title: Exploring the climate for overweight and obese students in a student health setting.
abstract: Attitudes and beliefs of health care providers, in conjunction with a nonthreatening physical environment, are important components in establishing a constructive and supportive climate for care of overweight and obese students.
  
  
  OBJECTIVE
  The authors explored providers' attitudes about obesity and assessed the physical environment in a student health clinic to identify areas that may be detrimental to the care of overweight and obese students.
  
  
  METHODS
  Eighteen direct care providers participated in the project.
  
  
  METHODS
  The authors conducted focus groups with direct care providers and assessed their experiences and perceived challenges in working with overweight and obese students. The authors also conducted a walk-through assessment of the physical environment.
  
  
  RESULTS
  Direct care providers expressed discomfort in deciding how and when to discuss weight with students. The authors found that elements of the physical environment could present barriers to care for overweight and obese students.
  
  
  CONCLUSIONS
  The authors make recommendations for improving the health care climate for overweight and obese students.
authors.affiliation: Division of Health and Physical Education, Western Oregon University, 345 N. Monmouth Avenue, Monmouth, OR 97361, USA. pedersep@wou.edu
authors.forename: Peggy J
authors.initials: PJ
authors.lastname: Pedersen
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Ketcham
mesh_terms: D001291:Attitude of Health Personnel; D006272:Health Facility Environment; D006801:Humans; D009765:Obesity / Q000628:therapy*; D050177:Overweight / Q000628:therapy*; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'; D013333:Student Health Services / Q000379:methods*