Women’s Suggestions for How To Reduce Weight Stigma in Prenatal Clinical Settings

Nagpal, Taniya S.; Silva, Danilo F. da; Liu, Rebecca; Myre, Maxine; Gaudet, Laura; Cook, Jocelynn L.; Adamo, Kristi B.

doi:10.1016/j.nwh.2021.01.008

Cited by 13 publications

(46 citation statements)

References 36 publications

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“…Measurement of a wider range of health outcomes has been suggested as a method to reduce weight stigma in the clinical setting [ 56 ]. We found when discussing health and weight, women with abdominal obesity felt greater importance should be placed on emotional well-being as an influencer of health and behaviours.…”

Section: Discussionmentioning

confidence: 99%

Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial

Killeen

Byrne

Geraghty

et al. 2022

IJERPH

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Engaging women with obesity in health-related studies during preconception is challenging. Limited data exists relating to their participation. The aim of this study is to explore the experiences and opinions of women participating in a weight-related, preconception trial. This is an explanatory sequential (quan-QUAL) mixed-methods Study Within A Trial, embedded in the GetGutsy randomized controlled trial (ISRCTN11295995). Screened participants completed an online survey of eight questions (single or multiple choice and Likert scale) on recruitment, motivations and opinions on study activities. Participants with abdominal obesity (waist circumference ≥ 80cm) were invited to a subsequent semi-structured, online focus group (n = 2, 9 participants) that was transcribed and analyzed using inductive thematic analysis, with a pragmatic epistemological approach. The survey (n = 102) showed the main research participation motivations were supporting health research (n = 38, 37.3%) and wanting health screening (n = 30, 29.4%). Most participants were recruited via email (n = 35, 34.7%) or social media (n = 15, 14.7%). In the FGs, participants valued flexibility, convenience and. research methods that aligned with their lifestyles. Participants had an expanded view of health that considered emotional well-being and balance alongside more traditional medical assessments. Clinical trialists should consider well-being, addressing the interconnectedness of health and incorporate a variety of research activities to engage women of reproductive age with obesity.

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Section: Discussionmentioning

confidence: 99%

Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial

Killeen

Byrne

Geraghty

et al. 2022

IJERPH

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“…cation, individualized care regarding weight, and reduced focus on body weight by focusing on comorbidities and other health indicators. 6 For example, gestational weight gain is a key topic of conversation. Because weight bias is so pervasive, patients are likely to enter clinical encounters expecting their providers to be biased, making these patients particularly sensitive to the words and actions of their care providers.…”

Section: Effective Bias Interventions Mustmentioning

confidence: 99%

“…On top of these medical risks, pregnant patients with obesity are subject to stigma and bias from society and healthcare providers, which also can be damaging to maternal health and wellbeing. 6,7 According to the Pregnancy Risk Assessment Monitoring System, 25.3% of US females have obesity prior to conception. 8 Differences are seen across racial groups in the rate of obesity both before and during pregnancy, and populations of color have a higher incidence of obesity Providing bias-informed and evidence-based care for pregnant persons with obesity…”

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confidence: 99%

Providing bias-informed and evidence-based care for pregnant persons with obesity

Solis¹,

Muñoz²,

Delaney³

2022

WHC

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“…Pregnant individuals may have different experiences of weight stigma from those who are not pregnant, due to physiological adaptations (e.g., GWG), specific weight gain expectations, and social norms surrounding pregnancy (e.g., maternal health behaviour expectations and pregnant body ideals) [3]. Previous studies on prenatal weight stigma identified that stigmatizing comments are often based on the amount of weight gained during pregnancy, with individuals who have gained excessively reporting receiving judgement about their behaviours (i.e., assuming they are eating too much and not exercising) in healthcare and social settings [22][23][24][25][26]. Pregnant individuals have also emphasized feeling contradictory weight-related pressures in pregnancy such as to be "slender" while still gaining weight only in certain areas of the body [27].…”

Section: Open Accessmentioning

confidence: 99%

Exploring weight bias internalization in pregnancy

Nagpal

Salas

Vallis

et al. 2022

BMC Pregnancy Childbirth

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Background Recent research has shown that pregnant individuals experience weight stigma throughout gestation, including negative comments and judgement associated with gestational weight gain (GWG). Weight bias internalization (WBI) is often a result of exposure to weight stigma and is detrimental to biopsychological health outcomes. The purpose of this study was to explore WBI in pregnancy and compare scores based on maternal weight-related factors including pre-pregnancy body mass index (BMI), obesity diagnosis and excessive GWG. Methods Pregnant individuals in Canada and USA completed a modified version of the Adult Weight Bias Internalization Scale. Self-reported pre-pregnancy height and weight were collected to calculate and classify pre-pregnancy BMI. Current weight was also reported to calculate GWG, which was then classified as excessive or not based on Institute of Medicine (2009) guidelines. Participants indicated if they were diagnosed with obesity by a healthcare provider. Inferential analyses were performed comparing WBI scores according to pre-pregnancy BMI, excessive GWG, and obesity diagnosis. Significance was accepted as p < 0.05 and effect sizes accompanied all analyses. Result 336 pregnant individuals completed the survey, with an average WBI score of 3.9 ± 1.2. WBI was higher among those who had a pre-pregnancy BMI of obese than normal weight (p = 0.04, η2 = 0.03), diagnosed with obesity than not diagnosed (p < 0.001, Cohen’s d = 1.3), and gained excessively versus not (p < 0.001, Cohen’s d = 1.2). Conclusions Pregnant individuals who have a higher BMI, obesity and gain excessively may experience WBI. Given that weight stigma frequently occurs in pregnancy, effective person-oriented strategies are needed to mitigate stigma and prevent and care for WBI.

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Women’s Suggestions for How To Reduce Weight Stigma in Prenatal Clinical Settings

Cited by 13 publications

References 36 publications

Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial

Recruiting and Engaging Women of Reproductive Age with Obesity: Insights from A Mixed-Methods Study within A Trial

Providing bias-informed and evidence-based care for pregnant persons with obesity

Exploring weight bias internalization in pregnancy

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