Evidence map›Paper›PMID 23743418›Full record

ArticlePreventive medicine2013

How does physician BMI impact patient trust and perceived stigma?

Sara N Bleich, Kimberly A Gudzune, Wendy L Bennett, Marian P Jarlenski, Lisa A Cooper

Abstract read
In one paragraph

Article in Preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sara N BleichDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. sbleich@jhsph.edu
Kimberly A Gudzune
Wendy L Bennett
Marian P Jarlenski
Lisa A Cooper

Funding

TRAINING COREP50HL105187 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GOLDEN, SHERITA HILL · 2010 to 2014
$9.8M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
Racial Disparities in Physician Practice Patterns and Self-Management of ObesityK01HL096409 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BLEICH, SARA NAOMI · 2009 to 2013
$699k
NHLBI NIH HHS 1K01HL096409NHLBI NIH HHS K01 HL096409NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24HL083113NHLBI NIH HHS P50HL0105187NHLBI NIH HHS P50 HL105187NIMHD NIH HHS L60 MD003184PHS HHS T32HP10025-17-00
6 · The paper itself

Abstract

objectiveThe objective is to evaluate whether physician body mass index (BMI) impacts their patients' trust or perceptions of weight-related stigma.

methodsWe used a national cross-sectional survey of 600 non-pregnant overweight and obese patients conducted between April 5 and April 13, 2012. The outcome variables were patient trust (overall and by type of advice) and patient perceptions of weight-related stigma. The independent variable of interest was primary care physician (PCP) BMI. We conducted multivariate regression analyses to determine whether trust or perceived stigma differed by physician BMI, adjusting for covariates.

resultsPatients reported high levels of trust in their PCPs, regardless of the PCPs body weight (normal BMI=8.6; overweight=8.3; obese=8.2; where 10 is the highest). Trust in diet advice was significantly higher among patients seeing overweight PCPs as compared to normal BMI PCPs (87% vs. 77%, p=0.04). Reports of feeling judged by their PCP were significantly higher among patients seeing obese PCPs (32%; 95% confidence interval (CI): 23-41) as compared to patients seeing normal BMI PCPs (14%; 95% CI: 7-20).

conclusionOverweight and obese patients generally trust their PCP, but they more strongly trust diet advice from overweight PCPs as compared to normal BMI PCPs.

Indexed as

Body Mass IndexPhysician-Patient RelationsPhysicians, Primary CareStereotypingAdultAgedCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedObesityOutcome Assessment, Health CareOverweightPractice Patterns, Physicians'Patient trustPhysician BMIWeight-related adviceWeight stigma

Identifiers

PMID23743418
PMCPMC3745018

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.