ArticlePatient education and counseling2014
Patients who feel judged about their weight have lower trust in their primary care providers.
Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.
What it found
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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.
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.
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Who cites it
52 citing papers in PubMed, 115 citations in OpenAlex.
- Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial.Patient education and counseling · 2015Trial
- Identification as overweight by medical professionals: relation to eating disorder diagnosis and risk.Eating behaviors · 2015Trial
- Perceptions of Obesity and Treatment Decision-Making Among Hispanic-Latino Adults: Barriers to Metabolic and Bariatric Surgery.Obesity science & practice · 2026Article
- Discrimination of persons living with obesity by healthcare professionals.Anales del sistema sanitario de Navarra · 2026Article
- The Impactful Weight of Treating Beyond the Scale: A Comprehensive Course to Improve Obesity Care Among Medical Students.Family medicine · 2026Article
- Barriers, motivations, and understanding: A qualitative study on the acceptability of an academic weight management program.PloS one · 2026Article
- Drugs, diet, or surgery? How treatment type and willpower shape responsibility for weight loss and judgments of the physician and treatment.Frontiers in psychology · 2026Article
- Perceived weight stigma among adults diagnosed with schizophrenia in China: a cross-sectional study.Frontiers in psychology · 2026Article
- Influence of GPs' unhealthy lifestyle on patients' adherence to lifestyle recommendations: a cross-sectional study in Belgian primary care.BJGP open · 2025Article
- Exploring the Role of Internalized Weight Bias as a Metric of Cumulative Social Disadvantage Among People With Obesity or Overweight: Insights From the OBSERVE Study.Obesity science & practice · 2025Article
- Integrative Strategies in Primary Care: Addressing Recurrent Weight Gain Post-Metabolic and Bariatric Surgery.Obesity science & practice · 2025Review
- 'Medical Fatphobia Is Not Something We Invent': Weight Stigma in Healthcare Experienced by Women in the Antifatphobia Movement in Brazil and Spain.Sociology of health & illness · 2025Article
- Review
- Guidelines for Patient-Centered Documentation in the Era of Open Notes: Qualitative Study.JMIR medical education · 2025Article
- Validation of the 40-Item and 24-Item Short Version of the Person-Centred Obesity Care Instrument for Patients Living with Obesity.Obesity facts · 2025Article
- Challenges and Strategies in Colorectal Surgery among Patients with Morbid Obesity.Clinics in colon and rectal surgery · 2025Review
- The Development of a Scale Measuring Medical Mistrust Among Medical and Healthcare Students and Providers.Journal of multidisciplinary healthcare · 2025Article
- Effect of a patient education program focused on weight stigma on quality of life and self-efficacy in patients living with obesity: study protocol for a randomized controlled trial.BMC psychology · 2024Article
- Weight bias and preparedness to treat higher-weight patients: Understanding the role of motivation to respond without weight-based prejudice among resident physicians.Stigma and health · 2024Article
- An exploratory examination of medical and nursing students' intentions to discuss body image, weight, and eating disorders with their patients.Journal of eating disorders · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate whether overweight and obese patients have less trust in their primary care providers (PCPs) if they feel judged about their weight by these PCPs.
methodsWe conducted a national internet-based survey of 600 adults engaged in primary care with a BMI ≥ 25 kg/m(2) in 2012. Our dependent variable was high patient trust in their PCP (score ≥ 8/10). Our independent variable was "feeling judged about my weight by my PCP" dichotomized as "often/sometimes" versus "never." We conducted a multivariate logistic regression model adjusted for patient and PCP factors using survey weights.
resultsOverall, 21% felt that their PCP judged them about their weight. Respondents who perceived judgment were significantly less likely to report high trust in their PCP [OR 0.55, 95% CI 0.31-0.98].
conclusionWhile only a fifth of overweight and obese patients perceived weight-related judgment from their PCPs, these patients were significantly less likely to report high trust in these providers. Given patients' decreased trust in providers who convey weight-related judgment, our results raise concerns about potential effects on the doctor-patient relationship and patient outcomes. PRACTICE IMPLICATIONS: Addressing provider stigma toward patients with obesity could help build trust in these patient-provider relationships and improve quality of care.
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Registered trials
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.