ArticleInternational journal of qualitative studies on health and well-being2011
Obesity, stigma, and responsibility in health care: A synthesis of qualitative studies.
Article in International journal of qualitative studies on health and well-being, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.
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Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 140 citations in OpenAlex.
- Prioritizing Clinically Relevant Criteria for Longitudinal Obesity Management: A Systemic Framework to Support Decision-Making.Obesity surgery · 2026Pooled it
- Barriers and facilitators to implementation of direct fruit and vegetables provision interventions in kindergartens and schools: a qualitative systematic review applying the consolidated framework for implementation research (CFIR).The international journal of behavioral nutrition and physical activity · 2022Pooled it
- A systematic review and thematic synthesis of qualitative studies exploring GPs' and nurses' perspectives on discussing weight with patients with overweight and obesity in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Communication practices for delivering health behaviour change conversations in primary care: a systematic review and thematic synthesis.BMC family practice · 2019Pooled it
- Predictors of weight stigma experienced by middle-older aged, general-practice patients with obesity in disadvantaged areas of Australia: a cross-sectional study.BMC public health · 2018Trial
- Perceived empathy and competence across psychotherapist appearance types: a quasi-experimental repeated-measures study.Frontiers in psychiatry · 2026Article
- Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- "Treated as second class citizens" - the lived experience of obesity-related stigma: an IMI2 SOPHIA study.International journal of qualitative studies on health and well-being · 2024Article
- Factors that influence general practitioners' obesity-related clinical practices and determinants of behavior to target to promote best practice in obesity care: A qualitative exploration.Obesity science & practice · 2024Article
- Patient Perceptions of Weight Stigma Experiences in Healthcare: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Determining Associations Among Health Orientation, Fitness Orientation, and Attitudes Toward Fatness in Physiotherapists and Physiotherapy Students Using Structural Equation Modeling.Physiotherapy Canada. Physiotherapie Canada · 2024Article
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- Antipsychotic-induced weight gain: exploring the role of psychiatrists in managing patients' physical health - challenges, current options and direction for future care.BJPsych bulletin · 2024Article
- Assessing the accessibility and quality of mobile health applications for the treatment of obesity in the German healthcare market.Frontiers in health services · 2024Review
- What advice do general practitioners give to people living with obesity to lose weight? A qualitative content analysis of recorded interactions.Family practice · 2023Article
- Obesity and bariatric surgery in adults living with severe mental illness: perceptions and clinical challenges.BJPsych bulletin · 2023Article
- Weight bias and stigma in healthcare professionals: a narrative review with a Singapore lens.Singapore medical journal · 2023Review
- GP delivered brief weight loss advice: associations between in-consultation behaviour change techniques and patient weight loss in recorded primary care discussions.Health psychology and behavioral medicine · 2023Article
- What works? A qualitative study of participants experiences of a traditional lifestyle intervention with a work focus.International journal of qualitative studies on health and well-being · 2022Article
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Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo synthesize research findings on experiences and attitudes about obesity and stigma in health care.
methodsWe compiled qualitative studies and applied Noblitt & Hare's meta ethnography to identify, translate, and summarize across studies. Thirteen qualitative studies on experiences and attitudes about obesity and stigma in health care settings were identified and included.
resultsThe study reveals how stigmatizing attitudes are enacted by health care providers and perceived by patients with obesity. Second-order analysis demonstrated that apparently appropriate advice can be perceived as patronizing by patients with obesity. Furthermore, health care providers indicate that abnormal bodies cannot be incorporated in the medical systems-exclusion of patients with obesity consequently happens. Finally, customary standards for interpersonal respect are legitimately surpassed, and patients with obesity experience contempt as if deserved. Third-order analysis revealed conflicting views between providers and patients with obesity on responsibility, whereas internalized stigma made patients vulnerable for accepting a negative attribution. A theoretical elaboration relates the issues of stigma with those of responsibility.
conclusionContradictory views on patients' responsibility, efforts, knowledge, and motivation merge to internalization of stigma, thereby obstructing healthy coping and collaboration and creating negative contexts for empowerment, self-efficacy, and weight management. Professionals need to develop their awareness for potentially stigmatizing attitudes towards vulnerable patient populations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.