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Confronting Weight Stigma: A Call to Action for Physical Therapy Educators.
Rebecca Pham1,2,3, Kathleen Taglieri-Noble1,2,3, Jessica Rydingsward1,2,3
1Rebecca Pham is a Board Certified Cardiovascular and Pulmonary Clinical Specialist and an Instructor at MGH Institute of Health Professions, 36 1st Avenue, Boston MA 02129 (rpham@mghihp.edu). Please address all correspondence to Rebecca Pham.
Anti-fat bias in healthcare harms patients, particularly fat individuals. Health education must address weight stigma to promote social justice and health equity for all sizes.
Area of Science:
- Health Professions Education
- Social Justice
- Health Equity
Background:
- Anti-fat bias in healthcare creates barriers to equitable care for fat patients.
- Current health education models perpetuate weight and size myths, leading to negative patient outcomes.
- Weight stigma is linked to systemic oppression and negatively impacts health beliefs.
Purpose of the Study:
- To highlight the negative impact of weight stigma in health professions education.
- To advocate for curricular changes that decouple weight from health.
- To promote weight-inclusive education and accessibility for patients of all sizes.
Main Methods:
- Analysis of weight stigma's roots in sociocultural environments and the biomedical model.
- Examination of how anti-fat bias leads to discrimination and suboptimal care for fat patients.
- Emphasis on empowering physical therapy educators to confront anti-fat bias.
Main Results:
- Weight stigma negatively influences patient beliefs about health and wellness.
- Discrimination due to anti-fatness results in delayed care, misdiagnosis, and poor health outcomes.
- Addressing anti-fat bias is crucial for training culturally competent physical therapists.
Conclusions:
- Dismantling anti-fatness is essential for advancing health equity.
- Educators must integrate weight-inclusive curricula that challenge the weight-equals-health paradigm.
- Promoting accessibility and challenging weight stigma are critical steps toward equitable patient care.
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