scholarly journals Personal bias in nutrition advice: A survey of health professionals' recommendations regarding dairy and plant-based dairy alternatives

2021 ◽  
pp. 100005
Author(s):  
Bridget E. Clark ◽  
Lizzy Pope ◽  
Emily H. Belarmino

2021 ◽  
Author(s):  
Bridget E Clark ◽  
Lizzy Pope ◽  
Emily H Belarmino

Objective: To examine the relationship between health professionals' personal dietary preferences and their professional nutrition advice on dairy and plant-based dairy alternatives. Design: Cross sectional web-based survey. Survey examined health professionals' personal dietary preferences, including milk preference, (plant-based or dairy milk), dietary pattern (vegetarian or omnivore), and if they followed a "plant-based" diet, and examined if they would advise patients to consume dairy and/or plant-based dairy alternatives. Logistic regression models examined if health professionals' personal dietary preferences were associated with their willingness to recommend either product. Setting: Sample of U.S. health professionals. Participants: Non-probability convenience sampling recruited registered dietitian nutritionists, physicians, physician assistants, nurse practitioners, registered nurses, licensed practical nurses, dentists, dental hygienists, and students in any of these degree programs holding Junior standing and above. 331 respondents completed relevant survey questions and were included in analyses. Results: Most respondents would recommend dairy (81%) and dairy alternatives (72%) to their patients. Half (49%) reported a preference for plant-based milk, about 40% identified as having a dietary pattern that reduces animal product intake, and about 40% reported following a plant-based dietary pattern. Plant-based milk preference (OR 4.52; 95% CI 2.31 to 8.82, p<0.001) and following a vegetarian dietary pattern (OR 1.91; 95% CI 1.11 to 3.27, p=0.019) were associated with greater odds of recommending dairy alternatives to a patient. Plant-based milk preference (OR 0.16; 95% CI 0.07 to 0.35, p<0.001), following a vegetarian dietary pattern (OR 0.45; 95% CI 0.25 to 0.82, p=0.009), and following a plant-based dietary pattern (OR 0.41; 95% CI 0.22 to 0.76, p=0.005) were associated with lessor odds of recommending dairy to a patient. Dietetics professionals were more likely than all other health professionals to recommend both dairy and dairy alternatives to patients. Conclusions: Healthcare professionals' nutrition recommendations appear to reflect their personal nutrition habits, despite dairy being an important source of essential nutrients for patients who are willing and able to consume it. Improved nutrition training focusing on evidence-based nutrition recommendations, reducing personal bias in practice, and routinely including registered dietitians on interprofessional healthcare teams may improve the quality of nutrition advice given to U.S. consumers.



Pflege ◽  
2020 ◽  
Vol 33 (5) ◽  
pp. 299-307
Author(s):  
Domenika Wildgruber ◽  
Jana Frey ◽  
Max Seer ◽  
Kristina Pinther ◽  
Clemens Koob ◽  
...  

Zusammenfassung. Hintergrund: Die Corona-Pandemie führte zu einer starken Beanspruchung von Health Professionals, deren allgemeine berufliche Situation mit einem hohem Belastungserleben verbunden ist. Quantitative Daten zum Belastungserleben der im Gesundheitswesen Tätigen in der Corona-Pandemie und mögliche Auswirkungen auf das Arbeitsengagement fehlen bis dato für Deutschland. Methode: Mittels einer Querschnittsbefragung wurden das Stresserleben, die Sorge um die Gesundheit und das Arbeitsengagement von Health Professionals deutschlandweit erhoben. Das „snapshot survey“ nutzte neben selbst entwickelten Fragen Items eines validierten Instrumentes zur Erfassung des Arbeitsengagements. Über soziale Medien wurden in Form einer Gelegenheitsstichprobe Health Professionals zur Teilnahme eingeladen. Es konnten 1168 gültige Fälle ausgewertet werden. Die Teilnehmenden waren mehrheitlich Pflegende (80 %, n = 855). Ergebnisse: Es zeigt sich, dass Health Professionals mit Direktkontakt zu COVID-19-Erkrankten im Gegensatz zu Befragten ohne Kontakt ein höheres Stresslevel angeben (MW = 3,81, SD = 1,09 vs. MW = 3,44, SD = 1,12, t(1062) = 5,40, p < 0,001; ε = 0,33), sich am meisten Sorgen um die Gesundheit ihrer Angehörigen sowie von Freundinnen und Freunden machen und dass diese Sorgen größer als bei Health Professionals ohne Kontakt sind (MW = 4,45, SD = 0,84 vs. MW = 4,19, SD = 0,94, t(1062) = 4,74, p < 0,001; ε = 0,29). Die Korrelationsanalysen (r = –0,182, p < 0,001) und die multiple Regressionsanalyse (β = –0,182, p < 0,001) ergaben, dass das Arbeitsengagement mit steigendem, pandemiebedingtem Stress abnimmt. Diskussion: Es zeigen sich theoriekonforme Zusammenhänge zwischen Anforderungen, Stresserleben und Arbeitsengagement. Im Vergleich zu früheren Studien ist das Arbeitsengagement in der Stichprobe gering. Zur Reduktion psychischer Belastungsfaktoren in einer Pandemie liegen vielfältige Empfehlungen vor, die nun auch in der Breite für Deutschland zur Anwendung kommen sollten. Hierzu zählen beispielsweise pandemiespezifische Präventionspläne oder die Schaffung eines sanktionsfreien Arbeitsumfeldes.



Crisis ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Lindsay L. Sheehan ◽  
Patrick W. Corrigan ◽  
Maya A. Al-Khouja ◽  

Abstract. Background: Past scholarly efforts to describe and measure the stigma surrounding suicide have largely viewed suicide stigma from the perspective of the general public. Aims: In the spirit of community-based participatory research (CBPR), the current study brought together a diverse stakeholder team to qualitatively investigate the suicide stigma as experienced by those most intimately affected by suicide. Method: Seven focus groups (n = 62) were conducted with suicide attempt survivors, family members of those who died by suicide, and suicide loss therapists. Results: Themes were derived for stereotypes (n = 30), prejudice (n = 3), and discrimination (n = 4). People who attempted suicide were seen as attention-seeking, selfish, incompetent, emotionally weak, and immoral. Participants described personal experiences of prejudice and discrimination, including those with health professionals. Conclusion: Participants experienced public stigma, self-stigma, and label avoidance. Analyses reveal that the stigma of suicide shares similarities with stereotypes of mental illness, but also includes some important differences. Attempt survivors may be subject to double stigma, which impedes recovery and access to care.



Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Inês Areal Rothes ◽  
Margarida Rangel Henriques ◽  
Joana Barreiros Leal ◽  
Marina Serra Lemos

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.



1988 ◽  
Vol 33 (4) ◽  
pp. 349-350
Author(s):  
Paul D. Lipsitt


1990 ◽  
Vol 35 (5) ◽  
pp. 503-503
Author(s):  
Samuel H. Osipow




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