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Perceptions, attitudes and barriers to effective obesity care among people living with obesity and healthcare professionals in China: The ACTION-China study. | LitMetric

AI Article Synopsis

  • The ACTION-China study aimed to understand the perceptions and behaviors regarding obesity care among people living with obesity (PLwO) and healthcare professionals (HCPs) in mainland China.
  • It involved an online survey of 7,000 PLwO and 1,000 HCPs, revealing that while most agreed obesity is a chronic disease, many PLwO haven't discussed their weight with HCPs, often feeling responsible for managing it themselves.
  • Key barriers identified include PLwO underestimating their weight status and a significant gap in communication between HCPs and PLwO about weight management, suggesting the need for better discussions on this topic.

Article Abstract

Aims: To identify perceptions, attitudes, behaviours and barriers to effective obesity care among people living with obesity (PLwO) and healthcare professionals (HCPs) across mainland China.

Materials And Methods: ACTION-China (ClinicalTrials.gov: NCT05428501) was a cross-sectional, observational, descriptive, online survey-based study of 7000 PLwO and 1000 HCPs (conducted between August and November 2022).

Results: The majority of PLwO (76.8% [5374/7000]) and HCPs (94.6% [946/1000]) agreed that obesity is a chronic disease. Only 40.8% of PLwO (2853/7000) had discussed their weight or talked about losing weight with an HCP in the past 5 years. The most frequent reason given by PLwO for not discussing weight management with an HCP was believing it was their responsibility to manage their weight (34.7% [2430/7000]), whereas the most frequent reason HCPs gave for not discussing obesity with their patients with obesity was having more important health issues to discuss (72.1% [721/1000]). A smaller proportion of PLwO (19.1%) than HCPs (53.6%) felt that weight management discussions with an HCP would be very or extremely helpful for the patient, and 30.7% of PLwO experienced negative feelings after their most recent discussion. Overall, 34.8% (2438/7000) of PLwO had been diagnosed with obesity by an HCP, while 30.0% (2101/7000) of PLwO did not recognize that they had obesity.

Conclusions: This large, national survey conducted among PLwO and HCPs highlights key barriers to effective obesity care in China, including underestimation of weight status by PLwO and the need for increased communication between HCPs and PLwO regarding weight management.

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Source
http://dx.doi.org/10.1111/dom.15837DOI Listing

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