Are medical students aware of their anti-obesity bias?

Academic Medicine

Volumn 88, Issue 7, 2013, Pages 978-982

  Miller, David P ^a   Spangler, John G ^a   Vitolins, Mara Z ^a   Davis, Stephen W ^a   Ip, Edward H ^a   Marion, Gail S ^a   Crandall, Sonia J ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84879986492     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0b013e318294f817     Document Type: Article

References (53)

1. Andreyeva T, Puhl RM, Brownell KD. Changes in perceived weight discrimination among Americans, 1995-1996 through 2004-2006. Obesity (Silver Spring). 2008;16:1129-1134.
2. Brown H. For obese people, prejudice in plain sight. NY Times. March 16, 2010:D6.
3. Puhl RM, Andreyeva T, Brownell KD. Perceptions of weight discrimination: Prevalence and comparison to race and gender discrimination in America. Int J Obes (Lond). 2008;32:992-1000.
4. Wang L. Weight discrimination: One size fts all remedy? Yale Law J. 2008;117:1900-1945.
5. Puhl RM, Heuer CA. The stigma of obesity: A review and update. Obesity (Silver Spring). 2009;17:941-964.
6. Sabin JA, Marini M, Nosek BA. Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender. PLoS One. 2012;7:e48448.
7. Foster GD, Wadden TA, Makris AP, et al. Primary care physicians' attitudes about obesity and its treatment. Obes Res. 2003;11:1168-1177.
8. Schwartz MB, Chambliss HO, Brownell KD, Blair SN, Billington C. Weight bias among health professionals specializing in obesity. Obes Res. 2003;11:1033-1039.
9. Teachman BA, Brownell KD. Implicit anti-fat bias among health professionals: Is anyone immune? Int J Obes Relat Metab Disord. 2001;25:1525-1531.
10. Wear D, Aultman JM, Varley JD, Zarconi J. Making fun of patients: Medical students' perceptions and use of derogatory and cynical humor in clinical settings. Acad Med. 2006;81:454-462.
11. Huizinga MM, Cooper LA, Bleich SN, Clark JM, Beach MC. Physician respect for patients with obesity. J Gen Intern Med. 2009;24:1236-1239.
12. Huizinga MM, Bleich SN, Beach MC, Clark JM, Cooper LA. Disparity in physician perception of patients' adherence to medications by obesity status. Obesity (Silver Spring). 2010;18:1932-1937.
13. Wigton RS, McGaghie WC. The effect of obesity on medical students' approach to patients with abdominal pain. J Gen Intern Med. 2001;16:262-265.
14. Hebl MR, Xu J. Weighing the care: Physicians' reactions to the size of a patient. Int J Obes Relat Metab Disord. 2001;25:1246-1252.
15. Puhl RM, Brownell KD. Confronting and coping with weight stigma: An investigation of overweight and obese adults. Obesity (Silver Spring). 2006;14:1802-1815.
16. Lewis S, Thomas SL, Hyde J, Castle DJ, Komesaroff PA. A qualitative investigation of obese men's experiences with their weight. Am J Health Behav. 2011;35:458-469.
17. Vartanian LR, Novak SA. Internalized societal attitudes moderate the impact of weight stigma on avoidance of exercise. Obesity (Silver Spring). 2011;19:757-762.
18. Amy NK, Aalborg A, Lyons P, Keranen L. Barriers to routine gynecological cancer screening for white and African-American obese women. Int J Obes (Lond). 2006;30:147-155.
19. We e CC, McCarthy E P, Davis RB, Phillips RS. Screening for cervical and breast cancer: Is obesity an unrecognized barrier to preventive care? Ann Intern Med. 2000;132:697-704.
20. Mitchell RS, Padwal RS, Chuck AW, Klarenbach SW. Cancer screening among the overweight and obese in Canada. Am J Prev Med. 2008;35:127-132.
21. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010;303:235-241.
22. Greenwald AG, Banaji MR. Implicit social cognition: Attitudes, self-esteem, and stereotypes. Psychol Rev. 1995;102:4-27.
23. Wilson TD, Lindsey S, Schooler TY. A model of dual attitudes. Psychol Rev. 2000;107:101-126.
24. Nosek BA, Smyth FL. A multitrait-multimethod validation of the implicit association test: Implicit and explicit attitudes are related but distinct constructs. Exp Psychol. 2007;54:14-29.
25. Wyer RS, ed. The Automaticity of Everyday Life. Mahwah, NJ: Lawrence Erlbaum Associates; 1997.
26. Bargh JA, Morsella E. The unconscious mind. Perspect Psychol Sci. 2008;3:73-79.
27. Shepherd H. The cultural context of cognition: What the implicit association test tells us about how culture works. Sociol Forum. 2011;26:121-143.
28. Greenwald AG, Poehlman TA, Uhlmann EL, Banaji MR. Understanding and using the Implicit Association Test: III. Meta-analysis of predictive validity. J Pers Soc Psychol. 2009;97:17-41.
29. Greenwald AG, McGhee DE, Schwartz JL. Measuring individual differences in implicit cognition: The implicit association test. J Pers Soc Psychol. 1998;74:1464-1480.
30. Nosek BA, Greenwald AG, Banaji MR. The Implicit Association Test at age 7: A methodological and conceptual review. In: Bargh JA, ed. Automatic Processes in Social Thinking and Behavior. New York, NY: Psychology Press; 2006;262-292.
31. Cunningham WA, Preacher KJ, Banaji MR. Implicit attitude measures: Consistency, stability, and convergent validity. Psychol Sci. 2001;12:163-170.
32. Sriram N, Greenwald AG. The Brief Implicit Association Test. Exp Psychol. 2009;56:283-294.
33. Haider AH, Sexton J, Sriram N, et al. Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. JAMA. 2011;306:942-951.
34. Sriram N. Research scientist, University of Virginia. Personal communication with S. Crandall, June 9, 2010.
35. Davis NJ, Shishodia H, Taqui B, Dumfeh C, Wylie-Rosett J. Resident physician attitudes and competence about obesity treatment: Need for improved education. Med Educ Online. 2008;13:5.
36. Chambliss HO, Finley CE, Blair SN. Attitudes toward obese individuals among exercise science students. Med Sci Sports Exerc. 2004;36:468-474.
37. O'Brien KS, Hunter JA, Banks M. Implicit anti-fat bias in physical educators: Physical attributes, ideology and socialization. Int J Obes (Lond). 2007;31:308-314.
38. Dovidio JF, Fiske ST. Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. Am J Public Health. 2012;102:945-952.
39. Daníelsdóttir S, O'Brien KS, Ciao A. Anti-fat prejudice reduction: A review of published studies. Obes Facts. 2010;3:47-58.
40. Stone J, Moskowitz GB. Non-conscious bias in medical decision making: What can be done to reduce it? Med Educ. 2011;45:768-776.
41. Teal CR, Gill AC, Green AR, Crandall S. Helping medical learners recognise and manage unconscious bias toward certain patient groups. Med Educ. 2012;46:80-88.
42. Miller D, Crandall S, Davis S, et al. NEW Lifestyle: A downloadable teaching and learning program for Nutrition, Exercise, and Weight management. MedEdPORTAL. October 24, 2012. www.mededportal.org/publication/9256. Accessed April 16, 2013.
43. Vartanian LR. Disgust and perceived control in attitudes toward obese people. Int J Obes (Lond). 2010;34:1302-1307.
44. Lund TB, Sandøe P, Lassen J. Attitudes to publicly funded obesity treatment and prevention. Obesity (Silver Spring). 2011;19:1580-1585.
45. Teachman BA, Gapinski KD, Brownell KD, Rawlins M, Jeyaram S. Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy. Health Psychol. 2003;22:68-78.
46. O'Brien KS, Puhl RM, Latner JD, Mir AS, Hunter JA. Reducing anti-fat prejudice in preservice health students: A randomized trial. Obesity (Silver Spring). 2010;18:2138-2144.
47. Persky S, Eccleston CP. Impact of genetic causal information on medical students' clinical encounters with an obese virtual patient: Health promotion and social stigma. Ann Behav Med. 2011;41:363-372.
48. Robinson BE, Bacon JG, O'Reilly J. Fat phobia: Measuring, understanding, and changing anti-fat attitudes. Int J Eat Disord. 1993;14:467-480.
49. Wiese HJ, Wilson JF, Jones RA, Neises M. Obesity stigma reduction in medical students. Int J Obes Relat Metab Disord. 1992;16:859-868.
50. Harris MB, Walters LC, Waschull S. Altering attitudes and knowledge about obesity. J Soc Psychol. 1991;131:881-884.
51. Gapinski KD, Schwartz MB, Brownell KD. Can television change anti-fat attitudes and behavior? J Appl Biobehav Res. 2006;11:1-28.
52. Wang SS, Brownell KD, Wadden TA. The infuence of the stigma of obesity on overweight individuals. Int J Obes Relat Metab Disord. 2004;28:1333-1337.
53. Schwartz MB, Vartanian LR, Nosek BA, Brownell KD. The infuence of one's own body weight on implicit and explicit anti-fat bias. Obesity (Silver Spring). 2006;14:440-447.