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Correlates of weight stigma in adults with overweight and obesity: A systematic literature review
Abstract
Objective: While evidence regarding associations between weight stigma and biopsychosocial outcomes is accumulating, outcomes are considered in isolation. Thus, little is known about their complex relationships. This article extends existing work by systematically reviewing the biopsychosocial consequences of stigma in adults with overweight/obesity. Methods: Articles were identified through Medline, CINAHL, PsycINFO, Embase, Web of Science, and Cochrane databases. Independent extraction of articles was conducted using predefined data fields, including data on biopsychosocial correlates in each study. Results: Twenty‐three studies published from 2001 and addressing correlates of stigma in adults with overweight/obesity (body mass index ≥25 kg m −2 ; 18‐65 years) were identified. Numerous biopsychosocial correlates of weight stigma were studied, particularly in treatment‐seeking individuals. Available research shows that weight stigma is consistently associated with medication non‐adherence, mental health, anxiety, perceived stress, antisocial behavior, substance use, coping strategies, and social support. Biopsychosocial correlates were not considered in combination in research. Psychological correlates were well documented in comparison to biological and social correlates for each weight stigma type. There were some indications that associations are stronger once stigma is internalized. Conclusions: While there is evidence for biopsychosocial correlates of weight stigma, these are not considered in combination in research; thus their inter‐relationships are unknown. Conclusions from the review are limited by this and the small number of studies, types of designs, and variables considered.
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Weight stigma, rather than obesity itself, may be particularly harmful to mental health and is associated with depressive symptoms, higher anxiety levels, lower self-esteem, social isolation, perceived stress, substance use, unhealthy eating and weight-control behaviors such as binge eating and emotional overeating.
“Weight stigma, rather than obesity itself, may be particularly harmful to mental health and is associated with depressive symptoms, higher anxiety levels, lower self-esteem, social isolation, perceived stress, substance use24–26, unhealthy eating and weight-control behaviors, such as binge eating and emotional overeating27.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [25]
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Metadata
- Authors
- Papadopoulos, S., & Brennan, L.
- Affiliations
- Australian Catholic University (AU)
- Corresponding author
- Brennan, Leah
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2015-08-11
- Volume
- 23
- Issue
- 9
- Pages
- 1743-1760
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W1539807742
- Cited by
- 339
- References
- 6
- Citations by year
- 2026: 18 · 2025: 31 · 2024: 39 · 2023: 44 · 2022: 40 · 2021: 41 · 2020: 35 · 2019: 27 · 2018: 33 · 2017: 22 · 2016: 8
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- weight stigma, overweight, self-stigma, medication non-adherence, mental health, anxiety, perceived stress, antisocial behavior, substance use, coping strategies, social support, treatment-seeking patients
- MeSH terms
- Adaptation, Psychological, Adult, Body Weight, Female, Humans, Mental Health, Middle Aged, Obesity, Prejudice, Self Concept, Social Perception, Body Mass Index, Overweight, Social Stigma
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