Effects of perceived weight discrimination on willingness to adopt unhealthy behaviours: influence of genomic information.
Effects of perceived weight discrimination on willingness to adopt unhealthy behaviours: influence of genomic information.
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DOI：
10.1080/08870446.2015.1099654
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发表时间：
2016
影响因子：
3.3
通讯作者：
Persky, Susan
中科院分区：
文献类型：
--
作者：
Beekman, Janine B.;Ferrer, Rebecca A.;Klein, William M. P.;Persky, Susan
关键词：
Weight-based discrimination negatively influences health and well-being. One potential route for these detrimental effects could be through increased willingness to engage in unhealthful behaviors when presented with the opportunity. The present study examines whether the provision of genomic obesity information in a clinical context can lead to less willingness to engage in unhealthy eating and alcohol consumption behaviors through a mediated process including reduced perceptions of blame and discrimination. 201 overweight or obese women aged 20–50 interacted with a virtual physician in a simulated clinical primary care environment. The virtual encounter included physician-delivered information that emphasized either the genomic or behavioral underpinnings of weight and weight loss. Participants answered questions about the encounter, including how much they perceived blame (for their weight status) and weight discrimination from the doctor. They then answered scenario-based health cognition questions, including willingness to eat unhealthy foods and consume alcohol. Controlling for BMI and race, participants who received genomic obesity information perceived less blame from the doctor than participants who received behavioral information. In a serial multiple mediation model, reduced perceived blame was associated with less perceived discrimination, and in turn, lower willingness to eat unhealthy foods and drink alcohol. Providing patients with genomic information about weight and weight loss may positively influence interpersonal dynamics between patients and providers by reducing perceived blame and perceived discrimination. These improved dynamics ultimately positively influence health cognitions.
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