Understanding weight-inclusive care: health practices, policies, and environments in Southern liberal arts colleges

Introduction: Student health centers serve as crucial access points for healthcare within universities, striving to create inclusive spaces where all students feel supported. However, evidence indicates that students in larger bodies frequently encounter weight bias and stigma during clinical interactions, negatively impacting both physical and psychological well-being. Methods: The purpose of the current study was to assess current practices, policies and environments related to body weight and size within campus health services at private, liberal arts colleges in the American South. Results: Among the respondent institutions, 88% have incorporated inclusive weighing protocols (such as blind weighing or weight-optional visits) and 71% have implemented broader size-inclusive initiatives. Discussion: Our findings demonstrate that private liberal arts colleges in the South are considering weight inclusivity in their practice, suggesting a promising shift toward reducing healthcare barriers and improving health outcomes for college students of all body sizes; however, there are opportunities to further reduce weight stigma.