Journal of General Internal Medicine

, 24:1236

Physician Respect for Patients with Obesity

Authors

    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
    • Welch Center for Prevention, Epidemiology, and Clinical ResearchJohns Hopkins Medical Institutions
  • Lisa A. Cooper
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
    • Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public Health
    • Welch Center for Prevention, Epidemiology, and Clinical ResearchJohns Hopkins Medical Institutions
  • Sara N. Bleich
    • Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public Health
  • Jeanne M. Clark
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
    • Welch Center for Prevention, Epidemiology, and Clinical ResearchJohns Hopkins Medical Institutions
    • Department of EpidemiologyJohns Hopkins Bloomberg School of Public Health
  • Mary Catherine Beach
    • Division of General Internal Medicine, Department of MedicineJohns Hopkins University School of Medicine
    • Welch Center for Prevention, Epidemiology, and Clinical ResearchJohns Hopkins Medical Institutions
Brief Report

DOI: 10.1007/s11606-009-1104-8

Cite this article as:
Huizinga, M.M., Cooper, L.A., Bleich, S.N. et al. J GEN INTERN MED (2009) 24: 1236. doi:10.1007/s11606-009-1104-8

ABSTRACT

INTRODUCTION

Obesity stigma is common in our society, and a general stigma towards obesity has also been documented in physicians. We hypothesized that physician respect for patients would be lower in patients with higher body mass index (BMI).

METHODS

We analyzed data from the baseline visit of 40 physicians and 238 patients enrolled in a randomized controlled trial of patient-physician communication. The independent variable was BMI, and the outcome was physician respect for the patient. We performed Poisson regression analyses with robust variance estimates, accounting for clustering of patients within physicians, to examine the association between BMI and physician ratings of respect for particular patients.

RESULTS

The mean (SD) BMI of the patients was 32.9(8.1) kg/m2. Physicians had low respect for 39% of the participants. Higher BMI was significantly and negatively associated with respect [prevalence ratio (PrR) 0.83, 95% CI: 0.73–0.95; p = 0.006; per 10 kg/m2 increase in BMI]. BMI remained significantly associated with respect after adjustment for patient age and gender (PrR 0.86, 95%CI: 0.74–1.00; p = 0.049).

CONCLUSION

We found that higher patient BMI was associated with lower physician respect. Further research is needed to understand if lower physician respect for patients with higher BMI adversely affects the quality of care.

KEY WORDS

obesity stigmaphysician respect and body mass index

Copyright information

© Society of General Internal Medicine 2009