• Home
  • Practice Focus
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
    • How I Do It
    • TRIO Best Practices
  • Business of Medicine
    • Health Policy
    • Legal Matters
    • Practice Management
    • Tech Talk
    • AI
  • Literature Reviews
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Career
    • Medical Education
    • Professional Development
    • Resident Focus
  • ENT Perspectives
    • ENT Expressions
    • Everyday Ethics
    • From TRIO
    • The Great Debate
    • Letter From the Editor
    • Rx: Wellness
    • The Voice
    • Viewpoint
  • TRIO Resources
    • Triological Society
    • The Laryngoscope
    • Laryngoscope Investigative Otolaryngology
    • TRIO Combined Sections Meetings
    • COSM
    • Related Otolaryngology Events
  • Search

How Obesity Can Impact Otolaryngology Patient Care

by Cheryl Alkon • March 1, 2014

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

Dr. Sabin studies the biases of healthcare providers and how they may affect patient care, using insights collected through a virtual laboratory based at Harvard University, where people can take online tests that uncover bias against weight, race, and other topics. “It’s a rapid-fire process, where people can’t stop and think about what they want to say,” she said. The database has more than 300,000 responses from the general public, and Dr. Sabin has studied the responses of those who self-identify as medical doctors (though medical specialties were not specified). A physician can show explicit bias, openly admitting he or she does not want to treat an obese patient, as well as implicit bias, a prejudice the physician does not realize he or she holds.

You Might Also Like

  • Pediatric Obesity and Sleep Apnea
  • Older Age, Obesity Risk Factors for Residual OSA in Children
  • Thyroid Guidelines Had Major Impact on Patient Care, Otolaryngologists Say
  • How Current Peer-To-Peer Sessions Profoundly Impact Patient Care and Physician Wellbeing
Explore This Issue
March 2014

“Anecdotally, it’s pretty obvious that overweight or obese is a problem in healthcare,” said Dr. Sabin, who published her findings in 2012 (PLoS One. 2012;7:e48448). (Overweight people are those who have a body mass index number of 25 to 29.) “Looking at the data, physicians recorded very strong thin-versus-fat preferences, a very strong anti-bias. These are attitudes they might not be aware they have. It’s not a surprise, as these attitudes are very prevalent in society.”

In reviewing studies about weight bias, Dr. Sabin said that patients have reported feeling disrespected by health professionals because of their weight and that women have been subjected to inappropriate comments about their weight by their doctors. As a result, she said patients don’t always seek timely care, and tend to avoid seeing a physician. “It’s a real snowball effect,” she added.

Physicians Miss Out, Too

Patients aren’t the only ones who are hurt by weight bias; physicians are, too. Kimberly Gudzune, MD, MPH, an assistant professor of medicine at The Johns Hopkins University School of Medicine in Baltimore, has studied how physicians interact with their patients by reviewing audiotapes of doctor-patient discussions that represent established patients coming in for routine care from their primary care doctors.

In her research, published in 2013, she found three kinds of communication: biomedical (asking questions about medical problems and symptoms and giving advice), psychosocial (asking about how life is going), and rapport building (the doctor expressing empathy or partnership, or disclosing personal details) (Obesity. 2013:21:1328-1334). While biomedical and psychosocial communication was the same among all patients and doctors, regardless of the patient’s weight, “there was significantly less rapport-building between physicians and their overweight or obese patients,” said Dr. Gudzune. “This suggests they are not building the core of the relationship.”

Pages: 1 2 3 4 5 | Single Page

Filed Under: Features Tagged With: general otolaryngology, obesityIssue: March 2014

You Might Also Like:

  • Pediatric Obesity and Sleep Apnea
  • Older Age, Obesity Risk Factors for Residual OSA in Children
  • Thyroid Guidelines Had Major Impact on Patient Care, Otolaryngologists Say
  • How Current Peer-To-Peer Sessions Profoundly Impact Patient Care and Physician Wellbeing

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

The Triological SocietyENTtoday is a publication of The Triological Society.

Polls

Would you choose a concierge physician as your PCP?

View Results

Loading ... Loading ...
  • Polls Archive

Top Articles for Residents

  • Applications Open for Resident Members of ENTtoday Edit Board
  • How To Provide Helpful Feedback To Residents
  • Call for Resident Bowl Questions
  • New Standardized Otolaryngology Curriculum Launching July 1 Should Be Valuable Resource For Physicians Around The World
  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • 22 Symptoms Common to Patients with Superior Canal Dehiscence Syndrome

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Keeping Watch for Skin Cancers on the Head and Neck

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Complications for When Physicians Change a Maiden Name

    • Excitement Around Gene Therapy for Hearing Restoration
    • “Small” Acts of Kindness
    • How To: Endoscopic Total Maxillectomy Without Facial Skin Incision
    • Science Communities Must Speak Out When Policies Threaten Health and Safety
    • Observation Most Cost-Effective in Addressing AECRS in Absence of Bacterial Infection

Follow Us

  • Contact Us
  • About Us
  • Advertise
  • The Triological Society
  • The Laryngoscope
  • Laryngoscope Investigative Otolaryngology
  • Privacy Policy
  • Terms of Use
  • Cookies

Wiley

Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1559-4939