Journal article
Associations Between Graft Choice and Return to Sports After Primary Anterior Cruciate Ligament (ACL) Reconstruction in Athletes
Orthopaedic journal of sports medicine, Vol.13(10), e70095
10/01/2025
DOI: 10.1177/23259671251369005
PMCID: PMC12536117
PMID: 41122276
Abstract
Objectives
Although weight stigma in healthcare is common, existing measures may not capture the full range of patients' weight stigma experiences in clinical practice. We aimed to examine how physical examination by healthcare providers, communication, and the built environment perpetuate weight stigma and impact healthcare avoidance. Items from the previously developed Weight Stigma in Healthcare Inventory (WSHCI) were tested to assess weight stigma experiences and assess association with healthcare avoidance.
Methods
Two sample groups, identified through ResearchMatch and a Qualtrics survey panel, completed the WSHCI online. We analyzed the association between individual items and healthcare avoidance, and between a summation of weight stigma experiences and healthcare avoidance, adjusting for demographics.
Results
Five-hundred twenty four surveys were received. All weight stigma items were associated with healthcare avoidance, with the strongest associations found for items related to experiencing stigma during physical examination. Greater numbers of stigmatizing experiences were associated with healthcare avoidance (OR 1.31, 95% CI [1.26, 1.37]).
Conclusions
To reduce healthcare avoidance due to weight stigma, all aspects—the physical examination, communication, overall experiences and the built environment—need to be addressed. Reducing the overall number of negative experiences and reducing weight stigma experiences during physical examination may be especially important to reduce healthcare avoidance.
Details
- Title: Subtitle
- Associations Between Graft Choice and Return to Sports After Primary Anterior Cruciate Ligament (ACL) Reconstruction in Athletes
- Creators
- Elle McCormick - University of Iowa Health CareYumeng Gao - University of IowaKyle Geiger - University of IowaNatalie A. Glass - University of IowaSteven Leary - University of IowaBrian R. Wolf - University of Iowa Health CareRobert Westermann - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Orthopaedic journal of sports medicine, Vol.13(10), e70095
- DOI
- 10.1177/23259671251369005
- PMID
- 41122276
- PMCID
- PMC12536117
- NLM abbreviation
- Orthop J Sports Med
- ISSN
- 2325-9671
- eISSN
- 2325-9671
- Publisher
- SAGE PUBLICATIONS INC
- Language
- English
- Date published
- 10/01/2025
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Athletic Training Program
- Record Identifier
- 9985019042902771
Metrics
24 Record Views