Bias and discrimination against men with overweight in the military

Christian, Andrew; Parekh, Bina; Koritzky, Gilly

doi:10.1177/2055102920985374

Health Psychology Open

2020

DOI: 10.1177/2055102920985374

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Bias and discrimination against men with overweight in the military

Andrew Christian

Bina Parekh

Gilly Koritzky

Abstract: Research on weight-bias against men and/or in the military is scarce. Such a bias might cause some military members, who are otherwise fit to perform their duties, to suffer from discrimination and undue stress. We showed military personnel a picture of a soldier who had either normal weight or overweight. In both conditions, the description of the soldier stated that his physical fitness and job-related skills were good. Nonetheless, the soldier’s suitability for promotion was rated lower in the overweight co… Show more

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Cited by 4 publications

References 40 publications

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Utilization of antiobesity medications within the Military Health System

Neuman,

Corrado,

Banaag

et al. 2024

Obesity

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ObjectiveThe prevalence of overweight and obesity among beneficiaries of the Military Health System (MHS) is 41.6% and 30.5%, respectively. This incurs significant medical, fiscal, and military readiness costs. It is not currently known how the utilization of antiobesity medications (AOMs) within the MHS compares with that in the Veterans Health Administration or the private sector. Our aim was to assess the utilization of AOMs within the MHS.MethodsA cross‐sectional study was conducted using data gathered from the MHS Data Repository and the inclusion of all adult TRICARE Prime and Plus beneficiaries ages 18 to 64 years who were prescribed at least one TRICARE‐approved AOM during the years 2018 to 2022.ResultsThe total study population included 4,414,127 beneficiaries, of whom 1,871,780 were active‐duty service members. The utilization of AOMs among the eligible population was 0.56% (0.44% among active‐duty personnel). Liraglutide was the most‐prescribed AOM (36% of the total). Female sex, age greater than or equal to 30 but less than 60 years, and enlisted or warrant officer rank were all associated with statistically significant higher odds of receiving AOMs.ConclusionsComparable with the US private sector, the MHS significantly underutilizes AOMs, including among active‐duty service members, despite coverage of AOMs since 2018.

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Utilization of antiobesity medications within the Military Health System

Neuman,

Corrado,

Banaag

et al. 2024

Obesity

View full text Add to dashboard Cite

show abstract

Gender similarities and differences in associations between weight discrimination, shape/weight concerns, and eating disorder symptoms among post-9/11 veterans

Zhao,

Serier,

Smith

et al. 2023

Eating Behaviors

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Using Contact-Based Education to Reduce Diabetes-Related Stigma Among Medical Residents in a Military Health System

2022

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Introduction Healthcare provider-related stigma against patients with diabetes is associated with worse doctor–patient relationships and patient self-care. A previous feasibility study showed benefit in using a contact-based education approach to improve attitudes of medical students toward patients with diabetes. We hosted a panel of people who had personal experience with diabetes. The panel was attended by internal medicine residents in a military health system. We compared diabetes-related stigma among the residents before and after the panel. Materials and Methods Panel participants included a Black male active duty service member diagnosed with type 2 diabetes, a Black veteran with type 2 diabetes, and a White woman with two sons who have type 1 diabetes. During a 1 hour panel for medicine residents, these panelists were asked to discuss their personal experiences with diabetes, common misconceptions regarding diabetes, and what they wish healthcare providers understood about diabetes. The validated Diabetes Attitude Scale-3 (DAS-3) questionnaire, which assesses diabetes-related attitudes based on a five-point Likert scale (strongly agree = 5, strongly disagree = 1), was given to the trainees before and after the panel. The survey also collected demographic information and contained short-answer questions about personal experiences with diabetes and diabetes-related stigma. Survey responses were linked with identifier questions to preserve anonymity. Results Twelve participants completed both the pre- and post-panel survey. Seven were female (58%), 10 were White (83%), and eight were from suburban communities (67%). Mean scores improved for all five DAS-3 subscales scores, with the largest improvement in the Patient Autonomy subscale (4.12 to 4.4), followed by Psychosocial Impact of Diabetes Mellitus (4.34 to 4.56), Seriousness of Non-Insulin Dependent Diabetes Mellitus (4.27 to 4.44), Need for Special Training (4.52 to 4.68), and Value of Tight Control (4.07 to 4.10). Conclusions Contact-based education can be considered as a tool for reducing diabetes-related stigma among medical trainees.

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Bias and discrimination against men with overweight in the military

Cited by 4 publications

References 40 publications

Utilization of antiobesity medications within the Military Health System

Utilization of antiobesity medications within the Military Health System

Gender similarities and differences in associations between weight discrimination, shape/weight concerns, and eating disorder symptoms among post-9/11 veterans

Using Contact-Based Education to Reduce Diabetes-Related Stigma Among Medical Residents in a Military Health System

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