Conceptualising lifestyle "choices:" A qualitative study of GP attitudes towards patients living with "obesity" in the UK

被引:2
作者
Spratt, Tanisha Jemma Rose [1 ]
Hajizadeh, Anisa [2 ]
Heath, Laura [2 ]
Kebbe, Maryam [3 ]
Aveyard, Paul [2 ]
机构
[1] Kings Coll London, Dept Global Hlth & Social Med, Bush House,40 Aldwych, London WC2B 4BG, England
[2] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Radcliffe Primary Care Bldg, Woodstock Rd, Oxford OX2 6GG, England
[3] Louisiana State Univ, Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA
来源
SSM-QUALITATIVE RESEARCH IN HEALTH | 2023年 / 4卷
关键词
Obesity; Public health policy; Neoliberalism; Healthism; GOVERNANCE;
D O I
10.1016/j.ssmqr.2023.100325
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
As a complex condition that often arises due to numerous social, environmental and political factors, "obesity" can be understood by healthcare providers as a health outcome that is directly linked to issues that are outside of individual control. UK GPs who participated in a series of focus groups examining attitudes about the role of individual responsibility in weight loss often demonstrated contradictory beliefs when asked about the relationship between obesity, personal responsibility and their patients' (in)ability to take individual action. Whilst GPs who practised in affluent areas were more likely to draw connections between poverty and high rates of obesity, GPs who practised in disadvantaged areas were more likely to discuss the need for all patients to assume personal responsibility for their health behaviours regardless of their individual circumstances. This article examines how GPs from both groups conceptualised personal responsibility in relation to their patients' weight and socioeconomic circumstances. We conclude by outlining the need for GPs to demonstrate empathy when engaging in weight-loss discussions with patients and offer practical support for patients who seek it that is mindful of their material circumstances.
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页数:8
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