Med Students Unaware of Their Bias Against Obese Patients 446
An anonymous reader sends news of a study which found that "two out of five medical students have an unconscious bias against obese people." The study, published in the Journal of Academic Medicine (abstract) examined med students from many different cultural and geographical backgrounds.
"The researchers used a computer program called the Weight Implicit Association Test (IAT) to measures students’ unconscious preferences for 'fat' or 'thin' individuals. Students also answered a survey assessing their conscious weight-related preferences. The authors determined if the students were aware of their bias by seeing if their IAT results matched their stated preferences. Overall, 39 percent of medical students had a moderate to strong unconscious anti-fat bias as compared to 17 percent who had a moderate to strong anti-thin bias. Less than 25 percent of students were aware of their biases. 'Because anti-fat stigma is so prevalent and a significant barrier to the treatment of obesity, teaching medical students to recognize and mitigate this bias is crucial to improving the care for the two-thirds of American adults who are now overweight or obese,' Miller said. 'Medical schools should address weight bias as part of a comprehensive obesity curriculum.'"
Med students (Score:0, Interesting)
And you are unaware of your bias against med students, 2 out of 5 makes 40% I don't see how that justifies your title.
Why not solve the actual problem? (Score:0, Interesting)
"Medical schools should address weight bias as part of a comprehensive obesity curriculum."
Uh, or Americans should stop eating so much and get some exercise once in a while?
Re:Med students (Score:5, Interesting)
Well, you completely missed the point. Doctors who don't recognize their biases are more likely to misdiagnose patients that they're biased against.
Take me, for example. My kidneys failed due to IGA nephropathy, which has absolutely nothing to do with weight. I'm overweight, however, so for the first year of me feeling run down, getting sick often and having other health isuses my doctor insisted that I just needed to lose weight. He never bothered looking for other potential causes because, in his mind, the problem had to be that I was too fat and therefore didn't deserve any further attention.
Re:Med students (Score:2, Interesting)
*Are* they less likely to follow treatment plans? It stands to reason that someone who won't do what's necessary for his health in one area might be less likely to do so in another area as well. If the doctors' assumption is accurate, it's not bias in the sense implied.
We're missing the most interesting results (Score:5, Interesting)
Second, and by far most intriguing, is the 33% (101/310) of students who openly acknowledged an explicit personal bias. Given that 39% (121/301) were found to have an actual bias on the implicit test, on the surface this result isn't surprising - but the 101 who think they're biased, and the 121 who actually have an implicit bias, don't overlap very closely. Just 40 students who thought they had a bias actually did. The study authors (and the journalists who have summarized their results) decided to frame this in the form of two-thirds of anti-fat students don't know they're biased! It's much more curious, I think, to note that a healthy majority of students who thought they were biased against the obese - 61% (61/101) - actually aren't.
Indeed, it turns out that there wasn't a significant correlation between believing one was biased and actually having a bias. So why do three out of five students who think they have an anti-fat bias hold that belief mistakenly?
Re:Fat and Fit (Score:2, Interesting)
Hey asswipe monkey brain *I'M* one of the unlucky ones. *I DO* have health reason to be fat. *I DO* have genetic reasons. Oh and there are mental depression reasons too but frankly exercise helps fix those.
I'm not because I fucking well dont want to be a 10 ton lardass. The real, genuine reason for obesity is that person is just simply too fucking lazy to give a shit. *I'M* the exact reason why lard asses should be given a boot up the arse - if I can do it then so can everyone else. No goddamn excuses - if you are 50 kgs overweight it's *YOUR* fault. Most to lose weight dont need to exercise or watch their diet like I do - to keep myself stable I *need* 50 kms of cycling a day. Think about that - if that doesnt' scream I have issues that I need to overcome when almost all of you cant even think about doing that and you woul be losing plenty of weight then I dont know what does.
So don't fucking tell me you have genetic or health issues keeping you the size of a small bus. You just cant be bothered to do anything about it and to make that do something a lifestyle.
Oh I'm sure there's sob stories about no time or no money or whatever. Bullshit. It's excuses. And that's why people are scorned for being fat. It's YOUR CHOICES than made you a land whale. No your health, not your genetics, not your state of wealth or time.
Fat acceptance? Go fuck yourselves. If I can be a normal size, so can you. STFU and do it.
Re:Med students (Score:5, Interesting)
Re:Fat Hatred (Score:2, Interesting)
that making losing weight extremely difficult
Bullshit. Losing weight is just as easy as it used to be. Eat less. That's it.
You may be thinking of bodyfat percentage instead. Keeping that down is a lot harder with your conditions, true. But overall weight is easy.
Re:Fat Hatred (Score:3, Interesting)
I have CFS too so I know what you're going through, I've been overweight because of it as well, but I've recently found one thing that has allowed me to lose weight and actually become healthier. There is only one diet that has worked, and it's basically a variant of low carb, it's called Keto(ketosis) and I've lost 50 pounds in a year from it, and all I've done is changed my diet. I don't exercise more than I already do (sometimes not at all), I don't starve, and I don't have to go without eating or skip meals or anything, I would seriously suggest as a fellow CFSer to try it.
http://en.wikipedia.org/wiki/Ketogenic_diet
http://josepharcita.blogspot.com/2011/03/guide-to-ketosis.html
http://www.ncbi.nlm.nih.gov/pubmed/22905670
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2716748/
Re:Med students (Score:5, Interesting)
At this physical, my doctor is telling me that I need to lose weight because 212 is "a lot of weight". He didn't car that my body fat % was fine. He just kept pointing out that BMI is "the best indicator of healthy weight". He has a bias against fat people. Even worse, his definition of "fat" is completely twisted and dangerous.
Even worse is that I have been 5 lbs over weight. 5 lbs overweight isn't even close to obese. It also isn't "some buff slav". But, what I hear is from dumbasses saying "Your not Mr. Universe, so the BMI is correct."