Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias

Puhl, R. M.; Brownell, K. D.

doi:10.1046/j.1467-789x.2003.00122.x

Cited by 623Obesity and Health PracticesObesity, Physical Activity, DietEating Disorders and Behaviors

Psychosocial 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

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Abstract

Summary: Widespread bias and discrimination based on weight have been documented in key areas of living, including education, employment, and health care. This paper examines the social and psychological origins of this bias through a review and critique of theoretical and empirical literatures, and proposes how the field might best advance in the area of reducing stigma. Explanations for the development and reduction of weight stigma are examined with different theoretical ap‐proaches, including attribution theory and a social consensus model. Individual and sociocultural contributors to bias suggested by these approaches are highlighted. New directions are discussed in both the understanding and prevention of weight bias.

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Mindfulness-based approaches offer a systematic method of stress reduction and may be especially suitable for bariatric patients who face high levels of obesity-related stigma, discrimination, and social bias.
“Mindfulness-based approaches, in contrast, provide a systematic method of stress reduction that may be particularly well suited for bariatric patients who face unusually high levels of obesity-related stigma, discrimination, and social bias.5,6”
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Authors: Puhl, R. M., & Brownell, K. D.
Affiliations: Yale University (US)
Corresponding author: Puhl, R. M.
ORCID: Puhl, R. M.
Venue: Obesity Reviews
Publisher: Wiley
Published: 2003-11
Volume: 4
Issue: 4
Pages: 213-227
ISSN: 1467-7881 (ISSN-L)
1467-789X
DOI: 10.1046/j.1467-789x.2003.00122.x
OpenAlex: W2161582645
Cited by: 623
References: 118
Citations by year: 2026: 9 · 2025: 17 · 2024: 22 · 2023: 22 · 2022: 23 · 2021: 26 · 2020: 30 · 2019: 26 · 2018: 31 · 2017: 32 · 2016: 51 · 2015: 33 · 2014: 30 · 2013: 33 · 2012: 35
FWCI: 2.33
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4 d)
Locations: Obesity Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Pharmacy › 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 stigma, weight bias, attribution theory, weight discrimination, stigma reduction, sociocultural factors
MeSH terms: Body Image, Body Weight, Delivery of Health Care, Employment, Female, Humans, Male, Obesity, Prejudice, Social Environment

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Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias

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