Abstract
Objective:
Limited data are available on the prevalence and patterns of body weight discrimination from representative samples. This study examined experiences of weight/height discrimination in a nationally representative sample of US adults and compared their prevalence and patterns with discrimination experiences based on race and gender.
Method and procedures:
Data were from the National Survey of Midlife Development in the United States, a 1995–1996 community-based survey of English-speaking adults aged 25–74 (N=2290). Reported experiences of weight/height discrimination included a variety of institutional settings and interpersonal relationships. Multivariate regression analyses were used to predict weight/height discrimination controlling for sociodemographic characteristics and body weight status.
Results:
The prevalence of weight/height discrimination ranged from 5% among men to 10% among women, but these average percentages obscure the much higher risk of weight discrimination among heavier individuals (40% for adults with body mass index (BMI) of 35 and above). Younger individuals with a higher BMI had a particularly high risk of weight/height discrimination regardless of their race, education and weight status. Women were at greater risk for weight/height discrimination than men, especially women with a BMI of 30–35 who were three times more likely to report weight/height discrimination compared to male peers of a similar weight.
Discussion:
Weight/height discrimination is prevalent in American society and is relatively close to reported rates of racial discrimination, particularly among women. Both institutional forms of weight/height discrimination (for example, in employment settings) and interpersonal mistreatment due to weight/height (for example, being called names) were common, and in some cases were even more prevalent than discrimination due to gender and race.
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References
Brownell KD, Puhl R, Schwartz MB, Rudd R (eds). Weight Bias: Nature, Consequences, and Remedies. Guilford Publications: New York, 2005.
Puhl R, Brownell KD . Bias, discrimination, and obesity. Obes Res 2001; 9: 788–805.
Paul RJ, Townsend JB . Shape up or ship out? Employment discrimination against the overweight. Empl Respons Rights J 1995; 8: 133–145.
Roehling MV . Weight-based discrimination in employment: psychological and legal aspects. Pers Psychol 1999; 52: 969–1017.
Berryman DE, Dubale GM, Manchester DS, Mittelstaed R . Dietetic students possess negative attitudes toward obesity similar to nondietetic students. J Am Dietetic Assoc 2006; 106: 1678–1682.
Davis-Coelho K, Waltz J, Davis-Coelho B . Awareness and prevention of bias against fat clients in psychotherapy. Prof Psychol: Res Pract 2000; 31: 682–684.
Kristeller JL, Hoerr RA . Physician attitudes toward managing obesity: differences among six specialty groups. Am J Prev Med 1997; 26: 542–549.
Schwartz MB, O'Neal H, Brownell KD, Blair S, Billington C . Weight Bias among health professionals specializing in obesity. Obes Res 2003; 11: 1033–1039.
Teachman BA, Brownell KD . Implicit anti-fat bias among health professionals: is anyone immune? Int J Obes Relat Metab Disord 2001; 25: 1525–1531.
Greenleaf C, Weiller K . Perceptions of youth obesity among physical educators. Soc Psychol Educ 2005; 8: 407–423.
Neumark-Sztainer D, Story M, Harris T . Beliefs and attitudes about obesity among teachers and school health care providers working with adolescents. J Nutr Educ 1999; 31: 3–9.
O'Brien KS, Hunter JA, Banks M . Implicit anti-fat bias in physical educators: physical attributes, ideology, and socialisation. Int J Obes 2007; 31: 308–314.
Puhl R, Brownell KD . Confronting and coping with weight stigma: An investigation of overweight and obese individuals. Obesity 2006; 14: 1802–1815.
Eisenberg ME, Neumark-Sztainer D, Story M . Associations of weight-based teasing and emotional well-being among adolescents. Arch Pediatr Adolesc Med 2003; 157: 733–738.
Friedman KE, Reichmann SK, Costanzo PR, Zelli A, Ashmore JA, Musante GJ . Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults. Obes Res 2005; 13: 907–916.
Amy NK, Aalborg A, Lyons P, Keranen L . Barriers to routine gynecological cancer screening for White and African-American obese women. Int J Obes 2006; 30: 147–155.
Haines J, Neumark-Sztainer D, Eisenberg ME, Hannan PJ . Weight teasing and disordered eating behaviors in adolescents: longitudinal findings from Project EAT (Eating Among Teens). Pediatrics 2006; 117: 209–215.
Neumark-Sztainer D, Falkner N, Story M, Perry C, Hannan PJ, Mulert S . Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes 2002; 26: 123–131.
Puhl R, Moss-Racusin C, Schwartz MB . Internalization of weight bias: implications for binge eating and emotional well-being. Obesity (Silver Spring) 2007; 15: 19–23.
Faith MS, Leone MA, Ayers TS, Moonseong H, Pietrobelli A . Weight criticism during physical activity, coping skills, and reported physical activity in children. Pediatrics 2002; 110 (2 Part1): e23.
Storch EA, Milsom VA, DeBraganza N, Lewin AB, Geffken GR, Silverstein JH . Peer victimization, psychosocial adjustment, and physical activity in overweight and at-risk-for-overweight youth. J Pediat Psychol 2007; 32: 80–89.
Vartanian LR, Shaprow JG . Effects of weight stigma on motivation to exercise and exercise behavior: a preliminary investigation among college-aged females. Health Psychol 2008; 13: 131–138.
Allport GW . The Nature of Prejudice. Addison-Wesley: Cambridge, MA, 1954.
Carr D, Friedman MA . Is obesity stigmatizing? Body weight, perceived discrimination, and psychological well-being in the United States. J Health Soc Behav 2005; 46: 244–259.
Brim OG, Baltes PB, Bumpass LL, Cleary PD, Featherman DL, Hazzard WR et al. National Survey of Midlife Development in the United States (MIDUS), 1995–1996, 2nd ICPSR version. Inter-university Consortium for Political and Social Research (distributor): Ann Arbor, MI, 2003.
National Institute of Health, National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults: The Evidence Report. National Institutes of Health: Rockville, MD, 1998.
Kemper KA, Sargent RG, Drane JW, Valois RF, Hussey JR . Black and white females' perceptions of ideal body size and social norms. Obes Res 1994; 2: 117–126.
Averett SL, Korenman S . Black-white differences in social and economic consequences of obesity. Int J Obes 1999; 23: 166–173.
Paeratakul S, White MA, Williamson DA, Ryan DH, Bray GA . Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res 2002; 10: 345–350.
Falkner NH, French SA, Jeffery RW, Neumark-Sztainer D, Sherwood NE, Morton M . Mistreatment due to weight: prevalence and sources of perceived mistreatment in women and men. Obes Res 1999; 7: 572–576.
Griffiths LJ, Wolke D, Page AS, Horwood JP . Obesity and bullying: different effects for boys and girls. Arch Dis Child 2006; 91: 121–125.
Hayden-Wade HA, Stein RI, Ghaderi A, Saelens BE, Zabinski MF, Wilfley DE . Prevalence, characteristics, and correlates of teasing experiences among overweight children vs non-overweight peers. Obes Res 2005; 13: 1381–1392.
Janssen I, Craig WM, Boyce WF, Pickett W . Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics 2004; 113: 1187–1194.
Pearce MJ, Boergers J, Prinstein MJ . Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res 2002; 10: 386–393.
Bellizzi JA, Klassen ML, Belonax JJ . Stereotypical beliefs about overweight and smoking and decision-making assignments to sales territories. Percept and Mot Skills 1989; 69: 419–429.
Hebl MR, Turchin JM . The stigma of obesity: what about men? Basic and Appl Soc Psychol 2005; 3: 267–275.
Jasper CR, Klassen ML . Perceptions of salespersons' appearance and evaluation of job performance. Percept Mot Skills 1990; 71: 563–566.
Theran EA . Legal theory on weight discrimination. In: Brownell KD, Puhl RM, Schwartz MB, Rudd L (eds). Weight Bias: Nature, Consequences, and Remedies. Guilford Press: New York, pp 2005; 195–211.
Annis NM, Cash TF, Hrabosky JI . Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences. Body Image 2004; 2: 155–167.
Hebl MR, Heatherton TF . The stigma of obesity in women: the difference is black and white. Pers Soc Psychol Bull 1998; 24: 417–426.
Kuczmarski MF, Kuczmarski RJ, Najjar M . Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc 2001; 101: 28–34.
Palta M, Prineas RJ, Berman R, Hannan P . Comparison of self-reported and measured height and weight. Am J Epidemiol 1982; 115: 223–230.
Rowland ML . Self-reported weight and height. Am J Clin Nutr 1990; 52: 1125–1133.
Huebner DM, Davis MC . Perceived antigay discrimination and physical health outcomes. Health Psychol 2007; 26: 627–634.
Borrell LN, Kiefe CI, Williams DR, Diez-Roux AV, Gordon-Larsen P . Self-reported health, perceived racial discrimination, and skin color in African Americans in the CARDIA study. Soc Sci Med 2006; 63: 1415–1427.
Krieger N . Does racism harm health? Did child abuse exist before 1962? On explicit questions, critical science, and current controversies: an ecosocial perspective. Am J Public Health 2003; 93: 194–199.
Krieger N, Smith K, Naishadham D, Hartman C, Barbeau EM . Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med 2005; 61: 1576–1596.
Andreyeva T, Puhl RM, Brownell KD . Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–06. Obesity. (in press).
Acknowledgements
This research was funded by the Rudd Center for Food Policy and Obesity at Yale University.
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Puhl, R., Andreyeva, T. & Brownell, K. Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. Int J Obes 32, 992–1000 (2008). https://doi.org/10.1038/ijo.2008.22
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DOI: https://doi.org/10.1038/ijo.2008.22
Keywords
- discrimination
- bias
- gender
- race
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