Sensitive and appropriate language is a real struggle for health care providers when trying to tackle the topic of weight. National Public Radio (NPR) published an article on How Doctors Can Stop Stigmatizing and Start Helping Kids with Obesity, which recognized that many primary care providers may feel awkward in the limited window of time they have to sensitively and effectively find healthy solutions for those struggling with excess weight.
With this struggle, it makes sense that an American Diabetes Association (ADA) study has found many providers, accidentally or otherwise, show weight bias. See, Overcoming Weight Bias in the Management of Patients with Diabetes and Obesity.
The same study explains that weight bias can manifest as an attitude that “patients with obesity are lazy, lack self-control and willpower, personally to blame for their weight, noncompliant with treatment, and deserving targets of derogatory humor.” This is why, NPR explains, “the American Medical Association passed a resolution in 2017 designed to teach health care providers to use ‘people-first language.” Some examples are to avoid the words overweight, obese, or extremely obese and instead use phrases like excess weight or elevated body mass index. And instead of saying “obese patient”, use terms like person with obesity, person with elevated BMI or person with excess weight.
Eliminating weight bias from our written and spoken language is challenging. It requires honest reflection and an open mind. Our whole team at Diabetes Education Services is dedicated to using person centered language. Yet, we are still learning and working on transitioning all of our content to be respectful and free of weight bias.
Language matters and health care professionals are in such an important position to effect change in people’s lives. For more tips on how you can change how you talk about diabetes and weight, see our webinar on Language & Diabetes.
Evaluate your Weight Bias –Harvard’s Project Implicit
Project Implicit is a non-profit organization that provides international collaboration between researchers interested in implicit social cognition – the thoughts and feelings outside of conscious awareness and control. The goal of the organization is to educate the public about hidden biases and to provide a “virtual laboratory” for collecting data on the Internet.
For more information on weight bias and stigma, read our July Newsletter.
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