Weight Discrimination and Bullying
Rudd Center for Food Policy and Obesity, Yale University, 309 Edwards Street, New Haven, CT 06511, USA. Electronic address: .
Best practice & research. Clinical endocrinology & metabolism
04/2013; 27(2):117-27. DOI: 10.1016/j.beem.2012.12.002
Despite significant attention to the medical impacts of obesity, often ignored are the negative outcomes that obese children and adults experience as a result of stigma, bias, and discrimination. Obese individuals are frequently stigmatized because of their weight in many domains of daily life. Research spanning several decades has documented consistent weight bias and stigmatization in employment, health care, schools, the media, and interpersonal relationships. For overweight and obese youth, weight stigmatization translates into pervasive victimization, teasing, and bullying. Multiple adverse outcomes are associated with exposure to weight stigmatization, including depression, anxiety, low self-esteem, body dissatisfaction, suicidal ideation, poor academic performance, lower physical activity, maladaptive eating behaviors, and avoidance of health care. This review summarizes the nature and extent of weight stigmatization against overweight and obese individuals, as well as the resulting consequences that these experiences create for social, psychological, and physical health for children and adults who are targeted.
Available from: Jean-françois Verlhiac
- "Si l'obésité a des conséquences sur la santé des personnes, elle entraîne également des conséquences sociales. Ainsi les personnes obèses subissent une forte discrimination (Brownell et al., 2010 ; Puhl & Brownell, 2006 ; Puhl & Heuer, 2009), dans le milieu professionnel, par exemple (Puhl & King, 2013 ; Roehling, Roehling, & Pichler, 2007), où elles sont considérées comme moins compétentes que les personnes normo-pondérées (Lewis et al., 2011 ; Paraponaris, Saliba, & Ventelou, 2005), et où elles sont moins rémunérées (Brunello & D'Hombres, 2007 ; DeBeaumont, 2009), que les personnes normo-pondérées. Dans le milieu médical, elles sont parfois tenues pour responsables de leur corpulence et en sont blâmées (Foster et al., 2003 ; Keyworth, Peters, Chisholm, & Hart, 2012 ; Schwartz et al., 2003). "
Available from: John Roger Andersen
- "Thus, obesity has economic consequences both on an individual level and for families (Lund et al., 2011; Puhl & King, 2013). Consequently, increasing participation in paid work can be an important effect of the treatment of severe obesity. "
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ABSTRACT: Severe obesity is a risk factor for lower participation in paid work, but whether employment increases and sick leave decreases after obesity surgery is not well documented.
We assessed 224 Norwegian patients with severe obesity (mean age: 40; mean BMI: 49; 61% female) regarding employment status (working versus not working) and the number of days of sick leave during the preceding 12 months, before and five years after obesity surgery (75% follow-up rate). Logistic regression analysis was used to study preoperative predictors of employment status after surgery.
There were no change in the employment rate over time (54% versus 58%), but the number of days of sick leave per year was significantly reduced, from a mean of 63 to a mean of 26, and from a median of 36 to a median of 4. Most of this change was attributable to patients with zero days of sick leave, which increased from 25% to 41%. Being female, older, having low education level, receiving disability pension and not being employed before obesity surgery were important risk factors for not being employed after obesity surgery. The type of obesity surgery, BMI and marital status were not useful predictors.
Our findings suggest that undergoing obesity surgery is not associated with a higher rate of employment, although it may reduce the number of days of sick leave. Additional interventions are likely needed to influence the employment status of these patients. The significant preoperative predictors of not being employed in this study provide suggestions for further research.
Available from: Elodie Bertrand
- "The influence of obesity on psychological aspects, including selfesteem , body image, and emotional state, has been reported in the literature. These factors are influenced by the stigma associated with being overweight and obesity (Friedman et al., 2005; Thomas et al., 2010; Puhl and King, 2013). The stigma associated with obesity also appears to be an important factor in the decline of the social aspect of QoL of obese individuals (Wee et al., 2013). "
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ABSTRACT: The incidence of obesity has reached epidemic proportions, affecting 30% of the adult population globally. During the last decade, the rising rates of obesity in developing countries has been particularly striking. One potential consequence of obesity is a decline in quality of life (QoL). Thus, the objective of the present study was to investigate the possible relationship between obesity, defined by body mass index (BMI), and QoL, evaluated using the short version of the World Health Organization Quality of Life (WHOQOL) scale in a Brazilian population. The sample consisted of 30 men and 30 women, divided into three groups according to BMI: normal weight, obese, and morbidly obese. All of the subjects responded to the WHOQOL inventories. The results indicated that the groups with lower BMIs had better QoL than the groups with higher BMIs. Being overweight interfered with QoL equally in both sexes, with no difference found between men and women. The results indicate the necessity of multidisciplinary care of obese individuals.
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