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Background <p>The medical community recognizes obesity as an increasingly complex problem. The physical and psychological burdens associated with it, as well as stigma and social isolation, are associated with healthcare needs. The discrepancy between the services considered necessary and the care provided is perceived as unmet needs. They are an obstacle to adequate and successful obesity care and correlate with increased mortality. Research on unmet needs of people with obesity in rural areas has been scarce.</p> Methods <p>To address this gap in research, we carried out a&#xa0;qualitative study for which we conducted 14&#xa0;interviews with adults with varying degrees of obesity.</p> Results <p>Respondents identified a&#xa0;variety of unmet needs in rural areas, including sociocultural aspects that go beyond purely medical concerns. People with obesity are caught between stigmatization due to lack of anonymity and the experience of weight-promoting acceptance within the rural community. This is experienced in the context of problems in the physician–patient relationship and structural weaknesses in rural areas, compared to urban areas.</p> Conclusion <p>In our view, there is a&#xa0;risk of not recognizing the social, behavioral and rural causes that promote obesity. An analysis of the care needs of people with obesity in the sense of critical consciousness is necessary in order to enable individually adapted and sustainable obesity care in rural areas. This requires a&#xa0;detailed understanding of both the specific challenges faced by people with obesity and the rural context.</p>

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Unerfüllte Bedürfnisse in der ländlichen Adipositasversorgung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月20日

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  • Annika Wagner,
  • Lennart Gretschel,
  • Stefan Reinsch

摘要

Background

The medical community recognizes obesity as an increasingly complex problem. The physical and psychological burdens associated with it, as well as stigma and social isolation, are associated with healthcare needs. The discrepancy between the services considered necessary and the care provided is perceived as unmet needs. They are an obstacle to adequate and successful obesity care and correlate with increased mortality. Research on unmet needs of people with obesity in rural areas has been scarce.

Methods

To address this gap in research, we carried out a qualitative study for which we conducted 14 interviews with adults with varying degrees of obesity.

Results

Respondents identified a variety of unmet needs in rural areas, including sociocultural aspects that go beyond purely medical concerns. People with obesity are caught between stigmatization due to lack of anonymity and the experience of weight-promoting acceptance within the rural community. This is experienced in the context of problems in the physician–patient relationship and structural weaknesses in rural areas, compared to urban areas.

Conclusion

In our view, there is a risk of not recognizing the social, behavioral and rural causes that promote obesity. An analysis of the care needs of people with obesity in the sense of critical consciousness is necessary in order to enable individually adapted and sustainable obesity care in rural areas. This requires a detailed understanding of both the specific challenges faced by people with obesity and the rural context.