ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice
Discrimination in the health care system among higher-weight adults: evidence from a Canadian national cross-sectional survey.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- The Effect of an Education Module to Reduce Weight Bias among Medical Centers Employees: A Randomized Controlled Trial.Obesity facts · 2022Trial
- Obesity care education in Canadian medical schools: A multi-site qualitative study.Obesity pillars · 2026Article
- Social factors contributing to the development of chronic low back pain: a scoping review.BMC musculoskeletal disorders · 2025Article
- From education to patient care: the impact of weight stigma in healthcare.Proceedings (Baylor University. Medical Center) · 2025Review
- 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
- Body image is associated with persistence. A study of the role of weight-related stigma.Frontiers in psychiatry · 2024Article
- Patient perceptions about obesity management in the context of concomitant care for other chronic diseases.Obesity pillars · 2023Article
- Gender Differences in the Attitudes and Management of People with Obesity in Saudi Arabia: Data from the ACTION-IO Study.Risk management and healthcare policy · 2022Article
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4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionWeight-related social stigma is associated with adverse health outcomes. Health care systems are not exempt of weight stigma, which includes stereotyping, prejudice and discrimination. The objective of this study was to examine the association between body mass index (BMI) class and experiencing discrimination in health care.
methodsWe used data from the 2013 Canadian Community Health Survey, which included measurements of discrimination never collected previously on a national scale. Logistic regression analysis was used to assess the risk of self-reported discrimination in health care in adults (≥18 years) across weight categories: not obese (BMI < 30 kg/m2), obese class I (BMI = 30-< 35 kg/m2) and obese class II or III (BMI ≥ 35 kg/m2).
resultsOne in 15 (6.4%; 95% CI: 5.7-7.0%) of the adult population reported discrimination in a health care setting (e.g. physician's office, clinic or hospital). Compared with those in the not obese group, the risk of discrimination in health care was somewhat higher among those in the class I obesity category (odds ratio [OR] = 1.20; 95% CI: 1.00-1.44) and significantly higher among those in class II/III (OR = 1.52; 95% CI: 1.21-1.91), after controlling for sex, age and other socioeconomic characteristics.
conclusionQuantified experiences of weight-related discrimination underscore the need to change practitioner attitudes and practices as well as the policies and procedures of the health care system. More research is needed on the social and economic impacts of weight stigma to inform focused investments for reducing discrimination in the health care system as a microcosm of the society it reflects.
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