Qualified and student healthcare professionals in Singapore display explicit weight bias. A cross-sectional survey.

Obes Res Clin Pract

Woodlands Health, Yishun Community Hospital, 2 Yishun Central 2 Tower E, 768024, Singapore; Singapore Association for the Study of Obesity, Singapore. Electronic address:

Published: December 2024

AI Article Synopsis

  • Healthcare professionals in Singapore exhibit weight bias, with a study revealing similar levels of explicit bias among both qualified professionals and students.
  • The research analyzed factors such as gender, Body Mass Index (BMI), and ethnicity's effect on weight bias, using surveys to gauge attitudes.
  • Results indicated no significant differences in overall weight bias scores based on professional status, but variations were found in attitudes related to BMI, gender, and ethnicity, potentially impacting care for individuals with obesity.

Article Abstract

Background: Globally, many healthcare professionals display weight bias and contribute towards weight stigma. However, weight bias of healthcare professionals in Asia is underexplored.

Objective: To investigate weight bias of healthcare professionals in Singapore and explore differences between qualified and student healthcare professionals, plus between i) gender, ii) Body Mass Index (BMI) and iii) ethnicity categories.

Methods: Healthcare professionals in Singapore engaged in a web-based survey (March 2023). Participants answered general categorical questions, plus two explicit weight bias outcomes (Fat Phobia Scale and Antifat Attitudes questionnaire). Descriptive statistics summarize outcome findings. Factors associated with degree of weight bias were explored between categories (i.e. student vs qualified, plus gender, BMI and ethnicity categories). Significance was set at p = <0.05.

Results: Fifty-five percent of participants (n = 294/525) were qualified healthcare professionals. Mean Fat Phobia Scale score (/5) was 3.19 ± 0.20 (range 2.00-3.86) and total Antifat Attitudes questionnaire score (/9) was 3.20 ± 1.25 (range 0.00-6.85). No significant differences were observed between categories for the Fat Phobia Scale. For the Antifat Attitudes questionnaire, those with underweight BMI's had lower total scores compared to those with healthy (2.54 vs 3.23, MD -0.70) or overweight (2.54 vs 3.41, MD -0.87) BMI's. No other differences in total Antifat Attitudes Scores were observed. However, differences did exist in Antifat Attitude subdomain scores between gender and ethnicity categories.

Conclusion(s): Qualified and student healthcare professionals in Singapore display comparable levels of explicit weight bias. This may lead to stigma, and subsequent inequalities in, and poorer provision of, care for people living with overweight and obesity.

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http://dx.doi.org/10.1016/j.orcp.2024.10.001DOI Listing

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