Weight Stigma and Barriers to Effective Obesity Care

Gastroenterol Clin North Am. 2023 Jun;52(2):417-428. doi: 10.1016/j.gtc.2023.02.002. Epub 2023 Apr 7.

Abstract

Weight stigma is prevalent with negative consequences for health and well-being. This problem is present in health care; stigmatizing attitudes toward patients with obesity are expressed by medical professionals across diverse specialties and patient care settings. This article summarizes the ways in which weight stigma creates barriers to effective care, including poor patient-provider communication, reduced quality of care, and healthcare avoidance. Priorities for stigma reduction in healthcare are discussed, with a clear need for multifaceted approaches and inclusion of people with obesity whose perspectives can inform strategies to effectively remove bias-related barriers to patient care.

Keywords: Attitude; Barrier; Communication; Health care; Obesity; Stigma reduction; Weight stigma.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care
  • Humans
  • Obesity / therapy
  • Social Stigma
  • Stereotyping*
  • Weight Prejudice*