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Damned if You Do, Damned if You Don’t: The Stigma of Weight Loss Surgery
Abstract
Willpower, as demonstrated through diet and exercise, is constructed as the only acceptable strategy for losing weight. While weight loss surgery (WLS) is an option for morbidly obese individuals, like obesity itself, WLS carries stigma. Using a 40-item survey, we measured 101 participants’ experiences with WLS stigma. We examined whether WLS is stigmatizing, how that stigma is perceived by patients, and tendencies to hide their surgery status in order to manage stigma. Results indicated evidence of perceived stigma despite support from significant others as well as a tendency to hide surgery status from some people as a stigma management technique.
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Compared with individuals who lose weight using diet and exercise alone, those who lose weight through metabolic surgery can be at risk of stronger stigma because they are stereotyped as lazy and less responsible for their weight loss.
“Compared with individuals who lose weight using diet and exercise alone, those who lose weight through metabolic surgery can be at risk of stronger stigma because they are stereotyped as being lazy and being less responsible for their weight loss48,49.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [49]
Many individuals hide their surgical status.
“It is not surprising that many hide their surgical status49.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [49]
Citations
Cites
Internalized Societal Attitudes Moderate the Impact of Weight Stigma on Avoidance of Exercise
Vartanian, L. R., & Novak, S. A. (2011) · Obesity · doi:10.1038/oby.2010.234 · Cited by 381
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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
“It is not surprising that many hide their surgical status 49 .”
BackgroundWeight stigma after bariatric surgery: A qualitative study with Brazilian women
Dimitrov Ulian, M., Fernandez Unsain, R., Rocha Franco, R., Aurélio Santo, M., Brewis, A., Trainer, S., SturtzSreetharan, C., Wutich, A., Gualano, B., & Baeza Scagliusi, F. (2023) · PLOS ONE · doi:10.1371/journal.pone.0287822 · Cited by 22
Metadata
- Authors
- Hansen, B., & Dye, M. H.
- Affiliations
- University of Alabama at Birmingham (US)
- Middle Tennessee State University (US)
- Corresponding author
- Hansen, Barbara
- ORCID
- Hansen, Barbara
- Venue
- Deviant Behavior
- Publisher
- Informa UK Limited
- Published
- 2016-12-27
- Volume
- 39
- Issue
- 2
- Pages
- 137-147
- ISSN
- 0163-9625 (ISSN-L)
- 1521-0456
- OpenAlex
- W2564251372
- Cited by
- 36
- References
- 1
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 4 · 2020: 4 · 2019: 1 · 2018: 2
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Deviant Behavior (publishedVersion)
- Funders
- no funding
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- bariatric surgery, weight stigma, perceived stigma, stigma management, willpower, morbid obesity, social support, body image
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