Weight stigma experienced by patients with obesity in healthcare settings: A qualitative evidence synthesis
Open accessAbstract
Summary: Weight stigma research is largely focused on quantifiable outcomes with inadequate representation of the perspectives of those that are affected by it. This study offers a comprehensive systematic review and synthesis of weight stigma experienced in healthcare settings, from the perspective of patients living with obesity. A total of 1340 studies was screened, of which 32 were included in the final synthesis. Thematic synthesis generated three overarching analytical themes: (1) verbal and non‐verbal communication of stigma, (2) weight stigma impacts the provision of care, and (3) weight stigma and systemic barriers to healthcare. The first theme relates to the communication of weight stigma perceived by patients within patient–provider interactions. The second theme describes the patients' perceptions of how weight stigma impacts upon care provision. The third theme highlighted the perceived systemic barriers faced by patients when negotiating the healthcare system. Patient suggestions to reduce weight stigma in healthcare settings are also presented. Weight stigma experienced within interpersonal interactions migrates to the provision of care, mediates gaining equitable access to services, and perpetuates a poor systemic infrastructure to support the needs of patients with obesity. A non‐collaborative approach to practice and treatment renders patients feeling they have no control over their own healthcare requirements.
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Racial and weight-related biases are documented to affect healthcare interactions.
“Both racial and weight-related biases are documented to influence healthcare interactions (18–20).”
From Regional trends and disparities in newer <scp>GLP1</scp> receptor agonist initiation among real‐world adult patients eligible for obesity treatment (2025) · cites this paper as [18]
These biases can affect patient-provider communication and willingness to seek obesity treatment, potentially leading to underuse of effective treatments like newer AOMs.
“These biases can impact how patients communicate with healthcare providers and their willingness to seek treatment for obesity, potentially leading to underutilization of effective treatments like newer AOM (18–20).”
From Regional trends and disparities in newer <scp>GLP1</scp> receptor agonist initiation among real‐world adult patients eligible for obesity treatment (2025) · cites this paper as [18]
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“17 18 – 20 More research is needed to understand intrinsic (e.g., perceptions of clinicians or patients) and extrinsic factors (e.g., structural or external barriers) that contribute to racial and ethnic disparities in the treatment of obesity. including Florida.”
- Authors
- Ryan, L., Coyne, R., Heary, C., Birney, S., Crotty, M., Dunne, R., Conlan, O., & Walsh, J. C.
- Affiliations
- Ollscoil na Gaillimhe – University of Galway (IE)
- Irish Coalition for People Living with Obesity (ICPO) Dublin Ireland
- Best Weight Clinic Dublin Ireland
- Trinity College Dublin (IE)
- Corresponding author
- Ryan, Leona
- ORCID
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2023-08-02
- Volume
- 24
- Issue
- 10
- Pages
- e13606-e13606
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W4385514521
- Cited by
- 149
- References
- 72
- Citations by year
- 2026: 38 · 2025: 68 · 2024: 39 · 2023: 4
- FWCI
- 7.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Obesity Reviews (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Irish Research eLibrary
- Science Foundation Ireland (18/CRT/6224)
- 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, obesity, healthcare settings, patient-provider communication, verbal and nonverbal communication, quality of care, systemic barriers, health care access, health equity, patient experience, stigma reduction
- MeSH terms
- Weight Prejudice, Attitude of Health Personnel, Humans, Obesity, Qualitative Research, Social Stigma
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