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Study shows weight discrimination increasing
(June 2008 Issue)

By Elinor Nelson

It's considered politically incorrect to blatantly discriminate on the basis of race, age and sex - not to mention illegal - but a new study shows that the message has not penetrated when it comes to discrimination against the overweight. In fact, this brand of discrimination has increased by 66 percent in the last decade and close relationship partners were reported to be the worst offenders. The study also documented name calling and overt insults, weight discrimination in the workplace, overweight women experiencing more stigma than men and people with higher (Body Mass Indexes) BMIs being more likely targets.

Lead researcher Rebecca Puhl, Ph.D, director of research at Yale University's Rudd Center points out that "it remains very socially acceptable" to stigmatize the overweight and that the lack of a legal prohibition "can send a message." She sees media portrayals contributing to the problem because they're "extremely negative and only getting worse." She also blames "a widespread perception that the issue is one of personal willpower or choice. . . The notion that significant weight loss can be sustained over time doesn't reflect the current state of science." People can lose 10 percent of their weight and keep it off, she says, but for most, a greater permanent weight loss is just not sustainable. Puhl states that personal behavior is only one piece of the puzzle and that genetics, biology and one's environment are all part of the equation.

So how is a psychologist to best serve an overweight patient? "Mental health professionals need to recognize that they are not immune to bias," Puhl says. "They need to be aware of their own assumptions about body weight and challenge these assumptions. They need to recognize that before the patient came to their office, they were the target of stigma or victimization and the therapist needs to be sensitive about these experiences. There are very few outlets for support and [the therapist] plays an important role in offering support and helping them cope with adaptive ways." Psychologists must also, she warns, be aware of how vulnerable children are and protect them.

The data in question was gathered from two waves of the National Survey of Midlife Development in the United States, from 1995-1996 and 2004-2006. The study was limited to adults aged 35-74 in both waves and included 1,826 respondents in the first wave and 1,136 in the second. The prevalence of weight discrimination increased from 7.3 percent in the first wave to 12.2 percent in the second. On average, discrimination against overweight women increased from 10 to 15.5 percent and against men from 4.1 to 8.1 percent. Rates were dramatically higher for those with higher BMIs. People who experienced weight prejudice were shown to experience poorer body image and psychosocial functioning and were more likely to cope by eating more food and refusing to diet.