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Journal article
Stigmatizing weight experiences in health care: Associations with BMI and eating behaviours
Obesity science & practice, v 5(6), pp 555-563
01 Dec 2019
PMID: 31890246
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction Individuals with overweight or obesity often experience stigmatizing weight-related interactions in health care, though how these experiences are associated with body mass index (BMI) and eating behaviour is unknown. This study had three aims: (a) characterize types and frequency of stigmatizing health care experiences, (b) assess relationships among BMI, eating behaviour, and stigmatizing experiences, and (c) examine whether internalized weight stigma mediates the relationship between stigmatizing experiences, weight, and eating behaviour. Methods Adults (N = 85) enrolled in behavioural weight loss completed measures of stigmatizing health care experiences, weight bias internalization, eating behaviours, and BMI. Cross-sectional correlational and mediational analyses were conducted. Results The majority (70.6%) of participants reported at least one stigmatizing health care experience in the past year. Greater amounts of stigmatizing experiences were associated with higher BMI (r = 0.32, P < .01) and greater uncontrolled (r = 0.22, P = .04) and emotional eating (r = 0.28, P < .01). Internalized weight stigma significantly mediated the relationship between stigmatizing experiences and maladaptive eating. Conclusion Experiences of health care weight stigma were associated with eating behaviour and BMI. Participants with a higher BMI or greater maladaptive eating behaviours may be more susceptible to stigmatizing experiences. Reducing internalized weight stigma and health care provider stigma may improve patient health outcomes.
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Details
- Title
- Stigmatizing weight experiences in health care: Associations with BMI and eating behaviours
- Creators
- Jocelyn E. Remmert - Drexel UniversityAlexandra D. Convertino - San Diego Joint Doctoral Program in Clinical Psychology San Diego State University/University of California San Diego California.Savannah R. Roberts - University of PittsburghKathryn M. Godfrey - Drexel UniversityMeghan L. Butryn - Drexel University
- Publication Details
- Obesity science & practice, v 5(6), pp 555-563
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- R21DK112741 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000495757600001
- Scopus ID
- 2-s2.0-85080845564
- Other Identifier
- 991019168968604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism