Implicit and explicit weight bias in a national sample of 4,732 medical students: The medical student CHANGES study

Obesity

Volumn 22, Issue 4, 2014, Pages 1201-1208

  Phelan, Sean M ^a   Dovidio, John F ^b   Puhl, Rebecca M ^b   Burgess, Diana J ^c,d   Nelson, David B ^c,d   Yeazel, Mark W ^e   Hardeman, Rachel ^d   Perry, Sylvia ^b   Van Ryn, Michelle ^a  

^a MAYO CLINIC   (United States)

^b YALE UNIVERSITY   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

^d UNIVERSITY OF MINNESOTA   (United States)

^e UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGE; BIRTHPLACE; BODY MASS; BODY WEIGHT; COMPARATIVE STUDY; ETHNIC GROUP; EXPLICIT WEIGHT BIAS; FEMALE; HOMOSEXUAL FEMALE; HOMOSEXUAL MALE; HUMAN; IMPLICIT WEIGHT BIAS; LONGITUDINAL STUDY; MALE; MEDICAL SCHOOL; MEDICAL STUDENT; PREDICTOR VARIABLE; PRIMARY MEDICAL CARE; REVIEW; SOCIAL STATUS; SPECIALIZATION; STATISTICAL BIAS; ANCESTRY GROUP; ATTITUDE TO HEALTH; HEALTH PERSONNEL ATTITUDE; INFORMATION PROCESSING; LESBIANISM; MALE HOMOSEXUALITY; MINORITY GROUP; OBESITY; POVERTY; PSYCHOLOGY; REGRESSION ANALYSIS; SEX DIFFERENCE;

ADULT; AGE FACTORS; ATTITUDE OF HEALTH PERSONNEL; BIAS (EPIDEMIOLOGY); BODY WEIGHT; CONTINENTAL POPULATION GROUPS; DATA COLLECTION; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HOMOSEXUALITY, FEMALE; HOMOSEXUALITY, MALE; HUMANS; LONGITUDINAL STUDIES; MALE; MINORITY GROUPS; OBESITY; OVERWEIGHT; POVERTY; REGRESSION ANALYSIS; SEX FACTORS; STUDENTS, MEDICAL;

EID: 84897456451     PISSN: 19307381     EISSN: 1930739X     Source Type: Journal    
DOI: 10.1002/oby.20687     Document Type: Review

References (40)

1. Cooper L, Roter D, Carson K, et al. The associations of clinicians' implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. Am J Public Health 2012; 102: 979-987.
2. Penner LA, Dovidio JF, West TV, et al. Aversive racism and medical interactions with black patients: a field study. J Exp Soc Psychol 2010; 46: 436-440.
3. Green AR, Carney DR, Pallin DJ, et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med. 2007; 22: 1231-1238.
4. Hofmann W, Gawronski B, Gschwendner T, Le H, Schmitt M,. A meta-analysis on the correlation between the implicit association test and explicit self-report measures. Pers Soc Psychol Bull 2005; 31: 1369-1385.
5. 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.
6. Dovidio J, Kawakami K, Gaertner S,. Implicit and explicit prejudice and interracial interaction. J Pers Soc Psychol 2002; 82: 62-68.
7. Budd GM, Mariotti M, Graff D, Falkenstein K,. Health care professionals' attitudes about obesity: an integrative review. Appl Nurs Res 2009; 24: 127-137.
8. Brown I,. Nurses' attitudes towards adult patients who are obese: literature review. J Adv Nurs 2006; 53: 221-232.
9. Schwartz MB, Chambliss HO, Brownell KD, Blair SN, Billington C,. Weight bias among health professionals specializing in obesity. Obes Res 2003; 11: 1033-1039.
10. Agell G, Rothblum ED,. Effects of clients' obesity and gender on the therapy judgments of psychologists. Prof Psychol Res Pract 1991; 22: 223-229.
11. Puhl RM, Heuer CA,. The stigma of obesity: a review and update. Obesity (Silver Spring) 2009; 17: 941-964.
12. 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.
13. Huizinga MM, Cooper LA, Bleich SN, Clark JM, Beach MC,. Physician respect for patients with obesity. J Gen Intern Med 2009; 24: 1236-1239.
14. Beach MC, Roter DL, Wang NY, Duggan PS, Cooper LA,. Are physicians' attitudes of respect accurately perceived by patients and associated with more positive communication behaviors? Patient Educ Couns 2006; 62: 347-354.
15. Street RL Jr., Gordon H, Haidet P,. Physicians' communication and perceptions of patients: is it how they look, how they talk, or is it just the doctor? Soc Sci Med 2007; 65: 586-598.
16. Bertakis KD, Azari R,. The impact of obesity on primary care visits. Obes Res 2005; 13: 1615-1623.
17. Gudzune KA, Beach MC, Roter DL, Cooper LA,. Physicians build less rapport with obese patients. Obesity (Silver Spring) 2013; 21: 2146-2152.
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. Aldrich T, Hackley B,. The impact of obesity on gynecologic cancer screening: an integrative literature review. J Midwifery Womens Health 2010; 55: 344-356.
20. Rosen AB, Schneider EC,. Colorectal cancer screening disparities related to obesity and gender. J Gen Intern Med 2004; 19: 332-338.
21. Cohen SS, Palmieri RT, Nyante SJ, et al. Obesity and screening for breast, cervical, and colorectal cancer in women: a review. Cancer 2008; 112: 1892-1904.
22. Drury CA, Louis M,. Exploring the association between body weight, stigma of obesity, and health care avoidance. J Am Acad Nurse Pract 2002; 14: 554-561.
23. 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.
24. 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.
25. Dyrbye LN, Thomas MR, Harper W, et al. The learning environment and medical student burnout: a multicentre study. Med Educ 2009; 43: 274-282.
26. Alwin D,. Feeling thermometers versus 7-point scales: which are better? Sociol Methods Res. 1997; 25: 318-340.
27. Crandall CS,. Prejudice against fat people: ideology and self-interest. J Pers Soc Psychol 1994; 66: 882-894.
28. Crandall CS, D'Anello S, Sakalli N, Lazarus E, Wieczorkowska G, Feather N,. An attribution-value model of prejudice: anti-fat attitudes in six nations. Pers Soc Psychol Bull 2001; 27: 30-37.
29. Miller DP Jr., Spangler JG, Vitolins MZ, et al. Are medical students aware of their anti-obesity bias? Acad Med 2013; 88: 978-982.
30. 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.
31. Schwartz M, Chambliss H, Brownell K, Blair S, Billington C,. Weight bias among health professionals specializing in obesity. Obes Res 2003; 11: 1033-1039.
32. Teachman BA, Brownell KD,. Implicit anti-fat bias among health professionals: is anyone immune? Int J Obes Relat Metab Disord 2001; 25: 1525-1531.
33. Miller DP Jr., Spangler JG, Vitolins MZ, et al. Are medical students aware of their anti-obesity bias? Acad Med 2013; 88: 978-982.
34. 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.
35. Sabin J, Nosek BA, Greenwald A, Rivara FP,. Physicians' implicit and explicit attitudes about race by MD race, ethnicity, and gender. J Health Care Poor Underserved 2009; 20: 896-913.
36. Gaertner SL, Dovidio JF,. The aversive form of racism. In:, Dovidio JF, Gaertner SL, eds. Prejudice, Discrimination, and Racism. Orlando, FL: Academic Press; 1986: 61-89.
37. Fogelholm M,. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev 2010; 11: 202-221.
38. Weinstein AR, Sesso HD, Lee IM, et al. Relationship of physical activity vs body mass index with type 2 diabetes in women. JAMA 2004; 292: 1188-1194.
39. Kemper KA, Sargent RG, Drane JW, Valois RF, Hussey JR,. Black and white females' perceptions of ideal body size and social norms. Obes Res 1994; 2: 117-126.
40. Puhl RM, Schwartz MB, Brownell KD,. Impact of perceived consensus on stereotypes about obese people: a new approach for reducing bias. Health Psychol 2005; 24: 517-525. Diseases