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Weight-based discrimination: an ubiquitary phenomenon?

C Sikorski1,2, J Spahlholz1,2, M Hartlev3

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Weight discrimination is common, especially for individuals with obesity and women. This study highlights the need for interventions and anti-discrimination laws to address this pervasive issue.

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Area of Science:

  • Sociology
  • Public Health
  • Medical Research

Background:

  • Weight-related stigmatization is prevalent in individuals with obesity.
  • Limited research exists on weight discrimination's role in obesity stigma.
  • Data on weight discrimination in Europe is scarce, despite legal developments.

Purpose of the Study:

  • To investigate the prevalence of weight-based discrimination in Germany.
  • To examine associations between weight status, gender, and discrimination.
  • To inform research and policy on weight discrimination.

Main Methods:

  • A representative telephone survey of 3003 German adults was conducted.
  • Weight-based discrimination was assessed using a single question.
  • Logistic regression models analyzed associations, with subgroup analysis for individuals with a body mass index >= 25 kg/m².

Main Results:

  • Overall prevalence of weight discrimination was 7.3%.
  • Prevalence increased significantly with higher obesity classes (up to 38% in class III).
  • Weight status and female gender were significant predictors of discrimination (OR 2.59, P<0.001).

Conclusions:

  • Weight discrimination is widespread, particularly affecting individuals with obesity and women.
  • Findings underscore the urgent need for research and interventions targeting weight discrimination.
  • Anti-discrimination legislation is recommended to protect at-risk groups.