The association between higher body weight and stigmatizing language documented in hospital birth admission notes

Int J Obes (Lond)Published Retrospective cohort study

Main finding · Any stigmatizing language documentedResult — go to the resultAdjusted odds ratio 1.10 95% CI 1.01–1.20

Authors' conclusion

Women with higher body weight experience stigma in clinical documentation. Findings support the need for clinician training in equitable documentation and the removal of stigmatizing terms from clinic documents and workflows to promote perinatal health equity.

Study context

Population
Women >20 weeks of gestation admitted for birth to two large metropolitan hospitals in the Northeast United States, 2017–2019
Exposure
Higher body weight vs no higher body weight
Outcome
Presence of any stigmatizing language documented in the clinical note
Follow-up
Hospital birth admission
Methodological detailstwo hospitals, electronic health records (EHR) data
  • Two hospitals
  • EHR data

Main finding

Any stigmatizing language documented · birth hospitalization

Adjusted odds ratio

1.10

95% CI 1.01–1.20

Higher body weightvs Without higher body weight
aOR 1.10 (95% CI 1.01–1.20)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Language from the marginalized language/identities categoryMore likely with higher body weight1.38 (1.20–1.59)

Original publication

The association between higher body weight and stigmatizing language documented in hospital birth admission notes. Int J Obes (Lond). Published 13 January 2026. doi:10.1038/s41366-025-01965-5

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