Primum Non Nocere: Obesity Stigma and Public Health
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Several recent anti-obesity campaigns appear to embrace stigmatization of obese individuals as a public health strategy. These approaches seem to be based on the fundamental assumptions that (1) obesity is largely under an individual’s control and (2) stigmatizing obese individuals will motivate them to change their behavior and will also result in successful behavior change. The empirical evidence does not support these assumptions: Although body weight is, to some degree, under individuals’ personal control, there are a range of biopsychosocial barriers that make weight regulation difficult. Furthermore, there is accumulating evidence that stigmatizing obese individuals decreases their motivation to diet, exercise, and lose weight. Public health campaigns should focus on facilitating behavioral change, rather than stigmatizing obese people, and should be grounded in the available empirical evidence. Fundamentally, these campaigns should, first, do no harm.
KeywordsObesity Stigma Public health Health campaign
- Bauer, K.W., Y.W. Yang, and S.B. Austin. 2004. “How can we stay healthy when you’re throwing all of this in front of us?” Findings from focus groups and interviews in middle schools on environmental influences on nutrition and physical activity. Health Education & Behavior 31(1): 34–46.CrossRefGoogle Scholar
- Betts, M. 2010. Calling obese Australians “fat” won’t help them lose weight, say experts. Herald Sun, July 30. http://www.news.com.au/national-old/calling-obese-australians-fat-wont-help-them-lose-weight-say-experts/story-e6frfkvr-1225898789187.
- Crimin, L.A., and E.C. Pinel. 2011. Weighing our words: The impact of terminology on perception of body size and expressed prejudice. Poster session presented at the annual meeting of The Society for Personality and Social Psychology, January 27–29, in San Antonio, Texas.Google Scholar
- Dansinger, M.L., J.A. Gleason, J.L. Griffith, H.P. Selker, and E.J. Schaefer. 2005. Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: A randomized trial. The Journal of the American Medical Association 293(1): 43–53.CrossRefGoogle Scholar
- Lake, A., and T. Townshend. 2006. Obesogenic environments: Exploring the built and food environments. Perspectives in Public Health 126(6): 262–267.Google Scholar
- Puhl, R., J.L. Peterson, and J. Leudicke. 2012a. Motivating or stigmatizing? Public perceptions of weight-related language used by health providers. International Journal of Obesity. doi: 10.1038/ijo.2012.110.
- Puhl, R., J.L. Peterson, and J. Leudicke. 2012b. Fighting obesity or obese persons? Public perceptions of obesity-related health messages. International Journal of Obesity. doi: 10.1038/ijo.2012.156.
- Smyth, J., and K. Heron. 2011. Health psychology. In Handbook of research methods for studying daily life, ed. M. Mehl and T. Conner, 569–584. New York: Guilford.Google Scholar
- Triggle, N. 2010. NHS should use term fat instead of obese, says minister. BBC News, July 28. http://www.bbc.co.uk/news/uk-10789553.
- World Health Organization. 2012. Obesity and overweight. http://www.who.int/mediacentre/factsheets/fs311/en/index.html. Accessed October 3, 2012.