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Weight discrimination and bullying
Abstract
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.
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Adolescents with overweight or obesity are significantly more likely to experience social isolation and are at increased risk for relational, verbal, cyber, and physical victimization compared with students of lower body weight.
“Compared with students of lower body weight, adolescents with overweight or obesity are significantly more likely to experience social isolation19–21 and are at increased risk for relational, verbal, cyber, and physical victimization22.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [21]
Citations
Cites
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Self-citationBauer, K. W., Yang, Y. W., & Austin, S. B. (2004) · Health Education & Behavior · doi:10.1177/1090198103255372 · Cited by 279
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Cited by
Sorted by citations
Joint international consensus statement for ending stigma of obesity
Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0803-x · Cited by 1,152
“Compared with students of lower body weight, adolescents with overweight or obesity are significantly more likely to experience social isolation [19] [20] [21] and are at increased risk for relational, verbal, cyber, and physical victimization 22 .”
BackgroundSelf-Compassion as a Resource in the Self-Stigma Process of Overweight and Obese Individuals
Hilbert, A., Braehler, E., Schmidt, R., Löwe, B., Häuser, W., & Zenger, M. (2015) · Obesity Facts · doi:10.1159/000438681 · Cited by 89
The experience of weight stigma among gym members with overweight and obesity.
Schvey, N. A., Sbrocco, T., Bakalar, J. L., Ress, R., Barmine, M., Gorlick, J., Pine, A., Stephens, M., & Tanofsky-Kraff, M. (2017) · Stigma and Health · doi:10.1037/sah0000062 · Cited by 81
Mensinger, J. L., & Meadows, A. (2017) · Psychology of Sport and Exercise · doi:10.1016/j.psychsport.2017.01.010 · Cited by 71
Gray, J. C., Schvey, N. A., & Tanofsky-Kraff, M. (2020) · Psychological Medicine · doi:10.1017/s0033291719001545 · Cited by 58
Self-compassion and Body Checking Among Women: the Mediating Role of Stigmatizing Self-perceptions
Huellemann, K. L., & Calogero, R. M. (2020) · Mindfulness · doi:10.1007/s12671-020-01420-8 · Cited by 24
Internalized weight stigma and the progression of food addiction over time
Meadows, A., & Higgs, S. (2020) · Body Image · doi:10.1016/j.bodyim.2020.05.002 · Cited by 22
Steenbock, B., Pischke, C. R., Schönbach, J., Pöttgen, S., & Brand, T. (2015) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-014-2100-7 · Cited by 17
Metadata
- Authors
- Puhl, R. M., & King, K. M.
- Affiliations
- Yale University (US)
- Corresponding author
- Puhl, Rebecca M.
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 27
- Issue
- 2
- Pages
- 117-127
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W2005831015
- Cited by
- 563
- References
- 2
- Citations by year
- 2026: 22 · 2025: 44 · 2024: 40 · 2023: 53 · 2022: 40 · 2021: 59 · 2020: 88 · 2019: 41 · 2018: 51 · 2017: 30 · 2016: 38 · 2015: 36 · 2014: 17 · 2013: 3
- FWCI
- 3.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- weight discrimination, weight stigma, bullying, obesity, overweight, children, adolescents, depression, anxiety, self-esteem, body dissatisfaction, suicidal ideation, academic performance, physical activity, dietary habits, healthcare avoidance, employment discrimination, health care discrimination
- MeSH terms
- Adult, Body Weight, Child, Humans, Obesity, Stereotyping, Crime Victims, Overweight, Bullying, Social Discrimination
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