Wednesday, 1 February 2023

Weight bias is still a problem in health care

Plus more health news |

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Overcoming weight bias in health care
By Mandy Oaklander
Senior Health Editor

For people who are overweight, going to the doctor can feel like a battle. “From the moment I walk in, my fatness is considered a problem to be solved,” says Aubrey Gordon, an author and podcaster. “Even before I speak, there’s bias and misconceptions based on how I look.”

In her new piece, Elizabeth Millard writes about how important it is for health care providers to recognize and address their own weight biases. “We're seeing that patients aren't seeking medical care or are delaying care when they’re ill because of anti-fat bias in health care,” endocrinologist Dr. Rekha Kumar told Elizabeth. These often-hidden biases get in the way of strong patient-doctor relationships.

Here are three changes doctors should make to improve care for patients of all sizes:

  • Be thoughtful about equipment. Making sure that the chairs in waiting areas and tables in the exam rooms can accommodate all patients sounds like a small thing, “but you can’t believe how much of an impact it makes,” says endocrinologist Dr. Florencia Halperin. “Not only does it communicate to patients that you’re ready to care for them, but it sends a message to other patients and staff.”
  • Skip the scale sometimes. Weigh-ins have become automatic at every appointment, but weight change is not a factor in every diagnosis. Taking a more considered approach to discussing weight with patients makes a difference.
  • Stop shaming patients. Diet and exercise are not the only variables in a person’s weight. Obesity is, for example, highly heritable—and there’s not enough recognition of that fact among providers. Also, not everyone who has obesity will develop chronic issues as a result.

READ MORE

What else to read
Exclusive: John Fetterman Is Using This Assistive Technology in the Senate
By Mini Racker
The Sergeant at Arms has installed a permanent live caption display monitor at Fetterman's desk in the Senate chamber, among other new accommodations.
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Psychologists Explain Why You Procrastinate—And How to Stop
By Jamie Ducharme
Procrastination is a normal, near-universal phenomenon. Learn why it strikes and what to do about it. (Originally published in 2018.)
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This Is the Meanest Reason to Break Up With Someone
By Amanda MacMillan
Rejection hurts. But it stings even more when you're rejected for someone else. (Originally published in 2017.)
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Is Granola Healthy? Here's What Experts Say
By Cassie Shortsleeve 
Granola, beloved by hikers and outdoorsy types, certainly seems healthy. Here's the reality. (Originally published in 2018.)
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What Casual Drinking Does to Your Body Over Time
By Alexandra Sifferlin
Enjoy that spiked cider, but keep these tips in mind too. (Originally published in 2015.)
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ONE LAST STORY
Get Your Free COVID-19 Tests While You Can

I can’t remember the last time I paid full price for an at-home COVID-19 test. I’ve been relying on the free tests provided by the government, as well as those covered by my insurance plan.

But with the pandemic’s public health emergency designation set to end in May, those programs could come to an end—so you may want to stock up on free tests while you still can. I know I will be.—Jamie Ducharme

Read More »

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Today's newsletter was written by Mandy Oaklander and Jamie Ducharme and edited by Angela Haupt.

 
 
 
 
 
 

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