Associations among enacted weight stigma, weight self-stigma, and multiple physical health outcomes, healthcare utilization, and selected health behaviors
Authors' conclusion
In this study, enacted stigma and weight self-stigma were independently associated with heightened risk for multiple physical health problems, as well as, believing health concerns were discounted by providers. Reducing weight stigma may be an important component of managing multiple physical health conditions.
Study context
- Population
- Adults completing an online survey on weight stigma, self-reported physical health outcomes, healthcare utilization and health behaviors
- Participants
- 3,821 adults
- Exposure
- Enacted weight stigma and weight self-stigma vs their absence
- Outcome
- Self-reported physical health problems, adjusted for BMI, health care delay/avoidance, sedentary behavior and demographics
Methodological detailsonline survey
- Online survey
Main finding
As reported in the abstract
- Enacted stigma: hypertension, OR
- 1.36 (1.08, 1.72) (CI)
- Enacted stigma: hyperglycemia, OR
- 1.73 (1.29, 2.31) (CI)
- Enacted stigma: thyroid disorder, OR
- 1.65 (1.27, 2.13) (CI)
- Enacted stigma: any arthritis, OR
- 1.70 (1.27, 2.26) (CI)
- Enacted stigma: non-arthritic chronic pain, OR
- 1.76 (1.4, 2.29) (CI)
- Enacted stigma: infertility, OR
- 1.53 (1.14, 2.05) (CI)
- Self-stigma: hypertension, OR
- 1.43 (1.16, 1.76) (CI)
- Self-stigma: hyperglycemia, OR
- 1.37 (1.03, 1.81) (CI)
- Self-stigma: non-arthritic chronic pain, OR
- 1.5 (1.2,1.87) (CI)
Observational data: associations, not effects.
Further findings
Believing a medical concern was disregarded by a health care provider
- Enacted stigma associated with more than a four-fold increase in odds
Original publication
Associations among enacted weight stigma, weight self-stigma, and multiple physical health outcomes, healthcare utilization, and selected health behaviors. Int J Obes (Lond). Published 4 November 2022. doi:10.
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