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Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy.
Abstract
Three studies investigated implicit biases, and their modifiability, against overweight persons. In Study 1 (N = 144), the authors demonstrated strong implicit anti-fat attitudes and stereotypes using the Implicit Association Test, despite no explicit anti-fat bias. When participants were informed that obesity is caused predominantly by overeating and lack of exercise, higher implicit bias relative to controls was produced; informing participants that obesity is mainly due to genetic factors did not result in lower bias. In Studies 2A (N = 90) and 2B (N = 63), participants read stories of discrimination against obese persons to evoke empathy. This did not lead to lower bias compared with controls but did produce diminished implicit bias among overweight participants, suggesting an in-group bias.
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Evidence from several countries shows that when individuals attribute the causes of obesity primarily to internal, controllable factors or personal choices, they exhibit higher weight bias, whereas acknowledging the complex causes of obesity, including genetics, biology, and environmental factors, is associated with lower levels of weight bias and less blame.
“Evidence from several countries68–71 shows that when individuals attribute the causes of obesity primarily to internal, controllable factors or personal choices, they exhibit higher weight bias, whereas acknowledging the complex causes of obesity (including elements such as genetics, biology, and environmental factors) is associated with lower levels of weight bias and less blame.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [70]
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“Empathy was evoked by having participants read a first-person account of the troubles experienced by a member of a stigmatized group (an approach well established in previous research; e.g., Batson, Klein, Highberger, & Shaw, 1995; Batson et al., 1997) and then having them think about the feelings of that individual a…”
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Cited by
Sorted by citations
The Stigma of Obesity: A Review and Update
Puhl, R. M., & Heuer, C. A. (2009) · Obesity · doi:10.1038/oby.2008.636 · Cited by 3,323
Hofmann, W., Gawronski, B., Gschwendner, T., Le, H., & Schmitt, M. (2005) · Personality and Social Psychology Bulletin · doi:10.1177/0146167205275613 · Cited by 1,642
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
Confronting and Coping with Weight Stigma: An Investigation of Overweight and Obese Adults
Puhl, R. M., & Brownell, K. D. (2006) · Obesity · doi:10.1038/oby.2006.208 · Cited by 1,041
Self-citationPsychosocial origins of obesity stigma: toward changing a powerful and pervasive bias
Puhl, R. M., & Brownell, K. D. (2003) · Obesity Reviews · doi:10.1046/j.1467-789x.2003.00122.x · Cited by 623
Self-citationSchwartz, M. B., & Brownell, K. D. (2004) · Body Image · doi:10.1016/s1740-1445(03)00007-x · Cited by 637
Self-citationEffective strategies in ending weight stigma in healthcare
Talumaa, B., Brown, A., Batterham, R. L., & Kalea, A. Z. (2022) · Obesity Reviews · doi:10.1111/obr.13494 · Cited by 250
Food addiction as a causal model of obesity. Effects on stigma, blame, and perceived psychopathology
Latner, J. D., Puhl, R. M., Murakami, J. M., & O'Brien, K. S. (2014) · Appetite · doi:10.1016/j.appet.2014.03.004 · Cited by 124
Metadata
- Authors
- Teachman, B. A., Gapinski, K. D., Brownell, K. D., Rawlins, M., & Jeyaram, S.
- Affiliations
- University of Virginia (US)
- Yale University (US)
- University of Oxford (GB)
- Venue
- Health Psychology
- Published
- 2003-01
- Volume
- 22
- Issue
- 1
- Pages
- 68-78
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2024631949
- Cited by
- 536
- References
- 1
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 15 · 2023: 17 · 2022: 18 · 2021: 20 · 2020: 54 · 2019: 21 · 2018: 28 · 2017: 25 · 2016: 24 · 2015: 31 · 2014: 24 · 2013: 44 · 2012: 22
- FWCI
- 17.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- implicit bias, anti-fat bias, overweight, causal information, empathy induction, Implicit Association Test, in-group favoritism
- MeSH terms
- Adolescent, Adult, Aged, Attitude, Data Collection, Diet, Empathy, Female, Humans, Male, Middle Aged, Obesity, Prejudice, Public Opinion, Exercise
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