scholarly journals “I Feel Like Less of a Mom”: Experiences of Weight Stigma by Association among Mothers of Children with Overweight and Obesity

2020 ◽  
Author(s):  
Jenna C. Gorlick ◽  
Claire V. Gorman ◽  
Heidi M. Weeks ◽  
Arielle T. Pearlman ◽  
Natasha A. Schvey ◽  
...  
2020 ◽  
Author(s):  
Jenna Gorlick ◽  
Claire Gorman ◽  
Heidi M. Weeks ◽  
Arielle Pearlman ◽  
Natasha Schvey ◽  
...  

Background: Parents of children with high weight are often the target of blame and shaming. However, this form of stigma, termed weight stigma by association, is poorly understood.Objective: To investigate the sources, forms, and impacts of weight stigma by association among mothers of children with overweight or obesity. Methods: Mothers of 5 to 16-year-old children (N=34; 54% non-Hispanic White) participated in semi-structured interviews. A coding scheme was developed using the constant comparative method and reliably applied to interview transcripts. Mothers’ self-reported sociodemographic information, and height and weight were measured.Results: Family members were a common source of negative comments to parents about children’s weight; these comments were often critical of mothers’ parenting and caused hurt feelings and family estrangement. Many mothers also reported negative feelings about their children’s physicians due to interactions about their children’s weight. Almost all mothers expressed guilt and sadness for not parenting differently; many internalized beliefs that they were bad parents because of their children’s weight. Conclusion: Mothers of children with overweight and obesity are frequently the target of weight stigma by association. Additional research is needed to elucidate the impacts of this form of stigma on parents’ health, the parent/child relationship, and children’s health.


Author(s):  
Emily Panza ◽  
KayLoni Olson ◽  
Carly M. Goldstein ◽  
Edward A. Selby ◽  
Jason Lillis

Sexual minority women are disproportionately impacted by obesity yet are underrepresented in weight stigma research. This Ecological Momentary Assessment (EMA) study is a secondary analysis that aimed to elucidate the frequency and contextual characteristics of perceived experiences of lifetime and momentary weight stigma among sexual minority women with overweight/obesity. Participants were 55 sexual minority women ages 18–60 with a body mass index ≥25 kg/m2. Perceived lifetime weight stigma events were assessed at baseline. For the subsequent five days, participants used a smartphone to complete five daily, random EMA prompts assessing the frequency/characteristics of perceived weight stigma events in daily life. All participants reported at least one lifetime weight stigma event. During the EMA period, participants reported 44 momentary weight stigma events (M = 0.80), with 24% of participants reporting at least one event. During most instances of weight stigma, women perceived the stigma’s cause to be their weight and another minority identity (e.g., sexual orientation). Findings showing high rates of perceived lifetime weight stigma in this sample and frequent co-occurrence of perceived weight stigma with stigma due to other marginalized identities in daily life underscore the need for future, larger studies investigating weight stigma through an intersectional lens in sexual minority women with overweight/obesity.


2020 ◽  
Vol 34 (4) ◽  
pp. 336-357
Author(s):  
Yvette N. Forbes ◽  
Robyn L. Moffitt ◽  
Marieke Van Bokkel ◽  
Caroline L. Donovan

ObjectiveThe aim of this study was to develop a 2-day intensive-format, Compassion-Focused Therapy (CFT) based group program targeting weight stigma in women with overweight and obesity, and to conduct a pilot study to determine the feasibility and acceptability of the intervention.MethodParticipants were 15 females aged 18–62 years (mean [M] = 43.60, standard deviation [SD] = 12.38), who participated in the program and completed measures of self-compassion, internalized weight stigma, psychological distress, life-satisfaction, loneliness, eating self-efficacy, body dissatisfaction, and body shame, at pre-treatment, post-treatment, and 3-month follow-up.ResultsSignificant improvements were found from pre-treatment to post-treatment for self-compassion and internalized weight stigma, with gains maintained at 3-month follow-up. Significant improvements were also found on measures of psychological distress, life satisfaction, loneliness, eating self-efficacy, and body dissatisfaction at the post-treatment assessment. Credibility ratings of the program were high.ConclusionsThis study has contributed to existing stigma research, being the first proof-of-concept study to demonstrate support for an intensive, CFT based group approach targeting the effects of weight stigma for women with overweight and obesity. The findings are discussed in terms of the potential of CFT to assist women develop resilience to the harmful effects of weight stigma, and possible future research directions to further develop and evaluate this approach.


Author(s):  
Ya-Ke Wu ◽  
Diane C. Berry ◽  
Todd A. Schwartz

Weight stigma and binge eating have been found to be associated in Western populations; however, this relationship is understudied among Asian Americans. The aims of the study were to (1) investigate the prevalence of binge eating and its relationship with experienced weight stigma in higher-weight Asian Americans, and (2) examine whether the level of acculturation moderates this relationship. Data were collected from a cross-sectional study with 166 higher-weight Asian American adults living in North Carolina, United States. Demographic data, the frequency of experiencing weight stigma, the severity of binge eating, the levels of acculturation, the perceived racism against Asians, and perceived stress were assessed via self-reported questionnaires. The results indicated that experienced weight stigma was a significant independent predictor over and above the effects of other stressors, such as racism and general stress. The level of acculturation did not influence the relationship between the experienced weight stigma and binge eating after adjusting for relevant covariates. Our findings contribute to the limited literature examining weight stigma and binge eating among Asian American populations, highlighting that higher levels of experienced weight stigma are associated with a greater degree of binge eating.


2019 ◽  
Vol 6 (1) ◽  
pp. 205510291982927 ◽  
Author(s):  
Ya-Ke Wu ◽  
Diane C Berry ◽  
Todd A Schwartz

Weight stigma is a pervasive problem for Americans, but little is known about its impact on the health of Asian Americans. Authors examined the relationship between weight stigma and cortisol and whether acculturation moderated this relationship. Asian Americans ( n = 166) with overweight or obesity completed questionnaires and provided a 50-mg hair sample to assay cortisol. Results revealed a negative correlation between weight stigma and cortisol. However, this was no longer significant after controlling of relevant covariates. The level of acculturation did not significantly moderate this relationship. The non-significant relationships among weight stigma, cortisol, and acculturation are discussed along with future directions.


2017 ◽  
Vol 2 (4) ◽  
pp. 292-306 ◽  
Author(s):  
Natasha A. Schvey ◽  
Tracy Sbrocco ◽  
Jennifer L. Bakalar ◽  
Rachel Ress ◽  
Marissa Barmine ◽  
...  

2017 ◽  
Vol 2 (4) ◽  
pp. 281-291 ◽  
Author(s):  
Natasha A. Schvey ◽  
Marissa Barmine ◽  
Dawn Bates ◽  
Kendra Oldham ◽  
Jennifer L. Bakalar ◽  
...  

2016 ◽  
Vol 96 (6) ◽  
pp. 865-875 ◽  
Author(s):  
Jenny Setchell ◽  
Bernadette M. Watson ◽  
Micheal Gard ◽  
Liz Jones

Background How people think and talk about weight is important because it can influence their behavior toward people who are overweight. One study has shown that physical therapists have negative attitudes toward people who are overweight. However, how this finding translates into clinical practice is not well understood. Investigating physical therapists' ways of thinking and speaking about overweight and obesity in the context of their work can provide insight into this underresearched area. Objectives The purpose of this study was to investigate physical therapists' ways of talking about overweight individuals and discuss clinical implications. Design An interpretive qualitative design was used. Methods The research team used discourse analysis, a type of inductive qualitative methodology, to guide data collection and analysis. The data came from 6 focus groups of 4 to 6 physical therapists in Queensland, Australia, who discussed weight in a physical therapy environment. Participants (N=27) represented a variety of physical therapy subdisciplines. Results Data analysis identified 4 main weight discourses (ways of thinking and speaking about weight). Participants described patients who are overweight as little affected by stigma and difficult to treat. Furthermore, participants portrayed weight as having simple causes and being important in physical therapy. Alternate weight discourses were less frequent in these data. Conclusions The results indicated that some physical therapists' understandings of weight might lead to negative interactions with patients who are overweight. The findings suggest physical therapists require more nuanced understandings of: how patients who are overweight might feel in a physical therapy setting, the complexity of causes of weight, and possible benefits and disadvantages of introducing weight-management discussions with patients. Therefore, education should encourage complex understandings of working with patients of all sizes, including knowledge of weight stigma.


Author(s):  
Kristen M. Lee ◽  
Lauren Arriola-Sanchez ◽  
Julie C. Lumeng ◽  
Ashley Gearhardt ◽  
A. Janet Tomiyama

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