Beliefs about the causes and solutions to obesity: A comparison of GPs and lay people
Beliefs about the causes and solutions to obesity: A comparison of GPs and lay people
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DOI：
10.1016/j.pec.2007.11.022
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发表时间：
2008-04-01
影响因子：
3.5
通讯作者：
Flanagan, Zakk
中科院分区：
文献类型：
--
作者：
Ogden, Jane;Flanagan, Zakk
目的：探讨全科医生 (GP) 对肥胖原因和解决方案的信念，将其与外行样本的信念进行比较，并评估对原因的信念在解释解决方案信念中的作用。方法：由全科医生 (n = 73) 和外行样本 (n = 311) 完成有关肥胖原因和解决方案的调查问卷。结果：全科医生普遍认为肥胖是由心理和行为因素引起的，并且对大多数的有效性持矛盾态度。可用的解决方案。与非专业人群相比，全科医生对肥胖的行为、结构、社会和心理原因表现出更大的认可，而非专业人群更喜欢因果关系的生物学模型。本研究还为这种关于解决方案的信念的起源提供了一些证据，并表明全科医生关于解决方案和原因的信念之间的一致性。例如，如果全科医生认为肥胖是由生物因素引起的，他们就会认可医疗解决方案；如果他们认为肥胖是由社会因素引起的，他们就会认可政策变化作为解决方案。外行样本并没有表现出他们的信念如此一致。结论：全科医生认为肥胖不属于医学领域。他们在关于原因和解决方案的信念方面持有一个连贯的模型，这可能会限制他们对这个常见问题的合适解决方案的看法。实践意义：如果全科医生要承担肥胖管理的责任，他们应该被鼓励要么改变他们的信念，要么考虑解决方案是否需要始终解决因果关系。 (C) 2007 Elsevier Ireland Ltd. 保留所有权利。
Objective: To explore general practitioners (GPs') beliefs about the causes and solutions to obesity, to compare them to those held by a lay sample and to assess the role of beliefs about causes in explaining beliefs about solutions.Methods: Questionnaires regarding the causes and solutions to obesity were completed by GPs (n = 73) and a lay sample (n = 311).Results: GPs generally believe that obesity is caused by psychological and behavioural factors and are ambivalent about the effectiveness of the majority of available solutions. When compared to a lay population, GPs show a greater endorsement of behavioural, structural, social and psychological causes of obesity whereas the lay population prefer a more biological model of causality. The present study also provides some evidence for the origins of such beliefs about solutions and indicates consistency between GPs' beliefs about solutions and causes. For example, GPs endorse a medical solution if they believe obesity is caused by biological factors and endorse policy change as a solution if they believe it is caused by social factors. The lay sample did not show such consistency in their beliefs.Conclusions: GPs believe that obesity does not belong within the medical domain. They hold a coherent model in terms of beliefs about causes and solutions which may limit their perspective on what constitutes a suitable solution to this ever common problem.Practice implications: If GPs are to take responsibility for the management of obesity they should be encouraged either to change their beliefs or to consider whether solutions need always address causality. (C) 2007 Elsevier Ireland Ltd. All rights reserved.