicated that morbid obese patients had neither negative nor highly positive attitudes toward obese people.

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Obesity bias among preclinical and clinical chiropractic students and faculty at an integrative health care institution: A cross-sectional study

Abstract: Obesity bias was common among clinical and preclinical chiropractic students and faculty at our institution. A cultural shift that reduces bias may require changes in both the curriculum and cocurriculum.

Cited by 3 publications

References 79 publications

Obesity is not related to individuals but to environmental conditions; from the perspective of obese patients

Obesity is not related to individuals but to environmental conditions; from the perspective of obese patients

Feasibility of a Loving Kindness Intervention for Mitigating Weight Stigma in Nursing Students: A Focus on Self-Compassion

Evaluation of morbid obese patients with attitudes toward obese persons scale prior to bariatric surgery: Obesity from the perspective of real patients

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