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Obesity and discrimination – a systematic review and meta‐analysis of observational studies
Abstract
Summary: Background: Research on obesity has shown that stigma often accompanies obesity and impacts many life domains. No previous research has systematically reviewed published literature about the prevalence and the nature of perceived weight discrimination in individuals with obesity. This systematic review and meta‐analysis aims to fill that gap. Methods: A systematic literature search was conducted without time limits using the databases Medline, ISI Web of Knowledge and the Cochrane Library. Meta‐analyses were performed using random effect models. Observational studies pertaining to (i) prevalence estimates and (ii) forms of perceived weight discrimination among individuals with obesity were included. Results: Of 4393 citations retrieved, nine citations retrieved, nine studies met inclusion criteria. Pooled prevalence was 19.2% (95% confidence interval (CI) 11.7 to 29.8%) for individuals with class I obesity (Body mass index [BMI] = 30–35 kg m −2 ) and 41.8% (95% CI 36.9 to 46.9%) for individuals with more extreme obesity (BMI > 35 kg m −2 ). Findings from nationally representative US samples revealed higher prevalence estimates in individuals with higher BMI values (BMI > 35 kg m −2 ) and in women. Conclusions: The results provide evidence that perceptions of weight discrimination by individuals with obesity were common, and its negative consequences are highly relevant issues within society and need to be the focus of potential interventions. © 2015 World Obesity
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Among adults with obesity, the prevalence of weight discrimination is 19-42%, with higher rates among those with higher BMI and among women compared with men.
“Among adults with obesity, the prevalence of weight discrimination is 19–42%, with higher rates among those with higher body-mass index (BMI), and among women compared with men11–13.”
From Joint international consensus statement for ending stigma of obesity (2020) · cites this paper as [12]
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“Among adults with obesity, the prevalence of weight discrimination is 19-42%, with higher rates among those with higher body-mass index (BMI), and among women compared with men [11] [12] [13] .”
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Metadata
- Authors
- Spahlholz, J., Baer, N., König, H. ‐., Riedel‐Heller, S. G., & Luck‐Sikorski, C.
- Affiliations
- IFB Adiposity Diseases (DE)
- Leipzig University (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- Institute of Social Medicine, Occupational Health and Public Health (ISAP) Leipzig University Leipzig Germany
- Corresponding author
- Spahlholz, J.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2015-11-24
- Volume
- 17
- Issue
- 1
- Pages
- 43-55
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W2172634627
- Cited by
- 448
- References
- 4
- Citations by year
- 2026: 42 · 2025: 53 · 2024: 60 · 2023: 57 · 2022: 71 · 2021: 46 · 2020: 43 · 2019: 26 · 2018: 24 · 2017: 20 · 2016: 5
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Federal Ministry of Education and Research (BMBF) (01EO1501)
- 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
- obesity, weight discrimination, weight stigma, perceived discrimination, body mass index, class I obesity, morbid obesity, sex differences
- MeSH terms
- Depression, Humans, Obesity, Self Concept, Social Stigma, Observational Studies as Topic
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