Weight stigma is a burden around the world – and has negative consequences everywhere

Lazy. Unmotivated. No self-discipline. No willpower.

These are just a few of the widespread stereotypes ingrained in American society about people who have a higher body weight or larger body size. Known as weight stigma, these attitudes result in many Americans being blamed, teased, bullied, mistreated and discriminated against.

There is nowhere to hide from societal weight stigma. Decades of research confirm the presence of weight stigma in workplaces, schools, health care settings, public accommodations and the mass media, as well as in close interpersonal relationships with friends and families. It’s everywhere.

I’m a psychologist and researcher at the Rudd Center for Food Policy & Obesity at the University of Connecticut. For 20 years my team has studied weight stigma. We’ve examined the origins and prevalence of weight stigma, its presence across different societal settings, the harm it causes for people’s health and strategies to tackle this problem.Man and friends enjoying a meal together on a restaurant terrace. The study surveyed nearly 14,000 adults in six countries who were actively trying to manage their weight about their life experiences of weight-related stigma and bias. Martine Doucet/E+ via Getty

We conducted a recent international study that clearly shows that weight stigma is widespread, damaging and difficult to eradicate. This societal devaluation is a real and legitimate experience for people across different countries, languages and cultures.

 Get The Latest By Email

Weekly Magazine Daily Inspiration

A persistent American bias

Among U.S. adults, weight stigma is a common experience, with as many as 40% reporting past experiences of weight-based teasing, unfair treatment and discrimination. These experiences are most prevalent for people with high body mass indexes or those with obesity and for women. For youth, body weight is one of the most prevalent reasons for teasing and bullying.

The fact that more than 40% of Americans have obesity has not softened public attitudes toward people in this group. Although societal attitudes toward other stigmatized groups have become less prejudiced in recent decades, there has been little change in weight bias. In some cases it’s worsening.A young girl is working on her laptop late at night. For youth, high body weight is one of the most prevalent reasons for teasing and bullying. Vladimir Vladimirov/E+ via Getty

Prevailing views that people are personally responsible for their weight, despite ample scientific evidence of the complex and multifactorial causes of obesity, are one reason why weight stigma persists. This mindset is difficult to change given American culture’s celebration of thinness, negative media portrayals of people with larger bodies and a thriving diet industry. These factors reinforce the faulty premise that body weight is infinitely malleable, as does a lack of legislation to protect people from weight discrimination.

Contrary to public perceptions, weight stigma does not motivate people to lose weight. Instead it worsens health and reduces quality of life. The harmful impacts of weight stigma can be real and long-lasting. They range from emotional distress – depressive symptoms, anxiety, low self-esteem – to disordered eating, unhealthy eating behaviors, lower physical activity, weight gain, increased physiological stress and avoiding health care.

A shared struggle

Weight stigma is not unique to America. It exists around the world. However, few studies have directly compared people’s experiences of weight stigma in different countries.

In our recent study, we compared experiences of weight stigma in six nations: Australia, Canada, France, Germany, the U.K. and the U.S. These countries share similar societal values that reinforce personal blame for body weight, and do little to challenge weight-based shaming and mistreatment. The participants were 13,996 adults (around 2,000 people per country) who were actively trying to manage their weight.

The biases people encountered because of their higher weight or larger body size turned out to be remarkably consistent across the six countries, with more than half of study participants – 58% on average – experiencing weight stigma. The most common interpersonal sources of weight stigma were family members (76%-87%), classmates (72%-76%) and doctors (58%-73%). These experiences were most frequent and distressing during childhood and adolescence.

Many incorporated these stigmatizing experiences into how they felt about themselves. In this process of “weight bias internalization,” people apply negative societal stereotypes to themselves. They blame themselves for their weight and judge themselves as inferior and deserving of societal stigma.

We knew from our earlier research that weight bias internalization has harmful health implications, and this was true here as well. Across the six countries, the more that people internalized weight bias, the more they gained weight in the prior year, used food to cope with stress, avoided going to the gym, had an unhealthy body image and reported higher stress. These findings persisted regardless of people’s body size or their previous experiences of stigma.

Moreover, in all six countries people with greater internalized weight bias reported worse health-related quality of life and health care experiences. They avoided getting health care, had less frequent checkups and reported more substandard health care compared to people who had less internalization.

The unique multinational perspective of our study reveals that weight stigma is commonly experienced, often internalized and related to poor health and health care among people who are trying to manage their weight. In this sense, confronting weight stigma appears to be a collective struggle, but it’s one that people are likely grappling with on their own.

Reasons for optimism

While there is a long road ahead to eliminate weight stigma, shifts in societal attitudes are taking place. In recent years, the harms of “fat shaming” have received increased public attention, and so has the body positivity movement. Both are helping to elevate calls for efforts to stop unfair treatment based on weight.

There is also growing recognition in the medical community that action is needed. In 2020, more than 100 medical and scientific organizations across nine countries signed a joint international consensus statement and pledge to bring attention to weight stigma and its harmful impact. These medical experts aim to shift the narrative of blame and help address weight stigma in media, public attitudes and health care.Laughing woman of large body size, in discussion with friends during backyard party Thomas Barwick/Stone via Getty A majority of Americans believe it is time to add body weight as a protected category to existing state civil rights laws, alongside categories like race and age. Thomas Barwick/Stone via Getty

Our research shows broad and substantial public support for policies to tackle weight discrimination. In a series of national studies, we found that more than 70% of Americans support adding body weight as a protected category, alongside categories like race and age, to existing state civil rights laws. They also support new legislation to make it illegal for employers to discriminate against employees based on weight.

[Over 100,000 readers rely on The Conversation’s newsletter to understand the world. Sign up today.]

This would legitimize weight stigma as both a social injustice and a public health issue.

I believe broad and collective action is needed to address this problem, both in and outside the U.S. While this may sound challenging, fundamentally it is actually quite simple: it’s about respect, dignity and equal treatment for people of all body weights and sizes.

About The Author

Rebecca Puhl, Professor of Human Development and Family Sciences and Deputy Director, UConn Rudd Center for Food Policy and Obesity, University of Connecticut

This Article Originally Appeared On The Conversation

Saturday, 01 May 2021 08:12

High-intensity interval training (HIIT) workouts have become popular in recent years for a number of reasons. They don’t require as much time as a regular workout (some can take as little as 10...

Wednesday, 28 April 2021 08:57

Replenishing antioxidants in the body may help protect against oxidative stress and lower the risk of cancer

Sunday, 23 May 2021 08:15

We sometimes need to use antibiotics to treat sick animals, but taking advantage of opportunities to reduce antibiotics use could benefit everyone

Wednesday, 21 April 2021 07:23

Whether it’s your arthritic relative who knows rain is on the way when their knees ache or your lifelong pal who gets a headache when a storm is approaching, we all know somebody who claims they...

Wednesday, 12 May 2021 08:30

In 2019, Burger King Sweden released a plant-based burger, the Rebel Whopper, and the reaction was underwhelming. So, the company challenged its customers to taste the difference.

Thursday, 15 April 2021 07:10

Blooming flowers, chirping birds and long-awaited rays of sunshine: The first signs of spring are often greeted with joy. But soon comes the realization that with warm weather comes ticks. 

New Attitudes - New Possibilities

InnerSelf.comClimateImpactNews.com | InnerPower.net
MightyNatural.com | WholisticPolitics.com | InnerSelf Market
Copyright ©1985 - 2021 InnerSelf Publications. All Rights Reserved.