Satisfaction with Health Care Among Individuals with Overweight and Obesity: A Nationally Representative Cross-sectional Study

  • Young-Rock HongEmail author
  • Gregory Pavela
  • Alexandra M. Lee
  • Victoria G. Williamson
  • Michelle I. Cardel
Concise Research Reports


The U.S. Surgeon General declared obesity a national epidemic1 and the prevalence of obesity has now reached nearly 40% of the adult population in the United States (U.S.).2 Given its significant burden along with increased risks for many clinical conditions, the importance of providing timely prevention care has been emphasized.1 However, obesity is a stigmatized condition, leading individuals with obesity to be more likely to experience weight-based discrimination when seeking care.3 Assessing patient experiences with received care among those with overweight or obesity could aid in training health care providers and targeting interventions to improve access to care among those at risk.


To determine whether overall satisfaction with health care and perceived quality of interaction with one’s health care provider were associated with clinically defined body mass index (BMI) category.


We conducted a retrospective cross-sectional study of...


Authors’ Contribution

Study conception and design: Hong and Cardel

Acquisition, analysis, or interpretation of data: All authors

Drafting of manuscript: All authors

Critical revision of the manuscript for important intellectual content: All authors

Statistical analysis: Hong and Pavela

Administrative, technical, or material support: Hong and Lee

Study supervision: Pavela and Cardel

Compliance with Ethical Standards

Conflicts of Interest

The authors declare that they do not have a conflict of interest.


  1. 1.
    U.S. Department of Health and Human Services. The Surgeon General’s Call To Action To Prevent and Decrease Overweight and Obesity [Internet]. 2001 [cited 2018 Dec 5]. Available from:
  2. 2.
    Hales CM, Fryar CD, Carroll MD, Freedman DS, Ogden CL. Trends in Obesity and Severe Obesity Prevalence in US Youth and Adults by Sex and Age, 2007–2008 to 2015–2016. JAMA [Internet]. 2018 Apr 24;319(16):1723. Available from:
  3. 3.
    Phelan SM, Burgess DJ, Yeazel MW, Hellerstedt WL, Griffin JM, van Ryn M. Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obes Rev [Internet]. 2015 Apr;16(4):319–26. Available from:
  4. 4.
    Hong YR, Sonawane K, Larson S, Mainous AG, Marlow NM. Impact of Provider Participation in ACO Programs on Preventive Care Services, Patient Experiences, and Health Care Expenditures in US Adults Aged 18–64. Med Care [Internet]. 2018 Aug;56(8):711–8. Available from:
  5. 5.
    Bleich SN, Bennett WL, Gudzune K a, Cooper L a. National survey of US primary care physicians’ perspectives about causes of obesity and solutions to improve care. BMJ Open [Internet]. 2012;2(6):e001871. Available from: CrossRefGoogle Scholar
  6. 6.
    Wadden TA, Anderson DA, Foster GD, Bennett A, Steinberg C, Sarwer DB. Obese women’s perceptions of their physicians’ weight management attitudes and practices. Arch Fam Med [Internet] 2011;9(9):854–60. Available from: CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Young-Rock Hong
    • 1
    Email author
  • Gregory Pavela
    • 2
  • Alexandra M. Lee
    • 3
  • Victoria G. Williamson
    • 4
  • Michelle I. Cardel
    • 3
  1. 1.Department of Health Services Research, Management and Policy, College of Public Health and Health ProfessionsUniversity of FloridaGainesvilleUSA
  2. 2.Department of Health Behavior, School of Public HealthUniversity of Alabama, BirminghamBirminghamUSA
  3. 3.Department of Health Outcomes and Biomedical InformaticsCollege of Medicine University of FloridaGainesvilleUSA
  4. 4.Department of Psychology, College of Liberal Arts and SciencesUniversity of FloridaGainesvilleUSA

Personalised recommendations