Knowledge gaps and weight stigma shape attitudes toward obesity

O’Keeffe, Majella; Flint, Stuart W.; Watts, Krista; Rubino, Francesco

doi:10.1016/s2213-8587(20)30073-5

Cited by 48 publications

(39 citation statements)

References 9 publications

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“…Among the 5,623 participants in a recent multi-national research survey (the ASK study), higher weight stigma was associated with lower prioritization of spending on obesity research 44 . There are also several ways in which stigma can hinder support of research and scientific advances.…”

Section: Weight Bias and Researchmentioning

confidence: 99%

Joint international consensus statement for ending stigma of obesity

Rubino

Puhl

Cummings

et al. 2020

Nat Med

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677

605

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People with obesity commonly face a pervasive, resilient form of social stigma. They are often subject to discrimination in the workplace as well as in educational and healthcare settings. Research indicates that weight stigma can cause physical and psychological harm, and that affected individuals are less likely to receive adequate care. For these reasons, weight stigma damages health, undermines human and social rights, and is unacceptable in modern societies. To inform healthcare professionals, policymakers, and the public about this issue, a multidisciplinary group of international experts, including representatives of scientific organizations, reviewed available evidence on the causes and harms of weight stigma and, using a modified Delphi process, developed a joint consensus statement with recommendations to eliminate weight bias. Academic institutions, professional organizations, media, public-health authorities, and governments should encourage education about weight stigma to facilitate a new public narrative about obesity, coherent with modern scientific knowledge.

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Section: Weight Bias and Researchmentioning

confidence: 99%

Joint international consensus statement for ending stigma of obesity

Rubino

Puhl

Cummings

et al. 2020

Nat Med

Self Cite

677

605

View full text Add to dashboard Cite

show abstract

“…8. Obesity stigma: It is increasingly recognized that obesity stigma is very common within the healthcare system and is a barrier to healthcare delivery [81,82]. In 2018, the UK All-Party Parliamentary Group on Obesity reported that only 26% of people with obesity reported being treated with dignity and respect by healthcare professionals when seeking advice or treatment for their obesity, while 42% did not feel comfortable talking to their GP about their obesity [83].…”

mentioning

confidence: 99%

Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy

et al. 2020

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Purpose of the Review Pathways for obesity prevention and treatment are well documented, yet the prevalence of obesity is rising, and access to treatment (including bariatric surgery) is limited. This review seeks to assess the current integrated clinical pathway for obesity management in England and determine the major challenges. Recent Findings Evidence for tier 2 (community-based lifestyle intervention) and tier 3 (specialist weight management services) is limited, and how it facilitates care and improve outcomes in tier 4 remains uncertain. Treatment access, rigidity in pathways, uncertain treatment outcomes and weight stigma seems to be major barriers to improved care. Summary More emphasis must be placed on access to effective treatments, treatment flexibility, addressing stigma and ensuring treatment efficacy including long-term health outcomes. Prevention and treatment should both receive significant focus though should be considered to be largely separate pathways. A simplified system for weight management is needed to allow flexibility and the delivery of personalized care including post-bariatric surgery care for those who need it.

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“…First, at the patient level, this study has shown that eligible adults are more likely to have poorer educational attainment and higher deprivation indicating a form of inverse care law. Second, stigma surrounding obesity treatment and willingness or ability to meet strict criteria for accessing weight management services, or indeed capacity within these services, in England may present a barrier to uptake [12,13]. Third, studies on primary care practitioners in the UK suggest there is limited awareness of the role of metabolic surgery and perhaps even a level of bias against the provision of this treatment to patients who are obese [14].…”

Section: Discussionmentioning

confidence: 99%

Regional Variation in Unmet Need for Metabolic Surgery in England: a Retrospective, Multicohort Analysis

et al. 2020

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Metabolic surgery provision is severely limited despite extensive supportive trial evidence. This study estimated the eligible population and the unmet need for metabolic surgery within English regions. Health Survey for England, National Diabetes Audit and population estimates were used to estimate the metabolic surgery eligible population by English region. Hospital Episode Statistics data was examined for metabolic surgery procedure volume by region (2013-2019). Regression analysis examined factors associated with metabolic surgery eligibility. 7.3% of the English population is potentially eligible for metabolic surgery; equivalent to 3.21 million people. Only 0.20% of the eligible English population receive metabolic surgery per year (regional variation 0.08-0.41%). The metabolic surgery eligible population was more likely to be female, older, have fewer educational qualifications and live in more deprived areas.

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Knowledge gaps and weight stigma shape attitudes toward obesity

Cited by 48 publications

References 9 publications

Joint international consensus statement for ending stigma of obesity

Joint international consensus statement for ending stigma of obesity

Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy

Regional Variation in Unmet Need for Metabolic Surgery in England: a Retrospective, Multicohort Analysis

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