Evidence map›Paper›PMID 32800008›Full record

ArticlePrimary health care research & development2019

Weight bias and health care utilization: a scoping review.

Angela S Alberga, Iyoma Y Edache, Mary Forhan, Shelly Russell-Mayhew

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07334470 (The BRAVE Study), which is not on this map. Cited by 152 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 9 pooled it
33.2field-weighted citation impact, top 1% 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.

NCT07334470 narecruitingnot on this mapstarted 2026, after this paper: background citation

The BRAVE Study: A Sensitivity Intervention With Nursing Students Using Simulation

TypeinterventionalSponsorVillanova UniversityRan2026 to 2028Enrolled368ConditionsWeight BiasArmsBRAVE, SOL: Standard Obesity Lecture
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 9 syntheses or guidelines pooled it, 331 citations in OpenAlex.

  1. Experienced Weight Stigma Changes Following Bariatric Surgery: a Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  4. Efficacy of interventions aimed at reducing explicit and implicit weight bias in healthcare students: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  5. Pooled it
  6. Guideline
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  9. Obesity in adults: a clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020 · on this map
    Guideline
  10. Trial
  11. Trial
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  13. "International journal of qualitative studies on health and well-being · 2026
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  19. Review
  20. Article

92 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Angela S AlbergaDepartment of Health, Kinesiology & Applied Physiology, Concordia University, Montreal, QC, Canada.ORCID 0000-0003-3858-9482
Iyoma Y EdacheDepartment of Health, Kinesiology & Applied Physiology, Concordia University, Montreal, QC, Canada.
Mary ForhanDepartment of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Shelly Russell-MayhewWerklund School of Education, University of Calgary, Calgary, AB, Canada.
Concordia University · CAUniversity of Alberta · CAUniversity of Calgary · CA

Funding

CIHR
6 · The paper itself

Abstract

aimThe purpose of this scoping review was to explore the evidence on how perceptions and/or experiences of weight bias in primary health care influence engagement with and utilization of health care services by individuals with obesity.

backgroundPrior studies have found discrepancies in the use of health care services by individuals living with obesity; a greater body mass index has been associated with decreased health care utilization, and weight bias has been identified as a major barrier to engagement with health services.

methodsPubMed was searched from January 2000 to July 2017. Four reviewers independently selected 21 studies examining perceptions of weight bias and its impact on engagement with primary health care services.

findingsA thematic analysis was conducted on the 21 studies that were included in this scoping review. The following 10 themes were identified: contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution of all health issues to excess weight, assumptions about weight gain, barriers to health care utilization, expectation of differential health care treatment, low trust and poor communication, avoidance or delay of health services, and 'doctor shopping'. Overall, our scoping review reveals how perceptions and/or experiences of weight bias from primary care health professionals negatively influence patient engagement with primary health care services.

Indexed as

Body Mass IndexBody WeightAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedObesityPatient Acceptance of Health CarePrimary Health CareQualitative ResearchWeight Prejudiceobesityprimary health careweight stigma

Identifiers

PMID32800008
PMCPMC6650789
OpenAlexW2963174560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.