Eating or weight related issues Flashcards
weight stigma
negative attitudes held towards people that are over weight or obese
subsequent prejudice or descrimination
obesity in the uk
2/3 are OW or OB
1/5 at reception level
1/3 in year 6
Harrison et al (2016)
weight stigma in children
children were read 1 of 3 story books
1) alfie is a normal weight
2) alfie has disabilities
3) alfie is overweight
- thomas is always normal weight
when alfie was overweight he was rated as less likely to win a race and to have fewer friends
42/43 chose to be friends with Thomas
Cramer and Stienweight (1998)
3, 4 and 5 yo
average and thin characters selected as ‘nicer’
all children showed weight bias (as young as 3)
teasing and bullying
71% of boys enrolled in weight loss programs reported being bullied
psychological health
weight related teasing = lower self esteem, lower body image, higher depressive symptoms
2x more likely to think about suicide
academic performance
avoid school
teachers rated OW children as academically worse
Geil et al (2010)
weight stigma on adults
major source of discrimination and prejudice
less likely to be offered jobs, managerial roles, be well paid or promoted
women more than men
Nickson et al (2010)
impact of body weight on recruiters
imagined they were recruiting someone for customer and non customer facing roles
subtle BMI changes has an effect on customer facing roles
greater for female faces
health care - physical environment
blood pressure cuffs too small
weighing scales
waiting room chairs
unintended humiliation
bias in psychologists
OW p’s less likely to be compliant, have more severe psychological symptoms and provided worse prognosis
Schwartz et al (2003)
people in health care
OB rated as more lazy, stupid and worthless (explicit)
P’s were more likely to pair OW patients with negative attributes
impact on health (direct)
increased cortisol and blood pressure - LT issues
avoid and delay using health care
judged by professionals - less likely to attend or follow instructions
impact on health (indirect)
weight stigma - increase in food and less exercise
Shvey et al (2011)
women (overweight vs not overweight)
watched stigmatising video or neutral
then provided snacks
3X greater food intake in OW after watching stigmatising video
Gudzine et al (2014)
self report measure - online survey
rated the extent to which their GP negatively judged their weight
asked how many times they had attempted weight loss
negatively judged = less attempts
attribution of causality
blame is attributed to OW individuals (perceived to be lazy and undisciplined)
DeJong (1993)
P’s watched a video of normal or OW person
half were told that it was due to a glandular disorder
(internal Vs external attributions)
internal = more self indulging, less disciplined external = ratings did not differ
Kushner et al (2014)
patient training role playing scenarios
receive feedback
4-6 times
students rated explicit attitudes pre and post training
negativly stereotyping significantly reduced
effect diminished after 1 year
based only on explicit measures
enacted stigma
behaviours that eminate from negative attitudes
impact on providers
see OW as less adherent so engage in less communication have less respect different time allocations over attribute problems to weight
impact on patients
identity threat
stereotype threat
felt stigma
identity threat
feel devalued due to social identity