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dc.contributor.authorAnanthakumar, Thanusha
dc.contributor.authorJones, Nicholas R
dc.contributor.authorHinton, Lisa
dc.contributor.authorAveyard, Paul
dc.date.accessioned2020-12-19T00:32:40Z
dc.date.available2020-12-19T00:32:40Z
dc.date.issued2020-02
dc.identifier.issn1758-8103
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/315324
dc.description.abstractGuidelines recommend clinicians intervene on obesity but it is unclear how people with overweight react. In this systematic review, we searched 20 online databases for qualitative studies interviewing people with overweight or obesity who had consulted a primary care clinician. Framework synthesis was used to analyse 21 studies to produce a new theoretical understanding. Consultations in which patients discussed their weight were more infrequent than patients would have liked, which some perceived was because they were unworthy of medical time; others that it indicated doctors feel being overweight is not a serious risk. Patients reported that doctors offered banal advice assuming that the patient ate unhealthily or was not trying to address their weight. Patients reported doctors assumed that their symptoms were due to overweight without a proper history or examination, creating concern that serious illness may be missed. Patients responded positively to offers of support for weight loss and active monitoring of weight. Patients with overweight internalize weight stigma sensitizing them to clues that clinicians are judging them negatively, even if weight is not discussed. Patients' negative experiences in consultations relate to perceived snap judgements and flippant advice and negative experiences appear more salient than positive ones.
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherWiley
dc.rightsAll rights reserved
dc.subjectHumans
dc.subjectObesity
dc.subjectBody Weight
dc.subjectWeight Loss
dc.subjectAttitude to Health
dc.subjectQualitative Research
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectPrimary Health Care
dc.subjectFemale
dc.subjectMale
dc.subjectOverweight
dc.subjectYoung Adult
dc.subjectSocial Stigma
dc.titleClinical encounters about obesity: Systematic review of patients' perspectives.
dc.typeArticle
prism.issueIdentifier1
prism.publicationDate2020
prism.publicationNameClin Obes
prism.startingPagee12347
prism.volume10
dc.identifier.doi10.17863/CAM.62430
dcterms.dateAccepted2019-10-15
rioxxterms.versionofrecord10.1111/cob.12347
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-02
dc.contributor.orcidAveyard, Paul [0000-0002-1802-4217]
dc.identifier.eissn1758-8111
rioxxterms.typeJournal Article/Review
cam.issuedOnline2019-12-02
cam.orpheus.successMon Dec 21 07:30:19 GMT 2020 - Embargo updated
rioxxterms.freetoread.startdate2021-02-28


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