Changes in Weight Bias and Perceived Employability Following Weight Loss and Gain

Carels, Robert A.; Rossi, James; Borushok, Jessica; Taylor, Maija B.; Kiefner‐Burmeister, Allison; Cross, Nicole; Hinman, Nova; Burmeister, Jacob M.

doi:10.1007/s11695-014-1522-5

Cited by 11 publications

(14 citation statements)

References 9 publications

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“…Unrealistic goals might also lead to disappointments when goals cannot be reached, and, in the worst case, this could provoke weight regain due to maladaptive eating patterns or eating disorders that arise from frustration and psychological distress [66] resulting in even more negative psychological consequences [67]. Moreover, research has shown that even weight reduction methods that can lead to greater weight loss, such as bariatric or metabolic surgery, can bring out stigmatization in response to choosing this particular method [68,69,70]. One possible psychological effect of not meeting one's (unrealistic) goals or expectations might be that it is interpreted as failure by the patients themselves, doubling the internalized stigma, such as ‘I never put in enough effort'.…”

Section: Discussionmentioning

confidence: 99%

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

et al. 2017

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Aim: Currently, health care professionals plead for stabilization of weight and improving health conditions rather than focusing on weight loss only. Individuals with obesity have been shown to report weight loss goals that are much higher than what has been suggested by guidelines. The aim was to determine whether weight discrimination and body dissatisfaction have an impact on how much weight an individual with obesity wants to lose. Methods: In this representative telephone survey, 878 participants with obesity were asked about their experiences with weight stigma, their body image concerns, and about the amount of weight they would like to weigh using random digital dialing and Kish selection grid to ensure random selection of participants. Results: Regression analysis reveals that being female, having a higher BMI, being younger, and trying to lose weight was related to a greater discrepancy between current weight and desired weight. The discrepancy between current weight and desired weight was greater when participants reported discrimination due to their weight as well as internalized stigma and body image concerns. Conclusion: Independent on the weight loss method, treating obesity should include realistic weight loss goals without being affected by social pressure or weight stigma, especially since stigma can result in further weight gain and decline health issues related to obesity and overweight.

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Section: Discussionmentioning

confidence: 99%

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

et al. 2017

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“…depression and disordered eating). Participants in this study had experienced weight‐based stigma and discrimination including that related to having received bariatric surgery – a finding recently reported in the literature . Health professionals are encouraged to consider how their practice may be perpetuating weight‐based stigma and discrimination and the consequences of this.…”

Section: Discussionmentioning

confidence: 99%

“…ª 2015 The Authors. Health Expectations Published by John Wiley & Sons Ltd.Health Expectations, 20, pp [35]…”

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confidence: 99%

What are the support experiences and needs of patients who have received bariatric surgery?

Sharman

Hensher²,

Wilkinson

et al. 2015

Health Expectations

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ObjectiveTo explore the support needs and experiences of patients who had received publicly or privately funded bariatric surgery and the importance of this support in mediating outcomes of surgery.MethodsSeven semi‐structured focus groups were conducted. A broad interview schedule guided the discussions which were audio‐recorded and transcribed verbatim. Data were analysed thematically.ResultsTwenty‐six women and 15 men with a mean age of 54 years (range 24–72) participated in the study. Participants described support needs from health professionals, significant others (family and friends), peers (bariatric surgery recipients) and the general community. Peer, dietetic and psychological support were identified as important factors influencing the outcomes (e.g. weight reduction or health improvement) or experience of bariatric surgery but were identified as infrequently received or inadequately provided. Psychological support was proposed as one of the most significant but commonly overlooked components of care. Support needs appeared higher in the first year post‐surgery, when subsequent related or unrelated surgeries were required and following significant life change such as worsening health. For some participants, deficits in support appeared to negatively influence the experience or outcomes of surgery.ConclusionProviders of bariatric surgery should discuss support needs and accessibility regularly with patients especially in the first year post‐surgery and following significant change in a patient's life (e.g. declined health or childbirth). Nutrition, psychological and peer support (e.g. through support groups) may be especially important for some patients.

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“…This perspective often includes researchers from fields such as health care and psychology, who identify weight bias as a prevalent social issue in need of further understanding [ 23 ]. Much of the research from this perspective has focused on documenting the prevalence of weight bias and discrimination within life domains (e.g., employment) [ 6 ] and among health care professionals and preprofessionals [ 4 , 24 ]. Researchers have also examined the association of weight bias with other attitudes, such as racism and physical appearance concerns, as well as fundamental beliefs that serve as the basis for a political, economic, or social system [ 1 , 25 ].…”

Section: Differing Perspectives Of Weight Biasmentioning

confidence: 99%

“…Individuals who live in large bodies are stereotypically characterized as being lazy, sloppy, weak-willed, physically and sexually unattractive, and gluttonous [ 3 ]. Research has documented weight bias in the attitudes of health care professionals [ 4 ], success in education [ 5 ], hiring practices in the workforce [ 6 ], interpersonal relationships of individuals with large bodies [ 7 ], and the influence of the media on weight bias [ 8 ]. Research has also documented numerous physical and psychological health consequences of weight bias, including, but not limited to, increased stress [ 9 ], decreased motivation to engage in physical activity [ 10 ], increased binge-eating behaviour [ 11 ], and depression [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Positioning of Weight Bias: Moving towards Social Justice

et al. 2016

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Weight bias is a form of stigma with detrimental effects on the health and wellness of individuals with large bodies. Researchers from various disciplines have recognized weight bias as an important topic for public health and for professional practice. To date, researchers from various areas have approached weight bias from independent perspectives and from differing theoretical orientations. In this paper, we examined the similarities and differences between three perspectives (i.e., weight-centric, non-weight-centric (health-centric), and health at every size) used to understand weight bias and approach weight bias research with regard to (a) language about people with large bodies, (b) theoretical position, (c) identified consequences of weight bias, and (d) identified influences on weight-based social inequity. We suggest that, despite differences, each perspective acknowledges the negative influences that position weight as being within individual control and the negative consequences of weight bias. We call for recognition and discussion of weight bias as a social justice issue in order to change the discourse and professional practices extended towards individuals with large bodies. We advocate for an emphasis on social justice as a uniting framework for interdisciplinary research on weight bias.

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Changes in Weight Bias and Perceived Employability Following Weight Loss and Gain

Abstract: Surgical weight loss had a significant impact on personality judgments. These negative views extended to hiring decisions.

Cited by 11 publications

References 9 publications

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

Impact of Weight-Related Discrimination, Body Dissatisfaction and Self-Stigma on the Desire to Weigh Less

What are the support experiences and needs of patients who have received bariatric surgery?

Positioning of Weight Bias: Moving towards Social Justice

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