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HIV Status, Obesity, and Risk for Weight Stigma: Comparing Weight Stigma Experiences and Internalization Among Adults with Obesity with and Without HIV

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Abstract

Little is known about weight stigma among people living with HIV (PLWH). This study examined whether levels of perceived weight stigma experiences and internalization, assessed retrospectively and naturalistically, differed among adults with obesity based on HIV status. 50 PLWH (BMI = 35 kg/m2) and 51 adults without HIV (BMI = 36 kg/m2) completed retrospective assessments of lifetime perceived weight stigma experiences/internalization. Next, participants were invited to complete an optional 2-week Ecological Momentary Assessment study. 28 PLWH and 39 adults without HIV completed five momentary assessments of perceived weight stigma experiences/internalization daily. In covariate-adjusted models, PLWH reported 1.2–2.8 times lower frequency of lifetime and momentary perceived weight stigma experiences than adults without HIV, but levels of retrospectively- and naturalistically-assessed internalized weight stigma did not differ between groups. Findings suggest that HIV status may buffer against perceptions of weight stigma events, but not internalized weight stigma, highlighting weight stigma as an important area for future research in PLWH.

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Acknowledgements

We wish to thank study participants for devoting their time and energy to participate in this research as well as our research team for assisting with data collection, including Bianca Obiakor and Deborah Good.

Funding

This work was supported by the Dr. George A. Bray Research Scholars Award Fund, Department of Medicine, Warren Alpert Medical School of Brown University; The Miriam Hospital Immunology Center; The Providence/Boston Center for AIDS Research (CFAR; NIH Grant P30AI042853); and training grants from the National Heart, Lung, and Blood Institute (T32HL076134), the National Institute on Minority Health and Health Disparities (K23MD015092), and the National Institute of Diabetes and Digestive and Kidney Diseases (K23DK124578).

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Authors and Affiliations

  1. Weight Control and Diabetes Research Center, The Miriam Hospital, 196 Richmond Street, Providence, RI, 02903, USA

    Emily Panza, Jason Lillis, KayLoni Olson & Rena R. Wing

  2. Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA

    Emily Panza, Jason Lillis, KayLoni Olson & Rena R. Wing

  3. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA

    Jacob J. van den Berg

  4. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA

    Jacob J. van den Berg

  5. The Providence/Boston Center for AIDS Research (CFAR), Providence, RI, USA

    Jacob J. van den Berg & Karen Tashima

  6. Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA

    Jacob J. van den Berg & Karen Tashima

  7. The Miriam Hospital Immunology Center, The Miriam Hospital, Providence, RI, USA

    Karen Tashima

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  1. Emily Panza
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Contributions

EP, JL, KO, and RW contributed to the study’s conception, design, and development of aims. EP, KT, and RW had integral roles in data collection, project administration, and provision of resources. EP acquired the software and primary funding for the study, developed the study methodology, and conducted formal analysis. EP, JL, KO, JVDB, and RW contributed to writing the original draft of the manuscript, and all authors contributed to reviewing and editing the manuscript.

Corresponding author

Correspondence to Emily Panza.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

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Participants consented to the publication of their deidentified data for research purposes.

Ethical Approval

All study procedures were approved by the Institutional Review Board at the Miriam Hospital in Providence, Rhode Island. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

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Panza, E., Lillis, J., Olson, K. et al. HIV Status, Obesity, and Risk for Weight Stigma: Comparing Weight Stigma Experiences and Internalization Among Adults with Obesity with and Without HIV. AIDS Behav 26, 686–697 (2022). https://doi.org/10.1007/s10461-021-03428-0

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