Advertisement
Review Article| Volume 50, ISSUE 1, P89-101, March 2023

Person-First Treatment Strategies

Weight Bias and Impact on Mental Health of People Living with Obesity
Published:December 14, 2022DOI:https://doi.org/10.1016/j.pop.2022.10.002

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Primary Care: Clinics in Office Practice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Puhl R.M.
        • Brownell K.D.
        Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias.
        Obes Rev. 2003; 4: 213-227
        • Greenwald A.G.
        • McGhee D.E.
        • Schwartz J.L.
        Measuring individual differences in implicit cognition: the implicit association test.
        J Pers Soc Psychol. 1998; 74: 1464
        • Watts K.
        • Cranney J.
        The nature and implications of implicit weight bias.
        Curr Psychiatry Rev. 2009; 5: 110-126
        • Devine P.G.
        Stereotypes and prejudice: their automatic and controlled components.
        J Pers Soc Psychol. 1989; 56: 5
        • Gawronski B.
        • Bodenhausen G.V.
        Associative and propositional processes in evaluation: an integrative review of implicit and explicit attitude change.
        Psychol Bull. 2006; 132: 692
        • Puhl R.M.
        • Latner J.D.
        • O'Brien K.
        • et al.
        A multinational examination of weight bias: predictors of anti-fat attitudes across four countries.
        Int J Obes. 2015; 39: 1166-1173
        • Himmelstein M.S.
        • Puhl R.M.
        • Quinn D.M.
        Intersectionality: an understudied framework for addressing weight stigma.
        Am J Prev Med. 2017; 53: 421-431
        • Blair I.V.
        The malleability of automatic stereotypes and prejudice.
        Personal Social Psychol Rev. 2002; 6: 242-261
        • Taylor P.
        • Funk C.
        • Craighill P.
        Americans see weight problems everywhere but in the mirror.
        Pew Foundation Social Trends Report, Philadelphia2006
        • Crandall C.S.
        • Reser A.H.
        Attributions and weight-based prejudice.
        in: Brownell K.D. Puhl R.M. Schwartz M.B. Weight bias: nature, consequences, and remedies. Guilford Publications, New York2005: 83-96
        • Crandall C.S.
        • Martinez R.
        Culture, ideology, and antifat attitudes.
        Pers Soc Psychol Bull. 1996; 22: 1165-1176
        • Corrigan P.
        • Markowitz F.E.
        • Watson A.
        • et al.
        An attribution model of public discrimination towards persons with mental illness.
        J Health Soc Behav. 2003; 44: 162-179
        • Pearl R.L.
        • Puhl R.M.
        Weight bias internalization and health: a systematic review.
        Obes Rev. 2018; 19: 1141-1163
        • Carels R.A.
        • Burmeister J.
        • Oehlhof M.W.
        • et al.
        Internalized weight bias: ratings of the self, normal weight, and obese individuals and psychological maladjustment.
        J Behav Med. 2013; 36: 86-94
        • Tomiyama A.J.
        • Carr D.
        • Granberg E.M.
        • et al.
        How and why weight stigma drives the obesity ‘epidemic’and harms health.
        BMC Med. 2018; 16: 1-6
        • Pearl R.L.
        • Puhl R.M.
        • Himmelstein M.S.
        • et al.
        Weight stigma and weight-related health: associations of self-report measures among adults in weight management.
        Ann Behav Med. 2020; 54: 904-914
        • Blanton C.
        • Brooks J.K.
        • McKnight L.
        Weight bias in university health professions students.
        J Allied Health. 2016; 45: 212-218
        • Crandall C.S.
        Prejudice against fat people: ideology and self-interest.
        J Pers Soc Psychol. 1994; 66: 882
        • Morrison T.G.
        • O'connor W.E.
        Psychometric properties of a scale measuring negative attitudes toward overweight individuals.
        J Soc Psychol. 1999; 139: 436-445
        • Lewis R.J.
        • Cash T.F.
        • Bubb-Lewis C.
        Prejudice toward fat people: the development and validation of the antifat attitudes test.
        Obes Res. 1997; 5: 297-307
        • Allison D.B.
        • Basile V.C.
        • Yuker H.E.
        The measurement of attitudes toward and beliefs about obese persons.
        Int J Eat Disord. 1991; 10: 599-607
        • Robinson B.B.E.
        • Bacon L.C.
        • O'reilly J.
        Fat phobia: Measuring, understanding, and changing anti-fat attitudes.
        Int J Eat Disord. 1993; 14: 467-480
        • Puhl R.M.
        • Schwartz M.B.
        • Brownell K.D.
        Impact of perceived consensus on stereotypes about obese people: a new approach for reducing bias.
        Health Psychol. 2005; 24: 517
        • Latner J.D.
        • O'Brien K.S.
        • Durso L.E.
        • et al.
        Weighing obesity stigma: the relative strength of different forms of bias.
        Int J Obes. 2008; 32: 1145-1152
        • Durso L.E.
        • Latner J.D.
        Understanding self-directed stigma: development of the weight bias internalization scale.
        Obesity. 2008; 16: S80-S86
        • Lawrence B.J.
        • Kerr D.
        • Pollard C.M.
        • et al.
        Weight bias among health care professionals: A systematic review and meta-analysis.
        Obesity. 2021; 29: 1802-1812
        • Joseph-Williams N.
        • Edwards A.
        • Elwyn G.
        Power imbalance prevents shared decision making.
        BMJ. 2014; 348: 3178-3180
        • Sabin J.A.
        • Marini M.
        • Nosek B.A.
        Implicit and explicit anti-fat bias among a large sample of medical doctors by BMI, race/ethnicity and gender.
        PLoS One. 2012; 7: e48448
        • Fruh S.M.
        • Nadglowski J.
        • Hall H.R.
        • et al.
        Obesity stigma and bias.
        J Nurse Pract. 2016; 12: 425-432
        • Jung F.U.
        • Luck-Sikorski C.
        • Wiemers N.
        • et al.
        Dietitians and nutritionists: stigma in the context of obesity. A systematic review.
        PLoS One. 2015; 10: e0140276
        • Puhl R.M.
        • Brownell K.D.
        Confronting and coping with weight stigma: an investigation of overweight and obese adults.
        Obesity. 2006; 14: 1802-1815
        • Alberga A.S.
        • Edache I.Y.
        • Forhan M.
        • et al.
        Weight bias and health care utilization: a scoping review.
        Primary Health Care Research & Development. Cambridge University Press, United Kingdom2019: 20
        • Butsch W.S.
        • Kushner R.F.
        • Alford S.
        • et al.
        Low priority of obesity education leads to lack of medical students’ preparedness to effectively treat patients with obesity: results from the US medical school obesity education curriculum benchmark study.
        BMC Med Educ. 2020; 20: 1-6
        • Kushner R.F.
        • Horn D.B.
        • Butsch W.S.
        • et al.
        Development of obesity competencies for medical education: a report from the Obesity Medicine Education Collaborative.
        Obesity. 2019; 27: 1063-1067
        • Bradley D.W.
        • Dietz W.H.
        Provider competencies for the prevention and management of obesity.
        Bipartisan Policy Center, Washington, DC2017
        • Dietz W.H.
        • Baur L.A.
        • Hall K.
        • et al.
        Management of obesity: improvement of health-care training and systems for prevention and care.
        The Lancet. 2015; 385: 2521-2533
        • Mastrocola M.R.
        • Roque S.S.
        • Benning L.V.
        • et al.
        Obesity education in medical schools, residencies, and fellowships throughout the world: a systematic review.
        Int J Obes. 2020; 44: 269-279
        • Vetter M.L.
        • Herring S.J.
        • Sood M.
        • et al.
        What do resident physicians know about nutrition? An evaluation of attitudes, self-perceived proficiency and knowledge.
        J Am Coll Nutr. 2008; 27: 287-298
        • Sutin A.R.
        • Stephan Y.
        • Terracciano A.
        Weight discrimination and risk of mortality.
        Psychol Sci. 2015; 26: 1803-1811
        • Puhl R.M.
        • Heuer C.A.
        The stigma of obesity: a review and update.
        Obesity. 2009; 17: 941
        • Phelan S.M.
        • Burgess D.J.
        • Yeazel M.W.
        • et al.
        Impact of weight bias and stigma on quality of care and outcomes for patients with obesity.
        Obes Rev. 2015; 16: 319-326
        • Mold F.
        • Forbes A.
        Patients' and professionals' experiences and perspectives of obesity in health-care settings: a synthesis of current research.
        Health Expect. 2013; 16: 119-142
        • Kaplan L.M.
        • Golden A.
        • Jinnett K.
        • et al.
        Perceptions of barriers to effective obesity care: results from the national ACTION study.
        Obesity. 2018; 26: 61-69
        • Raves D.M.
        • Brewis A.
        • Trainer S.
        • et al.
        Bariatric surgery patients' perceptions of weight-related stigma in healthcare settings impair post-surgery dietary adherence.
        Front Psychol. 2016; 7: 1497
        • Ciemins E.L.
        • Casanova D.
        Obesity care management collaborative.
        Lecture presented at: STOP Obesity Roundtable, Washington, D.C2019
        • Schwartz M.B.
        • Chambliss H.O.N.
        • Brownell K.D.
        • et al.
        Weight bias among health professionals specializing in obesity.
        Obes Res. 2003; 11: 1033-1039
        • Hatzenbuehler M.L.
        • Keyes K.M.
        • Hasin D.S.
        Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population.
        Obesity. 2009; 17: 2033-2039
        • Papadopoulos S.
        • Brennan L.
        Correlates of weight stigma in adults with overweight and obesity: a systematic literature review.
        Obesity. 2015; 23: 1743-1760
        • Tomiyama A.J.
        Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model.
        Appetite. 2014; 82: 8-15
        • Puhl R.M.
        • King K.M.
        Weight discrimination and bullying.
        Best Pract Res Clin Endocrinol Metab. 2013; 27: 117-127
        • Poustchi Y.
        • Saks N.S.
        • Piasecki A.K.
        • et al.
        Brief intervention effective in reducing weight bias in medical students.
        Fam Med. 2013; 45: 345
        • Herrera B.M.
        • Lindgren C.M.
        The genetics of obesity.
        Curr Diab Rep. 2010; 10: 498-505
        • Kushner R.F.
        • Zeiss D.M.
        • Feinglass J.M.
        • et al.
        An obesity educational intervention for medical students addressing weight bias and communication skills using standardized patients.
        BMC Med Educ. 2014; 14: 1-8
        • Eisenberg D.
        • Noria S.
        • Grover B.
        • et al.
        ASMBS position statement on weight bias and stigma.
        Surg Obes Relat Dis. 2019; 15: 814-821
        • Pont S.J.
        • Puhl R.
        • Cook S.R.
        • et al.
        Stigma experienced by children and adolescents with obesity.
        Pediatrics. 2017; 140
        • Rubino F.
        • Puhl R.M.
        • Cummings D.E.
        • et al.
        Joint international consensus statement for ending stigma of obesity.
        Nat Med. 2020; 26: 485-497
        • Gudzune K.A.
        • Bennett W.L.
        • Cooper L.A.
        • et al.
        Patients who feel judged about their weight have lower trust in their primary care providers.
        Patient Educ Couns. 2014; 97: 128-131
        • Doshi R.S.
        • Gudzune K.A.
        Clinical practices to mitigate weight bias.
        Bariatric Times. 2018; 15: 12-16
        • Swift J.A.
        • Tischler V.
        • Markham S.
        • et al.
        Are anti-stigma films a useful strategy for reducing weight bias among trainee healthcare professionals? Results of a pilot randomized control trial.
        Obes Facts. 2013; 6: 91-102
        • Puhl R.M.
        What words should we use to talk about weight? A systematic review of quantitative and qualitative studies examining preferences for weight-related terminology.
        Obes Rev. 2020; 21: e13008
        • Puhl R.
        • Peterson J.L.
        • Luedicke J.
        Fighting obesity or obese persons? Public perceptions of obesity-related health messages.
        Int J Obes. 2013; 37: 774-782
        • Gallagher C.
        • Corl A.
        • Dietz W.H.
        • et al.
        Weight can’t wait: a guide to discussing obesity and organizing treatment in the primary care setting.
        Obesity. 2021; 29: 821-824
        • Tucker S.
        • Bramante C.
        • Conroy M.
        • et al.
        The most undertreated chronic disease: addressing obesity in primary care settings.
        Curr Obes Rep. 2021; 10: 396-408
        • Nyblade L.
        • Stockton M.A.
        • Giger K.
        • et al.
        Stigma in health facilities: why it matters and how we can change it.
        BMC Med. 2019; 17: 1-15
        • Alberga A.S.
        • Russell-Mayhew S.
        • von Ranson K.M.
        • et al.
        Weight bias: a call to action.
        J Eat Disord. 2016; 4: 1-6