Medical Students’ Attitudes towards Overweight and Obesity 英文参考文献.docVIP

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Medical Students’ Attitudes towards Overweight and Obesity 英文参考文献.doc

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Medical Students’ Attitudes towards Overweight and Obesity 英文参考文献

MedicalStudents’AttitudestowardsOverweightand Obesity BirtePantenburg1,2*,ClaudiaSikorski1,2,MelanieLuppa2,GeorgSchomerus3,Hans-HelmutKo¨nig4, PerlaWerner5,SteffiG.Riedel-Heller2 1IntegratedResearchandTreatmentCenter(IFB)AdiposityDiseases,UniversityofLeipzig,Leipzig,Germany,2InstituteofSocialMedicine,OccupationalHealthandPublic Health,UniversityofLeipzig,Leipzig,Germany,3DepartmentofPsychiatryandPsychotherapy,UniversityofGreifswald,Stralsund,Germany,4DepartmentofMedical SociologyandHealthEconomics,UniversityMedicalCenterHamburg-Eppendorf,Hamburg,Germany,5FacultyofSocialWelfareandHealthSciences,UniversityofHaifa, Haifa,Israel Abstract Objective: Studies from the USA have identified medical students as a major source of stigmatizing attitudes towards overweight and obese individuals. As data from Europe is scarce, medical students’ attitudes were investigated at the UniversityofLeipziginLeipzig,Germany. Design: Cross-sectional survey containing an experimental manipulation consisting of a pair of vignettes depicting an obese and a normal weight 42-year-old woman, respectively. Vignettes were followed by the Fat Phobia Scale (FPS), a semanticdifferentialassessingweightrelatedattitudes.Incaseoftheoverweightvignetteapanelofquestionsoncausal attributionfortheoverweightprecededadministrationoftheFPS. Subjects:671medicalstudentswereenrolledattheUniversityofLeipzigfromMaytoJune2011. Results:Theoverweightvignettewasratedsignificantlymorenegativethanthenormalweightvignette(meanFPSscore 3.6560.45versus2.5460.38,p,0.001).Ahigherproportionofstudentshadnegativeattitudestowardstheoverweightas comparedtothenormalweightindividual(98.9%versus53.7%,p,0.001).A‘‘positiveenergybalance’’wasperceivedasthe mostrelevantcausefor theoverweight,followedby ‘‘negligentpersonality trait’’,‘‘societal andsocial environment’’ and ‘‘biomedical causes’’. Attributing a ‘‘positive energy balance’’ or ‘‘negligent personality trait’’ as relevant cause for the overweightwaspositivelyassociatedwithnegati