Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis
Yıl: 2023 Cilt: 31 Sayı: 2 Sayfa Aralığı: 115 - 121 Metin Dili: İngilizce DOI: 10.5152/FNJN.2023.22306 İndeks Tarihi: 27-07-2023
Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis
Öz: AIM: This study aimed to examine Turkish healthcare professionals’ beliefs and predictors of negative attitudes toward obesity and to investigate whether those beliefs and negative attitudes differ per their profession and sociodemographic and familial variables. METHOD: In this cross-sectional study, healthcare professionals (n = 495) working in four hospitals of Ankara completed a sociodemographic questionnaire and two self-report scales: the Attitudes Toward Obese Persons Scale and the Beliefs About Obese Persons Scale. Data were collected during May, 2018. RESULTS: Female healthcare professionals had significantly higher (p = 0.03) positive attitude scores than males, and nurses had significantly higher (p = 0.04) Beliefs About Obese Persons Scale scores than physicians, representing their belief that obesity is not under the control of the individual. The Attitudes Toward Obese Persons Scale scores of university hospital healthcare professionals were significantly higher (p = 0.00) than those of public hospital and private hospital healthcare professionals, and Attitudes Toward Obese Persons Scale scores of healthcare professionals who have a family member with a chronic disease were significantly higher (p = 0.027) than those who do not. CONCLUSION: The work experience, spending more time with a patient, and having a member of the family with a chronic illness lead to a more positive attitude toward people with obesity. This result emphasizes the importance of interventions that promote sensitive and empathic communication skills
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Alberga, A. S., Edache, I. Y., Forhan, M., & Mayhew-Russell, S. (2019). Weight bias and health care utilisation: A scoping review. Primary Health Care Research and Development, 20, e116. [CrossRef]
- Allison, D. B., Basile, V. C., & Yuker, H. E. (1991). The measurement of attitudes toward and beliefs about obese persons. International Journal of Eating Disorders, 10(5), 599–607. [CrossRef]
- Altınayak, S. Ö., Gür, E. Y., Apay, S. E., & Özkan, H. (2017). Midwifery students’ prejudice against obese pregnant women. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 20(2), 201–207.
- Bucher Della Torre, S., Courvoisier, D. S., Saldarriaga, A., Martin, X. E., & Farpour-Lambert, N. J. (2018). Knowledge, attitudes, representations and declared practices of nurses and physicians about obesity in a university hospital: Training is essential. Clinical Obesity, 8(2), 122–130. [CrossRef]
- Carr, D., & Friedman, M. A. (2005). Is obesity stigmatizing? Body weight, perceived discrimination and psychological well-being in the United States. Journal of Health and Social Behavior, 46(3), 244–259. [CrossRef]
- Chu, D. T., Nguyet, N. T. M., Dinh, T. C., Lien, N. V. T., Nguyen, K. H., Ngoc, V. T. N., Tao, Y., Son, L. H., Le, D. H., Nga, V. B., Jurgoński, A., Tran, Q. H., Van Tu, P., Pham, V. H. (2018). An update on physical health and economic consequences of overweight and obesity. Diabetes and Met- abolic Syndrome: Clinical Research and Reviews, 12(6), 1095–1100. [CrossRef]
- Elran-Barak, R., & Bar-Anan, Y. (2018). Implicit and explicit anti fat bias: The role of weight related attitudes and beliefs. Social Science and Medicine, 204, 117–124. [CrossRef]
- Emmer, C., Bosnjak, M., & Mata, J. (2019). The association between weight stigma and mental health: A meta-analysis. Obesity Reviews, 21(1), e12935. [CrossRef]
- Foster, G. D., Wadden, T. A., Makris, A. P., Davidson, D., Sanderson, R. S., Allison, D. B., & Kessler, A. (2003). Primary care physicians’ attitudes about obesity and its treatment. Obesity Research, 11(10), 1168–1177. [CrossRef]
- Gailey, J. A. (2022). The violence of fat hatred in the “obesity epidemic” discourse. Humanity and Society, 46(2), 359–380. [CrossRef]
- Hamovitch, E. K., Choy-Brown, M., & Stanhope, V. (2018). Person- centered care and the therapeutic alliance. Community Mental Health Journal, 54(7), 951–958. [CrossRef]
- Harpreet Gujral, R. N., Tea, C., & Sheridan, M. (2012). Evaluation of nurse’s attitudes toward adult patient of size. Surgery for Obesity and Related Diseases, 7, 536–540.
- Harvey, E. L., & Hill, A. J. (2001). Health professionals’ views of over- weight people and smokers. International Journal of Obesity and Related Metabolic Disorders, 25(8), 1253–1261. [CrossRef]
- Harvey, E. L., Summerbell, C. D., Kirk, S. F. L., & Hill, A. J. (2002). Dieti- cians’ views of overweight and obese people and reported management practice. Journal of Human Nutrition and Dietetics, 15(5), 331–347. [CrossRef]
- Jay, M., Kalet, A., Ark, T., McMacken, M., Messito, M.J., Richter, R., Schlair, S., Sherman, S., Zabar, S., Gillespie, C. (2009). Physicians’ atti- tudes about obesity and their associations with competency and spe- cialty: a cross-sectional study. BMC Health Serv Res, 24 (9)106-117. doi: [CrossRef]
- Kanbur, N. (2017). Is little control over eating always a compulsive eating behavior? Substance Use and Misuse, 52(14), 1924–1925. [CrossRef]
- Kuiper, R. A., & Pesut, D. J. (2004). Promoting cognitive and metacog- nitive reflective reasoning skills in nursing practice: Self-regulated learn- ing theory. Journal of Advanced Nursing, 45(4), 381–391. [CrossRef]
- MacInnis, C. C., Alberga, A. S., Nutter, S., Ellard, J. H., & Russell-May- hew, S. (2020). Regarding obesity as a disease is associated with lower weight bias among physicians: A cross-sectional survey study. Stigma and Health, 5(1), 114–122. [CrossRef]
- Mold, F., & Forbes, A. (2013). Patients’ and professionals’ experiences and perspectives of obesity in health care settings: A synthesis of cur- rent research. Health Expectations, 16(2), 119–142. [CrossRef]
- Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020). Weight stigma as a psychosocial contributor to obesity. American Psychologist, 75(2), 274–289. [CrossRef]
- Puhl, R. M., Luedicke, J., & Grilo, C. M. (2014). Obesity bias in training: Attitudes, beliefs and observations among advanced trainees in profes- sional health disciplines. Obesity, 22(4), 1008–1015. [CrossRef]
- Puhl, R. M., Peterson, J. L., & Luedicke, J. (2013). Motivating or stig- matizing? Public perceptions of weight-related language used by health care providers. International Journal of Obesity, 37(4), 612–619. [CrossRef]
- Sabin, J. A., Marini, M., & Nosek, B. A. (2012). Implicit and explicit anti-fat bias among a large sample of medical physicians by BMI, race/ ethnicity and gender. PLOS ONE, 7(11), e48448.
- Sert, H., Seven, A., Çetinkaya, S., Pelin, M., & Aygin, D. (2016). Evalu- ation of prejudice against obesity in health high school students. Online Türk Sağlık Bilimleri Dergisi, 1(4), 9–17.
- Shamay-Tsoory, S. G., Aharon-Peretz, J., & Perry, D. (2009). Two sys- tems for empathy: A double dissociation between emotional and cogni- tive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132(3), 617–627. [CrossRef]
- Taş, D., Tüzün, Z., Düzçeker, Y., Akgül, S., & Kanbur, N. (2020). The effects of parental and peer factors on psychiatric symptoms in ado- lescents with obesity. Eating and Weight Disorders, 25(3), 617–625. [CrossRef]
- Tomiyama, A. J., Carr, D., Granberg, E. M., Major, B., Robinson, E., Sutin, A. R., & Brewis, A. (2018). How and why weight stigma drives the obesity ‘epidemic’ and harms health. BMC Medicine, 16(1), Article 123. [CrossRef]
- Turkish Statistical Institute (2019). Turkey Health Survey 2019. www. turkstat.gov.tr
- Tüzün, Z., Işıklı, S., Akgül, S., Derman, O., & Kanbur, N. (2012). The reliability study of the attitudes towards obese persons and the beliefs about obese persons scale. 17th European Annual Meeting of Interna- tional Association for Adolescent Health.
- Uluöz, E. (2016). A comparison of the attitudes toward obese per- sons of the students in the Physical Education and Sports School in terms of classes and some variables. International Journal of Sports Exercise and Training Science, 2(4), 124–136. [CrossRef]
- Weiner, B., Perry, R. P., & Magnusson, J. (1988). An attribution analysis of reactions to stigmas. Journal of Personality and Social Psychology, 55(5), 738–748. [CrossRef]
- World Health Organisation (2022). European regional obesity report 2022. https ://ap ps.wh o.int /iris /bits tream /hand le/10 665/3 53747 /9789 28905 7738- eng.p df World Health Organization (2017). Global Health Observatory Data Repository. https ://wh o.int /gho/ data/ view. main.
- Yılmaz, H. Ö., & Ayhan, N. Y. (2019). Is there a prejudice among health prof? A sample of student nurses and registered nurses. Perspective in Psychiatry Care, 55, 1–7.
| APA | Tüzün Z, Akgul S, IŞIKLI S, Tas D, Kanbur N (2023). Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. , 115 - 121. 10.5152/FNJN.2023.22306 |
| Chicago | Tüzün Zeynep,Akgul Sinem,IŞIKLI Sedat,Tas Demet,Kanbur Nuray Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. (2023): 115 - 121. 10.5152/FNJN.2023.22306 |
| MLA | Tüzün Zeynep,Akgul Sinem,IŞIKLI Sedat,Tas Demet,Kanbur Nuray Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. , 2023, ss.115 - 121. 10.5152/FNJN.2023.22306 |
| AMA | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. . 2023; 115 - 121. 10.5152/FNJN.2023.22306 |
| Vancouver | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. . 2023; 115 - 121. 10.5152/FNJN.2023.22306 |
| IEEE | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N "Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis." , ss.115 - 121, 2023. 10.5152/FNJN.2023.22306 |
| ISNAD | Tüzün, Zeynep vd. "Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis". (2023), 115-121. https://doi.org/10.5152/FNJN.2023.22306 |
| APA | Tüzün Z, Akgul S, IŞIKLI S, Tas D, Kanbur N (2023). Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. Florence Nightingale journal of nursing (Online), 31(2), 115 - 121. 10.5152/FNJN.2023.22306 |
| Chicago | Tüzün Zeynep,Akgul Sinem,IŞIKLI Sedat,Tas Demet,Kanbur Nuray Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. Florence Nightingale journal of nursing (Online) 31, no.2 (2023): 115 - 121. 10.5152/FNJN.2023.22306 |
| MLA | Tüzün Zeynep,Akgul Sinem,IŞIKLI Sedat,Tas Demet,Kanbur Nuray Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. Florence Nightingale journal of nursing (Online), vol.31, no.2, 2023, ss.115 - 121. 10.5152/FNJN.2023.22306 |
| AMA | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. Florence Nightingale journal of nursing (Online). 2023; 31(2): 115 - 121. 10.5152/FNJN.2023.22306 |
| Vancouver | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis. Florence Nightingale journal of nursing (Online). 2023; 31(2): 115 - 121. 10.5152/FNJN.2023.22306 |
| IEEE | Tüzün Z,Akgul S,IŞIKLI S,Tas D,Kanbur N "Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis." Florence Nightingale journal of nursing (Online), 31, ss.115 - 121, 2023. 10.5152/FNJN.2023.22306 |
| ISNAD | Tüzün, Zeynep vd. "Beliefs and Predictors of Negative Attitudes Toward Obesity Among Turkish Healthcare Professionals: Assessing the Bias with Sub-group Analysis". Florence Nightingale journal of nursing (Online) 31/2 (2023), 115-121. https://doi.org/10.5152/FNJN.2023.22306 |
