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A World of Suffering? Biocultural Approaches to Fat Stigma in the Global Contexts of the Obesity Epidemic

Bibliographic Data

ID2289663
AuthorsAlexandra Brewis (0000-0003-3769-4205, Arizona State University, corresponding author), Alexandra A Brewis, A Wutich (0000-0003-4164-1632, Arizona State University)
Year2014
Volume38
Issue2
Pages269-283
Publication date2014-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAnnals of Anthropological Practice (BOOK_SERIES)
Journal identifiersISSN: 2153-957X • E-ISSN: 2153-9588
PublisherWiley (PUBLISHER • GB)
DOI10.1111/napa.12056
OpenAlexW2096857946
LanguageEN
Citations received13
References cited37

Even as obesity rates rise, weight-related stigma remains widespread in the United States and leads to many documented social, economic, and health disparities. These include lower wages, less academic achievement, social exclusion as early as childhood, psychosocial stress, depression, and additional weight gain. Recent research documents the proliferation of antifat beliefs across the globe, but we know little about how this fat stigma varies across cultures. A clearer empirical and theoretical understanding of fat stigma in cultural context is essential to gauging its likely biocultural impacts across populations. Using data from Paraguay, Bolivia, India, and students and Muslim women in the United States (N = 414 women), we show that psychometric scales suggest high levels of stated or expressed fat stigma in all these samples, capturing globalizing anti-fat norms. However, when we assess what people think implicitly through reaction-time implicit association tests, we find marked variation across sites in the degree to which people are internalizing these stigmatized ideas around obesity. In India and among U.S. university students, women tend to internalize the idea of "fat" negatively. Paraguay women present, on average, fat-neutral internalized views. In Bolivia and among Muslim women in the United States, average assessments suggest fat-positive internalized views. This indicates fat stigmatizing norms are not always internalized, even as explicit fat stigma otherwise appears to be globalizing. Our findings indicate that the proposed biocultural relationships between fat stigma and health disparities may be complex and very context specific

Context (archaeology · Developmental psychology · Geography · Globe · Obesity · Overweight · Psychiatry · Psychosocial · Sociology · Stigma (botany · Weight stigma · Demography · Eating Disorders and Behaviors · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Social Psychology · Endocrinology

  • Stigma

    Open Access•Alexandra Brewis, A Wutich•The International Encyclopedia of…•2018

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  • Racial, Gender, and Size Bias in a Medical Graphical Abstract Gallery

    Open Access•Jessica P Cerdeña, Jennifer Tsai et al.•Health Equity•2023

  • Obesity stigma as a globalizing health challenge

    Open Access•Alexandra Brewis, Cindi L Sturtzsreetharan et al.•Globalization and Health•2018

  • The role of biocultural approaches in assessing interventions for maternal weight and gestational weight gain

    Open Access•Kathryn A Hicks•American Journal of Human Biology•2020

  • Stigma

    Open Access•Alexandra Brewis, A Wutich•American Journal of Human Biology•2020

  • Building on the biocultural syntheses

    Open Access•T Leatherman, Alan H Goodman et al.•American Journal of Human Biology•2020

  • Embodied Urbanisms

    Open Access•Namita Vijay Dharia•Cultural Anthropology•2021

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    Open Access•Joseph V Hackman, Joseph Hackman et al.•Social Science & Medicine•2016

  • Data Collection in Cross-cultural Ethnographic Research

    Open Access•A Wutich, Alexandra Brewis•CAM•2019

  • Fat Is All My Fault

    Open Access•Trainer, Cindi L Sturtzsreetharan et al.•Medical Anthropology Quarterly•2022

  • Unbearable Weight

    Susan Bordo•Unbearable Weight•2003

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    Open Access•Marlene B Schwartz, Lenny R Vartanian et al.•Obesity•2006

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  • A Companion to Medical Anthropology

    Open Access•Merrill Singer, Pamela I Erickson•Companion to Medical Anthropology•2011

  • Explicit versus implicit fat‐stigma

    Open Access•Alexandra Brewis, Alexandra A Brewis et al.•American Journal of Human Biology•2012

  • Negotiating weight and body image in the UAE

    Open Access•Trainer, Sarah Trainer•American Journal of Human Biology•2012

  • Television, Disordered Eating, and Young Women in Fiji

    Open Access•Anne E Becker•Culture Medicine and Psychiatry•2004

  • A ?Coca-Cola? Shape

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  • Stigma as a Fundamental Cause of Population Health Inequalities

    Mark L Hatzenbuehler, Jo C Phelan et al.•American Journal of Public Health•2013

  • Obesity, Health at Every Size, and Public Health Policy

    Andrea E Bombak, Andrea Bombak•American Journal of Public Health•2014

  • Feeding Desire

    Rebecca Popenoe•Feeding Desire•2003

  • Combining Explicit and Implicit Measures of Racial Discrimination in Health Research

    Nancy Krieger, Dana R Carney et al.•American Journal of Public Health•2009

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  • Obesity Stigma

    Rebecca M Puhl, Chelsea A Heuer•American Journal of Public Health•2010

  • Stigma and the perpetuation of obesity

    Open Access•Alexandra Brewis, Alexandra A Brewis•Social Science & Medicine•2014

  • Overt Weight Stigma, Psychological Distress and Weight Loss Treatment Outcomes

    Open Access•Carissa B Wott, Robert A Carels•Journal of Health Psychology•2010

  • Infections and Inequalities

    Open Access•C Kendall•Medical Anthropology Quarterly•2000

  • Stigmatized Neighborhoods, Social Bonding, and Health

    Open Access•A Wutich, A Ruth et al.•Medical Anthropology Quarterly•2014

  • Pretty Modern

    Open Access•R Holliday•Sociology of Health & Illness•2012

  • Body Norms and Fat Stigma in Global Perspective

    Alexandra Brewis, Alexandra A Brewis et al.•Current Anthropology•2011

Unique citing works13
Citations per year1,18
Citation span2015 - 2023 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 13

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