{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:28:14Z","timestamp":1790652494166,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011542","name":"center for clinical and translational science, mayo clinic","doi-asserted-by":"publisher","award":["UL1 TR000135"],"award-info":[{"award-number":["UL1 TR000135"]}],"id":[{"id":"10.13039\/100011542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"national center for advancing translational sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To identify patient characteristics, health concerns, and barriers to care based on overweight or obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A 50-question anonymous survey was administered to patients. Data were compared by body mass index (BMI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 3976 distributed surveys, 899 were returned and 682 were analyzed. Most respondents were women (60%), White (94%), and married\/partnered (65%) and had some college education (80%). Younger and unmarried persons had higher BMI ( P\u2009&lt;\u2009.001). Concern for quality of life ( P\u2009&lt;\u2009.001) and importance of lifestyle changes ( P\u2009=\u2009.006) increased with BMI, but confidence in making changes decreased as BMI increased ( P\u2009&lt;\u2009.001). Perceived good health decreased with increasing BMI ( P\u2009&lt;\u2009.001), whereas depression and other comorbid conditions increased. Self-esteem decreased and stigma increased with higher BMI (both P\u2009&lt;\u2009.001). Weight discussions with clinicians ( P\u2009&lt;\u2009.001) and belief that clinicians should be involved in weight management ( P\u2009=\u2009.002) increased with BMI, yet self-perception of being judged by clinicians also increased ( P\u2009&lt;\u2009.001). As BMI increased, delays in seeking health care increased ( P\u2009&lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This survey study highlights perceived health concerns and barriers to care among persons with overweight and obesity. With higher BMI, self-esteem decreased, and stigma, self-perception of poor health, perception of being judged by clinicians, and delay in seeking medical care increased.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319241303608","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T07:31:22Z","timestamp":1733556682000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Perceived Health Concerns and Barriers to Care in Persons With Overweight and Obesity: A Patient Survey"],"prefix":"10.1177","volume":"15","author":[{"given":"A. 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