Obesity Stigma: Important Considerations for Public Health
Obesity Stigma: Important Considerations for Public Health
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DOI：
10.2105/ajph.2009.159491
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发表时间：
2010-06-01
影响因子：
12.7
通讯作者：
Heuer, Chelsea A.
中科院分区：
文献类型：
--
作者：
Puhl, Rebecca M.;Heuer, Chelsea A.
对肥胖者的耻辱和歧视普遍存在，并对他们的心理和身体健康造成许多影响。尽管几十年来科学记录了体重的耻辱，但其对公共健康的影响却被广泛忽视。相反，肥胖者因体重而受到指责，普遍认为体重耻辱是合理的，并且可能会促使个人采取更健康的行为。我们检查证据来解决这些假设并讨论其对公共卫生的影响。根据目前的研究结果，我们认为体重耻辱并不是减少肥胖的有益的公共卫生工具。相反，对肥胖个体的污名化会威胁健康，产生健康差异，并干扰有效的肥胖干预工作。这些发现凸显了体重耻辱既是一个社会正义问题，也是公共卫生的优先事项。 （美国公共卫生杂志。2010；100：1019-1028。doi：10.2105/AJPH.2009.159491）
Stigma and discrimination toward obese persons are pervasive and pose numerous consequences for their psychological and physical health. Despite decades of science documenting weight stigma, its public health implications are widely ignored. Instead, obese persons are blamed for their weight, with common perceptions that weight stigmatization is justifiable and may motivate individuals to adopt healthier behaviors. We examine evidence to address these assumptions and discuss their public health implications. On the basis of current findings, we propose that weight stigma is not a beneficial public health tool for reducing obesity. Rather, stigmatization of obese individuals threatens health, generates health disparities, and interferes with effective obesity intervention efforts. These findings highlight weight stigma as both a social justice issue and a priority for public health. (Am J Public Health. 2010;100:1019-1028. doi:10.2105/AJPH.2009.159491)