weight stigma

Question 1

what is weight stigma

Answer 1

societal disapproval of existing in a body that is perceived to have too much fat

Question 2

manifestations of weight stigma

Answer 2

assigned role in society
lack of literal and figurative space
mental and physical health consequences
unequal access to healthcare

Question 3

fatness: public health concern

Answer 3

obesity epidemic
war on obesity
obesity crisis

Question 4

fatness: in the media

Answer 4

supporting character
unintelligent, lack confidence
transforms to happy person afte weight loss
maternal, nurturing, jolly

Question 5

3 systemic effects of weight stigma

Answer 5

• legal discrimination against employment and education
• persuasive issue in healthcare
• public health messages, increase prejudice

Question 6

individual effects of weight stigma

Answer 6

• body dissatisfaction
• increased risk for depression, anxiety, suicidal ideation
• low self esteem
• less engagement in physical activity
• increased prevalence of binge eating
• increased caloric consumption
• heath care avoidance
• increases risk of mortality by 60%

Question 7

psychological effects of weight stigma

Answer 7

• elevated glycemic parameters and C-reactive protein in large, longitudinal studies
• sustained cortisol secretion
• allostatic load is the cumulative adverse adaption of multiple physiological systems in response to chronic stressors
• perceived weight discrimination as chronic stressor

Question 8

perceived weight discrimination as chronic stressors

Answer 8

doubles the 10-year risk of high allostatic load
mostly strong associated with lipid/metabolic dysregulation, glucose metabolism, and markers of inflammation

Question 9

weight stigma in research

Answer 9

medicine has historically contributed to oppression
limitations of relying on research
academia is a gatekeeper
learn from fat individuals

Question 10

aggressions

Answer 10

macroaggression
microaggression
strains on personal, professional, and therapeutic relationships

Question 11

pyramid of fat oppression
top to bottom

Answer 11

• feelings of disgust, explicit weight stigma
• concern trolling, large bodies are a public health concern
• sensationalizes fat people “you are so brave” “you aren’t fat, you have fat”
• Lisa Frank BoPo, embraces body positivity while rejecting fat positivity
• embraces fat positivity, fat activism is too extreme, centers thin voices

Question 12

making physical space for fat people

Answer 12

• maintaining eye contact
• terminology to describe large bodies
• chairs, magazines, images
• interdisciplinary team
• zero tolerance policy on derogatory comments about bodies
• interpret research critically
  -uplift voices of fat providers

Question 13

create figurative space for fat people

Answer 13

• redefine “good bodies”
• examine your thoughts about fatness as it relates to your body
• exposure to fat people outside of work
• grieving the thin ideal

Question 14

tips for weight stigma reduction

Answer 14

• continuously re-examine your privilege
• remember that bodies change
• communicate with your clients
• share these messages with your colleagues
• stay curious
• not just for fat people