Abstract
Background: Language has the ability to influence societal perceptions of medical conditions. The movement to employ person-centered language (PCL) in healthcare is reflected in many scientific publications, however, the extent of this adaptation in reference to obesity is unknown.
Methods: This cross-sectional analysis included a systematic search of PubMed obesity-related articles across four cohorts spanning January 2004 – December 2006, January 2008 – December 2010, January 2015 – December 2018, and January 2019 – May 2020 respectively. All journals with 20 or more obesity-related, PubMed indexed items with human subjects available in English were included, resulting in 2627 from 17 journals. A random sample of 1971 publications were screened and examined for prespecified, non-PCL terminology.
Results: After excluding editorials and commentaries, 991 were retained. We found 238 (24.02 %) publications adhered to PCL. It was also found that PCL adherence increased over time within cohorts 2- 4, with cohort 2 being 1.75 times more likely and cohort 4 being 2.27 times more likely to adhere. Among the articles with non-PCL, “obese” was the most common label, occurring in 748 (75.48 %) articles, and “suffers from” was included in 158 (15.94 %). We found similar proportions of PCL adherence among obesity-specific journals, general medicine articles, and nutrition journals.
Conclusion: Our investigation showed that PCL in reference to obesity is evident in weight-focused journals with PCL guidelines. However, many major medical journals lack specific PCL guidelines and continue to permit the use of non-PCL. Continued use of non-PCL in reference to obesity could inadvertently perpetuate weight-based stigma and health disparities in future generations.
Methods: This cross-sectional analysis included a systematic search of PubMed obesity-related articles across four cohorts spanning January 2004 – December 2006, January 2008 – December 2010, January 2015 – December 2018, and January 2019 – May 2020 respectively. All journals with 20 or more obesity-related, PubMed indexed items with human subjects available in English were included, resulting in 2627 from 17 journals. A random sample of 1971 publications were screened and examined for prespecified, non-PCL terminology.
Results: After excluding editorials and commentaries, 991 were retained. We found 238 (24.02 %) publications adhered to PCL. It was also found that PCL adherence increased over time within cohorts 2- 4, with cohort 2 being 1.75 times more likely and cohort 4 being 2.27 times more likely to adhere. Among the articles with non-PCL, “obese” was the most common label, occurring in 748 (75.48 %) articles, and “suffers from” was included in 158 (15.94 %). We found similar proportions of PCL adherence among obesity-specific journals, general medicine articles, and nutrition journals.
Conclusion: Our investigation showed that PCL in reference to obesity is evident in weight-focused journals with PCL guidelines. However, many major medical journals lack specific PCL guidelines and continue to permit the use of non-PCL. Continued use of non-PCL in reference to obesity could inadvertently perpetuate weight-based stigma and health disparities in future generations.
Original language | American English |
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Pages | 72 |
State | Published - 22 Feb 2021 |
Event | Oklahoma State University Center for Health Sciences Research Days 2021: Poster presentation - Oklahoma State University Center for Health Sciences Campus, Tulsa, United States Duration: 22 Feb 2021 → 26 Feb 2021 |
Conference
Conference | Oklahoma State University Center for Health Sciences Research Days 2021 |
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Country/Territory | United States |
City | Tulsa |
Period | 22/02/21 → 26/02/21 |
Keywords
- Obesity
- Stigma
- Person-centered language
- Patient care