Evidence map›Paper›PMID 41142405›Full record

ArticleObesity science & practice2025

Association Between Weight Stigma Experiences in Healthcare and Self-Reported Healthcare Avoidance in a National Sample.

Kathleen M Robinson, Aaron M Scherer, Alithea N Zorn, Michelle A Mengeling, Helena H Laroche

Abstract read
In one paragraph

Article in Obesity science & practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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.

Kathleen M RobinsonDepartment of Internal Medicine Division of Endocrinology and Metabolism University of Iowa Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-5697-6323
Aaron M SchererDepartment of Internal Medicine Division of General Internal Medicine University of Iowa Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-4134-9300
Alithea N ZornStatistics and Analytics Core Institute for Public Health Practice, Research, and Policy University of Iowa Iowa City Iowa USA.
Michelle A MengelingCenter for Access & Delivery Research and Evaluation (CADRE) Iowa City VA Health Care System Iowa City Iowa USA.ORCID https://orcid.org/0000-0003-0337-9215
Helena H LarocheCenter for Children's Healthy Lifestyles and Nutrition Children's Mercy Hospital Kansas City Missouri USA.ORCID https://orcid.org/0000-0003-3708-5207

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
NCATS NIH HHS UL1 TR002537
6 · The paper itself

Abstract

Objectives: Although weight stigma in healthcare is common, existing measures may not capture the full range of patients' weight stigma experiences in clinical practice. We aimed to examine how physical examination by healthcare providers, communication, and the built environment perpetuate weight stigma and impact healthcare avoidance. Items from the previously developed Weight Stigma in Healthcare Inventory (WSHCI) were tested to assess weight stigma experiences and assess association with healthcare avoidance. Methods: Two sample groups, identified through ResearchMatch and a Qualtrics survey panel, completed the WSHCI online. We analyzed the association between individual items and healthcare avoidance, and between a summation of weight stigma experiences and healthcare avoidance, adjusting for demographics. Results: Five-hundred twenty four surveys were received. All weight stigma items were associated with healthcare avoidance, with the strongest associations found for items related to experiencing stigma during physical examination. Greater numbers of stigmatizing experiences were associated with healthcare avoidance (OR 1.31, 95% CI [1.26, 1.37]). Conclusions: To reduce healthcare avoidance due to weight stigma, all aspects-the physical examination, communication, overall experiences and the built environment-need to be addressed. Reducing the overall number of negative experiences and reducing weight stigma experiences during physical examination may be especially important to reduce healthcare avoidance.

Indexed as

healthcare accessquestionnaireweight stigma

Identifiers

PMID41142405
PMCPMC12550863

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.