It’s time to eliminate weight stigma and discrimination. But how?


It’s time to eliminate weight stigma and discrimination. But how?



Weight stigma and discrimination is pervasive. There are copious reports from across the world of stereotypical attitudes and discriminatory practices that ultimately mean the rights of people with obesity have been removed. How can we as educators, practitioners, consultants and other, work collaboratively to reduce weight stigma and discrimination?



Reports of weight stigma and discrimination towards both children and adults has increased over time. People with obesity report experiences of weight stigma almost daily across a range of settings including healthcare, workplaces, and education settings. For instance, a recent report from the All Party Parliamentary Group (UK) reported that “88% of people with obesity have been stigmatised, criticised or abused as a direct result of their obesity”, and that only “26% of people with obesity reported being treated with dignity and respect by healthcare professionals when seeking advice or treatment for their obesity”. Healthcare settings should represent a safe environment that is free from stigma and discrimination of all forms. People should be able to communicate freely within healthcare settings without fear or anxiety of being judged, stereotyped or discriminated against.



The increasing reports of weight stigma and discrimination is concerning given the associations between experiences of weight stigma and mental health concerns such as depression and anxiety, but also physical health concerns such as cardio-metabolic risk factors. This also highlights the importance of intervening to reduce weight stigma and discriminatory practices. This has to be a priority going forward.



The accumulation of evidence that demonstrates the widespread nature of weight stigma and discrimination, and the impact of these experiences has meant that many public health authorities and organisations such as the Worlds Health Organisation (2017) have released statements to raise awareness of weight stigma and discrimination. However, to date, there has been a paucity of efforts to reduce weight stigma and discrimination.



Why do people develop stigmatising attitudes about obesity?



The media are consistently identified as a source that encourages and in some cases promotes, weight stigma and discrimination. Evidence of inaccurate, stereotypical and discriminatory media portrayal of people with obesity has been reported for some time but appears to have increased in recent years. Thus, there is a need to intervene with media portrayal to ensure that the public receive accurate, non-stigmatising or discriminatory portrayal of obesity. The media inevitably raise awareness and therefore in some cases, educate people about a range of topics including health. Thus, it appears imperative that media portrayal is unbiased. In doing so, improving media portrayal represents one of several steps to addressing the formation and maintenance of stigmatising attitudes towards people with obesity.



Please join us in our #obsmuk chat to discuss weight stigma in general and how we can reduce experiences of stigma and discrimination. The chat will take place on 23rd May at 8pm UK time. We will discuss the following questions:




Questions:

1.       Why is weight stigma evident in our society?



2.       Why has weight stigma and discrimination increased?



3.       What is the impact of weight stigma and discrimination?



4.       What can we do to reduce weight stigma and discrimination?



5.       In the recent APPG report on obesity, “94% of respondents believe that there is not enough understanding of the causes of obesity amongst the public, politicians and other stakeholders”. How can we address this lack of understanding?




Dr Stuart W. Flint

Senior Research Fellow in Public Health and Obesity, Leeds Beckett University, Leeds, UK

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