Evidence map›Paper›PMID 35388341›Full record

ArticleObesity science & practice2022

A model of weight-based stigma in health care and utilization outcomes: Evidence from the learning health systems network.

Sean M Phelan, Katherine W Bauer, David Bradley, Steven M Bradley, Irina V Haller, Manpreet S Mundi, Lila J Finney Rutten, Darrell R Schroeder, Kristin Fischer, Ivana Croghan

Open access · goldAbstract read
In one paragraph

Article in Obesity science & practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
9.2field-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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. A randomized controlled trial of an acceptance and commitment therapy-informed diabetes prevention program reduces body shame and distress.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Trial
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  20. Obesity as a Disease: A Primer on Clinical and Physiological Insights.Methodist DeBakey cardiovascular journal · 2025
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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

10 authors at 7 institutions in 1 country.

Sean M PhelanDivision of Health Care Delivery Research Mayo Clinic Rochester Minnesota USA.ORCID https://orcid.org/0000-0003-2091-6297
Katherine W BauerDepartment of Nutritional Sciences University of Michigan School of Public Health Ann Arbor Michigan USA.
David BradleyThe Ohio State Wexner Medical Center Columbus Ohio USA.
Steven M BradleyMinneapolis Heart Institute and Minneapolis Heart Institute Foundation Minneapolis Minnesota USA.
Irina V HallerEssentia Institute of Rural Health, Essentia Health Duluth Minnesota USA.
Manpreet S MundiDivision of Endocrinology, Diabetes, Metabolism, and Nutrition Mayo Clinic Rochester Minnesota USA.
Lila J Finney RuttenDepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
Darrell R SchroederDepartment of Quantitative Health Sciences Mayo Clinic Rochester Minnesota USA.
Kristin FischerRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester Minnesota USA.
Ivana CroghanRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery Mayo Clinic Rochester Minnesota USA.
Mayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · USEssentia Health · USMinneapolis Heart Institute Foundation · USThe Ohio State University Wexner Medical Center · USUniversity of Michigan · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

Objective: Obesity is stigmatized and people with obesity report experiencing stigmatizing situations when seeking health care. The implications of these experiences are not well understood. This study tests an indirect effects model of negative care experiences as an intermediate variable between obesity and care avoidance/utilization and switching primary care doctors. Methods: A survey was completed by 2380 primary care patients in the Learning Health Systems Network (LHSNet) Clinical Data Research Network with a BMI >25 kg/m Results: The hypothesized model was supported by findings. The associations between BMI and delaying needed care (OR = 1.06, Conclusions: People with higher BMIs may avoid care or switch doctors as a result of stigmatizing experiences and poor communication with doctors. These outcomes may contribute to morbidity in people with obesity if they delay or avoid care for health concerns when symptoms first present.

Indexed as

health care utilizationobesityobesity biaspatient‐centered caresocial stigma

Identifiers

PMID35388341
PMCPMC8976541
OpenAlexW3195633303

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.