Prejudice Obesity of Midwives and Nurses in the Primary Health Care

Yıl 2020, Cilt: 4 Sayı: 3, 195 - 202, 30.09.2020

Ayten Yılmaz Yavuz , Hasret Baysal

https://doi.org/10.46237/amusbfd.674895

Cited By: 1

Öz

Objective: This study aims to determine the obesity prejudice of midwives and nurses working in institutions providing primary health care service. 

Methods: This descriptive study the universe's species, the two provinces located east of Turkey has created 287 midwives and nurses serving in primary care. The sample of the study was not chosen. 229 midwives and nurses who accepted to participate and who were working actively in primary health care constitutes the sample of the study. The questionnaire form consists of descriptive characteristics form and Obesity Prejudice Scale. The data of the study were assessed with SPSS package program by using descriptive statistics, t test, ANOVA test and correlation test. Before starting the research, written consent and Ethical Board approval were taken from the institution the study was conducted in. Care was taken for the participation to occur on a voluntary basis. 

Results: No statistically significant difference was found between the obesity prejudice scale average scores of the participants and their descriptive characteristics (p>0.05). In the study, the obesity prejudice scale average score of the health personnel was found as 78.57±11.31 and 56.3% were found to be inclined to prejudice, while 27.5% were found to have prejudice. 

Conclusion: It was found that more than half of the midwives and nurses working in institutions providing primary health care were inclined to have prejudice against obese individuals. This result shows that training interventions are a necessity. In line with these results, it can be recommended to train the health personnel providing service about this issue. According to these results; it may be suggested that healthcare personnel providing service take part in in-service training on this subject will be examined.

Anahtar Kelimeler

Health Professional, Obesity, Obesity Bias

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

We would like to thank the midwives and nurses who participated and completed this questionnaire and the institution providing primary health care services who supported the implementation of the research.

Birinci Basamakta Çalışan Ebe ve Hemşirelerin Obezite Önyargısı

Öz

Amaç: Bu çalışmada, birinci basamak sağlık hizmeti veren kuruluşlarda çalışan ebe ve hemşirelerin obezite önyargısının belirlenmesi amaçlanmıştır.
Yöntem: Tanımlayıcı türdeki bu araştırmanın evrenini Türkiye’nin doğusunda bulunan iki ildeki birinci basamakta hizmet veren 287 ebe ve hemşire oluşturmuştur. Araştırmada örneklem seçimine gidilmedi. Araştırmaya katılmayı kabul eden ve aktif olarak birinci basamakta çalışan 229 ebe ve hemşire araştırmanın örneklemini oluşturmuştur. Anket formu, tanımlayıcı özellikler formu ve Obezite Önyargı Ölçeğinden oluşmaktadır. Araştırmanın verileri, SPSS paket programı ile tanımlayıcı istatistikler, t testi, ANOVA testi ve korelasyon testi kullanılarak değerlendirildi. Araştırmaya başlamadan önce, araştırmanın yürütüldüğü kurumdan yazılı izin ve Etik Kurul onayı alınmış ve gönüllülük ilkesine dikkat edilmiştir.
Bulgular: Araştırmadaki katılımcıların obezite önyargı ölçeği puan ortalamaları ile tanıtıcı özellikler arasında istatistiksel olarak önemli bir fark olmadığı belirlendi (p>0.05). Araştırmada sağlık personellerinin obezite önyargı ölçeği puan ortalaması 78,57±11,31 olup, %56,3’ünün önyargıya eğilimli olduğu,%27,5’inin ise önyargılı olduğu belirlenmiştir.
Sonuç: Birinci basamak sağlık hizmet veren kuruluşlarda çalışan ebe ve hemşirelerin yarısından fazlasının obez bireylere karşı önyargıya eğilimli olduğu bulunmuştur. Bu sonuç eğitim müdahalelerinin bir gereklilik olduğunu göstermektedir. Bu sonuçlar doğrultusunda hizmet vermekte olan sağlık personeline bu konuda hizmetiçi eğitimlerinde yer verilmesi önerilebilir.

Anahtar Kelimeler

Sağlık profosyoneli, Obezite, Önyargı

Proje Numarası

-

Kaynakça

• 1. Bagriacik, N. (2009). National obesity prevention and treatment guide, İstanbul: Obesity Research Association Publications.
• 2. World Health Organization. Obesity and overweight fact sheet. http://www.who.int/mediacentre/factsheets/fs311/en/. (Access Date: January 1, 2018).
• 3. Bagriacik, N., Onat, H., Ilhan, B., Tarakcı, T., Ozar, Z., Ozyazar, M. et al. (2009). Obesity profile in Turkey. Int J Diabetes & Metabolism, 17, 5–8.
• 4. TURDEP Çalışma grubu TURDEP-II Sonuçlarının Özeti 2010 http://istanbultip.istanbul.edu.tr/wpcontent/uploads/attachments/021_turdep.2.sonuclarinin.aklamasi.pdf. (Access Date: January 1, 2018).
• 5. Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obes Rev, 2, 173-182.
• 6. Paker, M. (2017). Psychological bias and discrimination. Cayır, K. & Ceyhan M.A. (eds). Discrimination: multidimensional approaches. 1th ed. (ss. 41-43). Istanbul; Istanbul Bilgi University Press.
• 7. Fıeld, A. E., Bamoya, J., & Coldıtz, A. (2003). Effects of obesity on epidemiology, health and economy. Wadden, T. A., & Stunkard, J. A. (eds). Obesity treatment manual, 1th ed. İstanbul.
• 8. Gudzune, K. A., Beach, M. C., Roter, D. L., & Cooper, L. A. (2013). Physicians build less rapport with obese patients. Obesity (Silver Spring), 21(10), 2146–2152.
• 9. Gudzune, K. A., Bennett, W. L., Cooper, L. A., & Bleich, S. N. (2014). Patients who feel judged about their weight have lower trust in their primary care providers. Patient Educ Couns, 97(1), 128-131.
• 10. Sert, H., Seven, A., Çetinkaya, S., Pelin, M., & Aygin, D. (2006). Evaluation of prejudice against obesity in health high school students. Online Türk Sağlık Bilimleri Dergisi, 4, 9-17.
• 11. Altınayak, S. Ö., Gur, E. Y., Apay, S.E., & Ozkan, H. (2017). Midwifery students' prejudice against obese pregnant women. Journal of Anatolia Nursing and Health Sciences, 20(3), 201–207.
• 12. Yildiz, M., & Yalcinoz Baysal, H. (2019). Prejudice against obesity in university students studying in health-related departments. Perspect Psychiatr Care, 55 (2): 170-174.
• 13. Soto, L., Armendariz-Anguiano A. L., Bacardi-Gascon, M., & Cruz, A. J. (2014). Beliefs, attitudes and phobias among Mexican medical and psychology students towards people with obesity. Nutr Hosp, 30(1), 37–41.
• 14. Altun, S. (2015). Determination of university students’ prejudice against obesity. Baskent University, Faculty of Health Sciences. Nutrition and Dietetics, Ankara.
• 15. Usta, E., Acar, K., & Aygin, D. (2015). The attıtudes of students towards obesıty ın the vocatıonal college of health servıces. Electronic Journal of Vocational Colleges, Specıal ıssue: 46-53.
• 16. Schwartz, M. B., O'Neal, H., Brownell, K. D., Blair, S., & Billington, C. (2003). Weight bias among health professionals specializing in obesity. Obes Res, 11, 1033–1039.
• 17. Puhl, R. M., & Brownell, K. D. (2003). Ways of coping with obesity stigma: review and conceptual analysis. Eat Behav. 4, 53–78.
• 18. Khandalavala, B. N., Rojanala, A., Geske, J. A., Koran-Scholl, J. B., Guck, T. P. (2014). Obesity Bias in Primary Care Providers. Fam Med, 46(7), 532-535.
• 19. Ercan, A., Akçil Ok, M., & Kızıltan, G. (2015). Development of obesıty prejudıce scale for students of health scıences: GAMS 27- obesıty prejudıce scale. International Peer- Reviewed Journal of Nutrition Research, 3(2), 29–43.
• 20. Perez-Lopez, M. S., Lewis, R. J., & Cash, T. F. (2015). The relationship of antifat attitudes to other prejudicial and gender-related attitudes. Journal of Applied Social Psychology, 24(5), 517–525.
• 21. Usta, E., & Akyolcu, N. (2014). The evaluation of surgical nurses’ knowledge and applications on the care of overweight/ obese people. Florance Nightingale Nursing Journal, 22, 1–7.
• 22. Jay, M., Kalet, A., Ark, T., McMacken, M., Messito M. J., Richter R., et al. (2009). Physicians' attitudes about obesity and their associations with competency and specialty: a cross-sectional study. BMC Health Serv Res, 24(9), 1–11.
• 23. Danielsdottir, S., O’Brien, K. S., & Ciao, A. (2010). Anti-fat prejudice reduction: a review of published studies. Obesity Facts, 3, 47–58.
• 24. Puhl, R. M., Latner, J. D., King, K. M., & Luedicke J. (2014). Weight bias among professionals treating eating disorders: attitudes about treatment and perceived patient outcomes. International Journal of Eating Disorders, 47(1), 65–75.
• 25. Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obes Rev., 16(4), 319-326.
• 26. Forhan, M., & Salas, X. R. (2013). Inequities in healthcare: a review of bias and discrimination in obesity treatment. Can J Diabetes, 37(3), 205-209.