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. 2019 Nov 18;9(11):e027673.
doi: 10.1136/bmjopen-2018-027673.

Does weight-related stigmatisation and discrimination depend on educational attainment and level of income? A systematic review

Marie Bernard  1   2 , Thomas Fankhänel  2 , Steffi G Riedel-Heller  3 , Claudia Luck-Sikorski  4   2
Affiliations

Does weight-related stigmatisation and discrimination depend on educational attainment and level of income? A systematic review

Marie Bernard et al. BMJ Open. .

Abstract

Objectives: Obesity is considered a global health issue, because of its health-related consequences and also because of its impact on social status as a result of stigma. This study aims to review the quantitative state of research regarding socioeconomic characteristics' influence on weight-related stigmatisation and discrimination. Based on Bourdieu's Theory of Class and his concept of 'habitus', it is assumed that people with a higher level of education and income show stronger negative attitudes towards people with obesity.

Method: A narrative systematic literature review was conducted in 2017 using PubMed, PsychINFO, Web of Science and the Cochrane Library. Seventeen studies that measured weight bias and either educational attainment or level of income were included in the analysis.

Results: The results of the studies included were inconsistent: six of these studies were found to support the hypothesis, whereas two of the studies contradicted it. The remaining seven studies did not show any significant correlation between weight bias and either education or income.

Conclusion: In light of the inconsistent and heterogeneous results of the studies that report a significant association between weight bias and socioeconomic variables, the findings must be discussed concerning their cultural context, that is, cultural and governmental differences. Furthermore, educational attainment seems to be more likely to predict weight bias than income. The review revealed a lack of research when it came to examining the impact of socioeconomic capital on weight bias.

Keywords: discrimination; education; income; obesity; stigma.

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Conflict of interest statement

Competing interests: None declared.

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Figure 1
Phases of the systematic review.
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References

    1. World Health Organization Obesity and overweight, 2018. Available: http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight [Accessed 27 Aug 2018].
    1. Mensink GBM, Schienkiewitz A, Haftenberger M, Scheidt-Nave C, et al. . [Overweight and obesity in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2013;56:786–94. 10.1007/s00103-012-1656-3 - DOI - PubMed
    1. Flegal KM, Kruszon-Moran D, Carroll MD, et al. . Trends in obesity among adults in the United States, 2005 to 2014. JAMA 2016;315:2284–91. 10.1001/jama.2016.6458 - DOI - PMC - PubMed
    1. Pi-Sunyer X. The medical risks of obesity. Postgrad Med 2009;121:21–33. 10.3810/pgm.2009.11.2074 - DOI - PMC - PubMed
    1. Jung FUCE, Luck-Sikorski C, Wiemers N, et al. . Dietitians and Nutritionists: stigma in the context of obesity. A systematic review. PLoS One 2015;10:e0140276 10.1371/journal.pone.0140276 - DOI - PMC - PubMed

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