From: Family physician attitudes in managing obesity: a cross-sectional survey study
Factor Name | Individual Items | Rotated Item Load | Comment |
---|---|---|---|
 | Metabolic defect | 0.79 |  |
 | Endocrine disorder | 0.77 |  |
Factor 1: Medical Causation | Most obese patients could reach a normal weight (for height) if they were motivated to do so | -0.55 | Attribution of obesity to metabolic, endocrine & genetic causes is associated with accommodation for obese patients, and inversely associated with ability of patients to control obesity |
 | Genetic factors | 0.53 |  |
 | I make accommodations for obese patients | 0.43 |  |
 | Physical inactivity | 0.78 |  |
Factor 2: Motivational Causation | Overeating | 0.61 | Factors related to a more pejorative attitude toward obese patients are distinct from both medical cause as well as apparently psychopathological causes |
 | Lack of willpower | 0.54 |  |
 | Restaurant eating | 0.43 |  |
 | Physicians should be role models by maintaining a normal weight | 0.81 |  |
 | It is acceptable to use "scare tactics" to obtain compliance of the obese patient | 0.56 |  |
Factor 3: Aggressive Physician Role | I feel competent in prescribing weight loss programs for obese patients | 0.54 | Use of medication chronically, scare tactics, physician role-modeling & accommodation all grouped together, indicating a more aggressive approach to obesity intervention |
 | I make accommodations for obese patients | 0.47 |  |
 | Medications to treat obesity should be used chronically | 0.44 |  |
 | Physicians should be role models by maintaining a normal weight | 0.81 |  |
 | Repeated dieting (weight cycling) | 0.83 |  |
Factor 4: Psychobehavioral Causation | Restaurant eating | 0.71 | Attribution of obesity to psychological problems and weight cycling may be tied together under eating disorders, along with restaurant eating |
 | Poor nutritional knowledge | 0.54 |  |
Factor 5: Dissympathy | I have negative reactions towards the appearance of obese patients | 0.85 | Reactions toward obese appearance & difficulty w/empathy are associated; positively correlated w/age & years in practice |
 | It is difficult for me to feel empathy for an obese patient | 0.82 |  |
Factor 6: Medication Usage | Medications to treat obesity should be limited to short-term (3 months) use | -0.87 | Physicians who support long-term or chronic use of medication to control obesity tend to not agree with limits on term of use and vice versa |
 | Medications to treat obesity should be used chronically | 0.68 |  |
 | Most obese patients are well aware of the health risks of obesity | 0.66 |  |
Factor 7: Physician Nihilism | Most obese patients will not lose a significant amount of weight | 0.62 | The assumptions that patients are aware of health risks, and yet won't lose weight is associated with an assumption about low likelihood of success in helping these patients lose weight |
 | I am usually successful in helping obese patients lose weight | -0.59 |  |