Inequities in Healthcare: A Review of Bias and Discrimination in Obesity Treatment

  • Mary Forhan
    Correspondence
    Address for correspondence: Mary Forhan, PhD, University Health Network, Toronto Rehabilitation Institute, Toronto, Ontario T6G 2G4, Canada.
    Affiliations
    University Health Network, Toronto Rehabilitation Institute, Toronto, Ontario, Canada

    Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Corbett Hall, Edmonton, Alberta, Canada
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  • Ximena Ramos Salas
    Affiliations
    Centre for Health Promotion Studies, University of Alberta, School of Public Health, Edmonton, Alberta, Canada
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      A b s t r a c t

      This review is based on an exploration of the published literature over the past 20 years in the area of weight bias, stigma and discrimination and its association with obesity treatment. National and international obesity organizations have identified obesity stigma as a key barrier to effectively addressing the obesity epidemic and have called for theory driven interventions to reduce it. Both the Canadian Obesity Network (http://www.obesitynetwork.ca) and the Obesity Society (http://www.obesity.org) have strategic directions, mission statements and collaborations that strongly oppose weight bias and recognize the potential of such bias to negatively impact obesity treatment. Comprehensive reviews of the literature in the area of weight bias have been published and have subsequently raised awareness of the potential impact of weight bias and discrimination on the health and well-being of individuals living with obesity. The purpose of this review is to highlight drivers of weight bias and to discuss its impact on obesity treatment.

      R é s u m é

      Cette revue s'appuie sur une exploration de la littérature publiée au cours des 20 dernières années en matière de préjugés, de honte et de discrimination liés au poids, et leur lien avec le traitement de l'obésité. Les organisations nationales et internationales sur l'obésité ont considéré la honte de l'obésité comme l'obstacle majeur à une lutte efficace contre l'épidémie d'obésité et ont fait appel aux interventions fondées sur la théorie pour la réduire. Le Réseau canadien en obésité (http://www.obesitynetwork.ca/french) et l'Obesity Society (http://www.obesity.org) ont des orientations stratégiques, des énoncés de mission et des collaborations qui s'opposent fortement aux préjugés liés au poids et reconnaissent les répercussions négatives qu'a le potentiel de ces préjugés sur le traitement de l'obésité. Des revues exhaustives de la littérature en ce qui concerne les préjugés liés au poids ont été publiées et ont subséquemment fait prendre conscience des répercussions potentielles de la discrimination et des préjugés liés au poids sur la santé et le bien-être des individus atteints d'obésité. Le but de cette revue est de mettre l'accent sur les déterminants des préjugés liés au poids et de discuter de leurs répercussions sur le traitement de l'obésité.

      Keywords

      Mots clés

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      References

      1. Canadian Obesity Network. Canadian Obesity Network—First Canadian Summit on Weight Bias and Discrimination. 2011. http://www.obesitynetwork.ca/page.aspx?menu=40&app=229&cat1=628&tp=2&lk=no.

      2. The Obesity Society. The Obesity Society: position statement on weight bias and discrimination. 2010. http://www.obesity.org/images/pdf/Publications/ps_weight_bias_4_2010.pdf.

      3. Canadian Institutes of Health Research-Canadian Obesity Network. INMD-CON Bariatric Care—Workshop Report. December 2010. http://www.cihr.ca/e/43557.html#a3.

      4. Canadian Obesity Network. Toronto Charter on Obesity and Mental Health. 2012. http://www.iaso.org/site_media/uploads/Toronto_Charter_on_Obesity_Mental_Health.pdf.

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