The DOI matches its Crossref record; 99 of the 99 references it cites were found in a registry or an index.
Mechanisms underlying weight status and healthcare avoidance in women: A study of weight stigma, body-related shame and guilt, and healthcare stress
Abstract
Studies show that women with high BMI are less likely than thinner women to seek healthcare. We aimed to determine the mechanisms linking women's weight status to their healthcare avoidance. Women (N = 313) were surveyed from a U.S. health-panel database. We tested a theory-driven model containing multiple stigma and body-related constructs linking BMI to healthcare avoidance. The model had a good fit to the data. Higher BMI was related to greater experienced and internalized weight stigma, which were linked to greater body-related shame. Internalized weight stigma was also related to greater body-related guilt, which was associated with higher body-related shame. Body-related shame was associated with healthcare stress which ultimately contributed to healthcare avoidance. We discuss recommendations for a Weight Inclusive Approach to healthcare and the importance of enhancing education for health professionals in weight bias in order to increase appropriate use of preventive healthcare in higher weight women.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Weight stigma and body shame are also barriers to health care utilization (Mensinger et al., 2018; Phelan et al., 2022; Prunty et al., 2023), particularly among those with higher body weight (Curran et al., 2024), prediabetes (Salvia et al., 2023), and T2D (Himmelstein & Puhl, 2021; Svenningsson et al., 2011).”
From A Randomized Controlled Trial of an Acceptance and Commitment Therapy-Informed Diabetes Prevention Program Reduces Body Shame and Distress. (2025) · cites this paper as Mensinger et al., 2018
In the citing paper
“The associations between internalized weight bias and at least one measure of body shame (Mensinger et al., 2018) suggest a need for measurements that adequately distinguish these constructs.”
From A Randomized Controlled Trial of an Acceptance and Commitment Therapy-Informed Diabetes Prevention Program Reduces Body Shame and Distress. (2025) · cites this paper as Mensinger et al., 2018
Citations
Cites
Hu, L., & Bentler, P. M. (1999) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705519909540118 · Cited by 108,788
Principles and Practice of Structural Equation Modeling
Tabri, N., & Elliott, C. M. (2012) · Canadian Graduate Journal of Sociology and Criminology · doi:10.15353/cgjsc.v1i1.3787 · Cited by 39,094
(1998) · Cited by 36,049
Stereotype threat and the intellectual test performance of African Americans.
Steele, C. M., & Aronson, J. (1995) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.69.5.797 · Cited by 9,020
Structural Equation Modelling: Guidelines for Determining Model Fit
Hooper, D., Coughlan, J., & Mullen, M. R. (2008) · Dublin Institute of Technology · doi:10.21427/d7cf7r · Cited by 8,746
Perceived discrimination and health: A meta-analytic review.
Pascoe, E. A., & Smart Richman, L. (2009) · Psychological Bulletin · doi:10.1037/a0016059 · Cited by 4,427
Flegal, K. M., Kit, B. K., Orpana, H., & Graubard, B. I. (2013) · JAMA · doi:10.1001/jama.2012.113905 · Cited by 3,998
The Social Psychology of Stigma
Major, B., & O'Brien, L. T. (2005) · Annual Review of Psychology · doi:10.1146/annurev.psych.56.091103.070137 · Cited by 3,114
Stigma as a fundamental cause of population health inequalities
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013) · American Journal of Public Health · doi:10.2105/ajph.2012.301069 · Cited by 2,674
Branscombe, N. R., Schmitt, M. T., & Harvey, R. D. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.77.1.135 · Cited by 2,623
Research works printed but not linked: 1
- Muthén, L.K., & Muthén, B.O. (1998–2017). Mplus user’s guide (8th ed.). Los Angeles, CA: Muthén & Muthén.
Cited by
Sorted by citations
Puhl, R. M., Lessard, L. M., Himmelstein, M. S., & Foster, G. D. (2021) · PLOS ONE · doi:10.1371/journal.pone.0251566 · Cited by 233
Obesity in South and Southeast Asia—A new consensus on care and management
Tham, K. W., Abdul Ghani, R., Cua, S. C., Deerochanawong, C., Fojas, M., Hocking, S., Lee, J., Nam, T. Q., Pathan, F., Saboo, B., et al. (2023) · Obesity Reviews · doi:10.1111/obr.13520 · Cited by 187
Puhl, R. M. (2020) · Obesity Reviews · doi:10.1111/obr.13008 · Cited by 198
Splinter, M. J., Velek, P., Ikram, M. K., Kieboom, B. C. T., Peeters, R. P., Bindels, P., Ikram, M. A., Wolters, F. J., Leening, M. J. G., de Schepper, E. I. T., et al. (2021) · PLoS Medicine · doi:10.1371/journal.pmed.1003854 · Cited by 142
Disparities in Access and Quality of Obesity Care
Washington, T. B., Johnson, V. R., Kendrick, K., Ibrahim, A. A., Tu, L., Sun, K., & Stanford, F. C. (2023) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2023.02.003 · Cited by 141
Metadata
- Authors
- Mensinger, J. L., Tylka, T. L., & Calamari, M. E.
- Affiliations
- Drexel University (US)
- The Ohio State University (US)
- Corresponding author
- Mensinger, Janell L.
- Venue
- Body Image
- Publisher
- Elsevier BV
- Published
- 2018-06
- Volume
- 25
- Pages
- 139-147
- ISSN
- 1740-1445 (ISSN-L)
- OpenAlex
- W2793546505
- Cited by
- 283
- References
- 99
- Citations by year
- 2026: 28 · 2025: 30 · 2024: 58 · 2023: 47 · 2022: 32 · 2021: 57 · 2020: 14 · 2019: 12 · 2018: 5
- FWCI
- 43.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Body Image (publishedVersion)
- PubMed (publishedVersion)
- 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, body shame, healthcare avoidance, weight status, body mass index, women, self-stigma, weight-inclusive care
- MeSH terms
- Adult, Aged, Aged, 80 and over, Body Image, Body Weight, Cross-Sectional Studies, Defense Mechanisms, Female, Guilt, Humans, Middle Aged, Patient Acceptance of Health Care, Shame, Stress, Psychological, Social Stigma
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
