Evidence map›Paper›PMID 29783962›Full record

Trial reportBMC public health2018

Predictors of weight stigma experienced by middle-older aged, general-practice patients with obesity in disadvantaged areas of Australia: a cross-sectional study.

Catherine Spooner, Upali W Jayasinghe, Nighat Faruqi, Nigel Stocks, Mark F Harris

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. 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
8.5field-weighted citation impact, top 2% of its field
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, 29 citations in OpenAlex.

  1. Trial
  2. Understanding Primary Care Dietitians' Experiences and Perspectives on Weight Management Practice Using the COM-B Model.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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  9. Beneficial self-management support and user involvement in Healthy Life Centres-A qualitative interview study in persons afflicted by overweight or obesity.Health expectations : an international journal of public participation in health care and health policy · 2020
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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 at 2 institutions in 1 country.

Catherine SpoonerUNSW Sydney, Centre for Primary Health Care and Equity, Sydney, NSW, 2052, Australia.
Upali W JayasingheUNSW Sydney, Centre for Primary Health Care and Equity, Sydney, NSW, 2052, Australia.
Nighat FaruqiUNSW Sydney, Centre for Primary Health Care and Equity, Sydney, NSW, 2052, Australia.
Nigel StocksUniversity of Adelaide, Discipline of General Practice, 178 North Terrace, Adelaide, 5005, Australia.
Mark F HarrisUNSW Sydney, Centre for Primary Health Care and Equity, Sydney, NSW, 2052, Australia. m.f.harris@unsw.edu.au.
UNSW Sydney · AUUniversity of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRates of obesity have increased globally and weight stigma is commonly experienced by people with obesity. Feeling stigmatised because of one's weight can be a barrier to healthy eating, physical activity and to seeking help for weight management. The aim of this study was to identify predictors of perceived weight among middle-older aged patients with obesity attending general practices in socioeconomically disadvantaged urban areas of Australia.

methodsAs part of a randomised clinical trial in Australia, telephone interviews were conducted with 120 patients from 17 general practices in socioeconomically disadvantaged of Sydney and Adelaide. Patients were aged 40-70 years with a BMI ≥ 30 kg/m

resultsThe multi-level model showed that weight stigma was positively associated with obesity category 2 (BMI = 35 to < 40; OR 4.47 (95% CI 1.03 to 19.40)) and obesity category 3 (BMI = ≥ 40; OR 27.06 (95% CI 4.85 to 150.95)), not being employed (OR 7.70 (95% CI 2.17 to 27.25)), non-English speaking backgrounds (OR 5.74 (95% CI 1.35 to 24.45)) and negatively associated with the HLQ domain: ability to actively engage with healthcare providers (OR 0.12 (95% CI 0.05 to 0.28)). There was no association between weight stigma and gender, age, education or the other HLQ domains examined.

conclusionsWeight stigma disproportionately affected the patients with obesity most in need of support to manage their weight: those with more severe obesity, from non-English speaking backgrounds and who were not in employment. Additionally, those who had experienced weight stigma were less able to actively engage with healthcare providers further compounding their disadvantage. This suggests the need for a more proactive approach to identify weight stigma by healthcare providers. Addressing weight stigma at the individual, system and population levels is recommended.

trial registrationThe trial was registered with the Australian Clinical Trials Registry ACTRN126400102162 .

Indexed as

Physician-Patient RelationsSocial StigmaAdultAgedAustraliaCross-Sectional StudiesFemaleGeneral PracticeGeneral PractitionersHealth LiteracyHumansMaleMiddle AgedMultilevel AnalysisObesityPoverty AreasAdultsAustraliaCross sectional studyObesityPatientsPrimary health careStigma

Identifiers

PMID29783962
PMCPMC5963137
OpenAlexW2807090306

What OpenQuestion holds

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LicenceCC BY
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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.