Evidence map›Paper›PMID 41113202›Full record

ArticleFrontiers in psychiatry2025

"If I can accept my queerness, I can accept my body as it is": Understanding weight-related perspectives and stigma from sexual minority women.

Lauren A Fowler, Yilin Wang, Catherine Wall, Allyson Velkovich, Erin N Harrop, Melissa M Vázquez, Janis Mensah, Annesa Flentje, Emily S Mann

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lauren A FowlerDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, United States.
Yilin WangBrown School of Social Work, School of Public Health, Washington University in St. Louis, St. Louis, MO, United States.
Catherine WallDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, United States.
Allyson VelkovichDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, United States.
Erin N HarropGraduate School of Social Work, University of Denver, Denver, CO, United States.
Melissa M VázquezDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States.
Janis MensahDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, United States.
Annesa FlentjeStanford Prevention Research Center, Department of Medicine, School of Medicine, Stanford University, Stanford, CA, United States.
Emily S MannDepartment of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC, United States.

Funding

A mixed methods approach to understanding obesity risk among sexual minority womenK01MD017630 · NIMHD · WASHINGTON UNIVERSITY · PI Lauren Alina Fowler · 2022 to 2026
$596k
NIMHD NIH HHS K01 MD017630
6 · The paper itself

Abstract

Introduction: Sociocultural norms that conflate thinness with health and morality contribute to widespread weight stigma, with well-documented consequences for physical and mental health. Sexual minority women (SMW), particularly those living in larger bodies, may be especially affected due to the intersection of heterosexism, sexism, and weight stigma across their lives. Methods: This qualitative study utilized life history-informed semi-structured interviews with 24 cisgender SMW, ages 22-46, to explore how they experience sociocultural messages about weight, body size, and health over time, and how these experiences intersect with other aspects of structural marginalization. Interviews were audio recorded and transcripts were coded using a reflexive thematic analysis approach. Results: Three overarching contexts were identified in which weight stigma is reinforced and resisted (1): dominant cultural norms-across media, healthcare, and public spaces-that moralized weight and pathologized larger bodies (2); families of origin, where intergenerational dieting, food restriction, and body surveillance reinforced weight bias beginning in childhood; and (3) queer communities, which sometimes fostered acceptance but also reproduced exclusionary body norms shaped by gender presentation, race, and size. Across settings, participants described the cumulative and compounding effects of stigma on mental health, including disordered eating. Their experiences also highlighted the complex role of sexual identity and queer community in shaping body-related experiences, which were affirming, marginalizing, and both simultaneously. Discussion: Our findings underscore the importance of applying intersectional and life-course frameworks and call for systemic changes in public health to shift from weight-centric approaches toward affirming, weight-inclusive paradigms that address interlocking systems of oppression.

Indexed as

body normsdisordered eatingminority stresssexual minority womenstructural stigmaweight stigma

Identifiers

PMID41113202
PMCPMC12528178

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.