Exploring the Science on Measures of Body Composition, Body Fat Distribution, and Obesity Proceedings of a Workshop Series (2024) / Chapter Skim
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8 Ethics and Trust in Communicating About the Intersection of Body Weight and Health
8 Ethics and Trust in Communicating About the Intersection of Body Weight and Health
Pages 71-80
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From page 71... ...
WEIGHT-RELATED STIGMA AND HEALTH DISPARITIES The first presentation was given by Tracy Richmond, director of the Boston Children's Hospital Eating Disorders Outpatient Program and the STEP wellness program for youth with an elevated body mass index (BMI) , on weight-related stigma and health disparities.
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From page 72... ...
To explore it further, Richmond's research team surveyed 150 young adults at a university in the southern United States on body satisfaction, and researchers measured their height and weight. Participants also selfidentified their body size using a body silhouette scale.
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. Richmond detailed research showing that patients who experience weight stigma had poorer mental health status, increased disordered eating behaviors, and negative physiological health outcomes (Hunger and Major, 2015; Puhl and Suh, 2015; Tomiyama et al., 2018)
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From page 74... ...
For example, as a medical student, she was trained to do a PAP smear on a 45-year-old fit White woman. Learning the procedure with someone of a different body size can impact the quality of care of individuals living in larger bodies, potentially contributing to disparities in health care for them.
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Richmond emphasized that focusing on weight can contribute to a patient's feelings of shame or frustration and promote extreme or unsustainable weight control strategies. POVERTY, HEALTH POLICY, AND OBESITY Martin Wilkinson, professor of politics and international relations at the University of Auckland, was the second presenter and focused on poverty and the uneven distribution of people with obesity among the population.
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, restricting unhealthy product displays at stores, or zoning to prevent a high density of fast-food restaurants. These strategies aim to prevent people from purchasing unhealthy products and increase access to healthier products.
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For example, Lee shared his work using artificial intelligence and natural language processing to analyze over 2 million patient comments for concepts related to trust, respect, etc. The results showed 35,000 separate insights directly related to trust.
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What advice, they asked, would Wilkinson offer to public health professionals regarding policies and programs that respect people's autonomy and maintain a focus on upstream influences, such as commercial actors or government policies that might limit choices? Wilkinson agreed that respecting agency and autonomy, particularly for those from historically marginalized groups, is paramount.
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Treating people with respect does not cost money, but he asserted that executive leadership must realize the social capital for their entity, whether it be a nursing unit, a health care system, or a company. Respect in the Medical System: Providing Care for People Living in Larger Bodies An audience member commented that traditionally, in clinical care, providers thought it was respectful to be truthful and objective when informing patients about the severity and trajectory of their condition.
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From page 80... ...
Lee asked, "What is the goal in health care? " Providers cannot deliver on immortality.
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