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Weight Bias and Stigma: Impact on Health.

Sharon M Fruh1, Rebecca J Graves2, Caitlyn Hauff3

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Weight stigma in healthcare discourages patients with obesity from seeking care. Healthcare providers must reduce weight bias and offer inclusive, high-quality obesity management to improve patient outcomes.

Keywords:
Explicit biasImplicit biasObesity bias and stigmaPeople-first languageWeight discrimination

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Area of Science:

  • Health Services Research
  • Sociology of Health
  • Medical Ethics

Background:

  • Weight bias and stigma are prevalent across societal domains, including healthcare.
  • This discrimination leads patients with obesity to avoid necessary medical appointments and routine care.
  • Perceived stigma from healthcare providers is a significant barrier to health promotion and treatment adherence.

Purpose of the Study:

  • To highlight the pervasive issue of weight bias in healthcare settings.
  • To emphasize the critical need for healthcare providers to actively reduce obesity stigma.
  • To advocate for the implementation of inclusive and accommodating healthcare practices for patients with obesity.

Main Methods:

  • Qualitative analysis of societal and healthcare-related literature on weight bias.
  • Review of patient-reported experiences and barriers to care.
  • Synthesis of best practices for obesity management and patient-centered communication.

Main Results:

  • Weight bias is often perceived as socially acceptable discrimination.
  • Fear of stigma deters patients with obesity from engaging with the healthcare system.
  • Effective obesity management requires a strategic focus on bias reduction.

Conclusions:

  • Healthcare providers must proactively address and mitigate weight bias and stigma.
  • Adopting people-first language and ensuring size-accommodating facilities are essential steps.
  • Improving the healthcare experience for patients with obesity is crucial for promoting health equity and better outcomes.