Stigmatization of Overweight Mexican Children

  • Montserrat Bacardi-Gascón
  • Maria Juana Leon-Reyes
  • Arturo Jiménez-Cruz
Original Empirical Research


The present study was designed to determine the weight-based stigmatization of Mexican overweight (OW) and non-OW children by their mothers and peers, who rated both boys and girls with varying physical characteristics. Four hundred and thirty-two fifth and sixth graders and 342 mothers participated in the study. Children were administered a questionnaire displaying six drawings. Participants’ responses were numbered in order of preference from 1 to 6 (most to least well liked). Participants were divided into categories based on socioeconomic status, ethnicity, and current body mass index. The majority of children chose the child in a wheelchair as the preferred friend. Boys and girls, Indian and non-Indian, with and without risk of OW chose the obese peer as the least-preferred friend. Non-OW girls and their mothers liked the obese child less than non-OW boys and their mothers. Agreement correlations between mothers and children were rho = 0.19 (P = 0.0001), rho = 0.17 (P = 0.001), and rho = 0.13 (P = 0.02) for the healthy child, child with missing arm, and obese child, respectively. There was a strong correlation between Indian mothers and non-OW daughters (rho = 0.54, P = 0.009) on choosing the drawing of the obese child as the least preferred friend. These data suggest an influential effect of the negative attitude of mothers toward the obese child, which are projected to their children.


Childhood obesity Stigmatization Discrimination Overweight Mexican children 


  1. 1.
    Ribera J, Villalpando S, Shamah T (2001) Encuesta Nacional de Nutrición 1999. Instituto Nacional de Salud Pública, Cuernavaca, pp 180Google Scholar
  2. 2.
    Jiménez-Cruz A, Bacardi-Gascon M, Spindler A (2003) Obesity and hunger among Mexican-Indian children on the US-Mexico border. Int J Obes 27(6):740–747CrossRefGoogle Scholar
  3. 3.
    Jiménez-Cruz A, Bacardi-Gascon M (2004) The fattening burden of type 2 diabetes to Mexicans: projections from early growth to adulthood. Diabetes Care 27(5):1190–1193CrossRefGoogle Scholar
  4. 4.
    Crocker J, Major B (1989) Social stigma and self-esteem: the self-protective properties of stigma. Psychol Rev 96:608–630CrossRefGoogle Scholar
  5. 5.
    Puhl RM, Brownell KD (2003) Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias. Obes Rev 4:213–227PubMedCrossRefGoogle Scholar
  6. 6.
    Strauss RS (2000) Childhood obesity and self-esteem. Pediatrics 105(1):1–5CrossRefGoogle Scholar
  7. 7.
    Myers A, Rosen JC (1999) Obesity stigmatization and coping: relation to mental health symptoms, body image, and self-esteem. Int J Obes 23:221–230CrossRefGoogle Scholar
  8. 8.
    Latner JD, Stunkard AJ (2003) Getting worse: the stigmatization of obese children. Obes Res 11(3):452–456PubMedGoogle Scholar
  9. 9.
    Kraig KA, Keel PK (2001) Weight-based stigmatization in children. Int J Obes 25:1661–1666CrossRefGoogle Scholar
  10. 10.
    Castellon-Zaragoza A, Bacardí-Gascón M, Jiménez-Cruz A (2004) Perception of healthy and obese Mexican teenagers towards their obese peers. Obes Res A72(12):274Google Scholar
  11. 11.
    Latner JD, Stunkard AJ, Wilson T (2005) Stigmatized students: age, sex, and ethnicity effects in the stigmatization of obesity. Obes Res 13(7):1226–1231PubMedGoogle Scholar
  12. 12.
    Puhl RM, Brownell KD (2001) Bias, discrimination, and obesity. Obes Res 9(12):788–805PubMedGoogle Scholar
  13. 13.
    Flynn KJ, Fitzgibbon M (1998) Body images and obesity risk among black females: a review of the literature. Ann Behav Med 20:13–24PubMedGoogle Scholar
  14. 14.
    Stevens J, Kumanyika SK, Keil JE (1994) Attitudes toward body size and dieting: differences between elderly black and white women. Am J Public Health 84:1322–1325PubMedCrossRefGoogle Scholar
  15. 15.
    Bhuiyan AR, Gustat J, Srinivasan SR, Berenson GS (2003) Differences in body shape representations among young adults from a biracial (Black-White), semirural community: the Bogalusa Heart Study. Am J Epidemiol 158:792–797PubMedCrossRefGoogle Scholar
  16. 16.
    Paeratakul S, White MA, Williamson DA, Ryan DH, Bray GA (2000) Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res 10(5):345–350Google Scholar
  17. 17.
    Guinn B, Semper, Jorgensen L, Skaggs S (1997) Body image perception in female Mexican-American adolescents. J School Health 67(3):112–125PubMedCrossRefGoogle Scholar
  18. 18.
    Harris MB, Smith SD (1983) The relationship of age, sex, ethnicity, and weight to stereotypes of obesity and self perception. Int J Obes 7(4):361–371PubMedGoogle Scholar
  19. 19.
    Wang SS, Brownell KD, Wadden TA (2004) The influence of the stigma of obesity on overweight individuals. Int J Obes 28:1333–1337CrossRefGoogle Scholar
  20. 20.
    INEGI. access October 21, 2005Google Scholar
  21. 21.
    Richardson SA, Goodman N, Hastorf AH, Dornbusch SM (1961) Cultural uniformity in reaction to physical disabilities. Am Sociol Rev 26:241–247CrossRefGoogle Scholar
  22. 22.
    Baranowski T, Cullen K, Nicklas T, Thompson D, Baranowski J (2003) Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obes Res 11:23S–43SPubMedCrossRefGoogle Scholar
  23. 23.
    Maddox GL, Back KW, Liederman WR (1968) Overweight as social deviance and disability. J␣Health Soc Behav 9:287–298PubMedCrossRefGoogle Scholar
  24. 24.
    Jarvie GJ, Lahey BB, Graziana W, Farmer E (1983) Childhood obesity and social stigma: what we know and what we don’t know. Dev Rev 3:237–273CrossRefGoogle Scholar
  25. 25.
    Rand CSW, Wright BA (2000) Continuity and change in the evaluation of ideal and acceptable body sizes across a wide age span. In J Eat Disord 28:90–100CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Montserrat Bacardi-Gascón
    • 1
  • Maria Juana Leon-Reyes
    • 1
  • Arturo Jiménez-Cruz
    • 1
  1. 1.Nutrition Program, Medical SchoolUniversidad Autonoma de Baja California TijuanaMexico

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