Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study

Sánchez, E. (Enric)|||/items/d3da2e56-a1c7-4333-a84d-f10649816831; Ciudin, A. (Andreea)|||/items/4e67aef6-8296-4f86-a532-f20356be9cd6; Sánchez‑Heras, A.B. (Ana Beatriz)|||/items/0033adb3-2691-4428-8dd0-aed6561e7499; Gutiérrez-Medina, S. (Sonsoles)|||/items/2cfa931d-4e41-4c98-9856-dc8b08a87419; Valdés, N. (Nuria)|||/items/c0eb127e-5a48-4229-b142-275dcf73c1f1; Flores, L. (Lilliam)|||/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5; Mari-Sanchis, A. (Amelia)|||/items/127e473e-f40c-4cb8-b239-d98bf55ce1ee; Goñi, F. (Fernando)|||/items/d5038ba3-d56f-4787-a272-872cb8e39855; Sánchez, M. (Marta)|||/items/73dfca4f-617e-4ae3-9861-aefd7c01f36b; Nicolau, J. (Joana)|||/items/2951556b-c372-41f4-a86e-778b0a897558; Muñoz, C. (Concepción)|||/items/a2ff5b98-e07f-4389-87cd-e539845a6632; Díaz-Trastoy, O. (Olaia)|||/items/ce1c08bf-5711-447f-893f-405f88c34715; Cuatrecasas, G. (Guillem)|||/items/255d9ed8-347b-4056-be8d-63048c1a3684; Cañizares, S. (Silvia)|||/items/09338ca6-72ec-4606-baf1-39d6649df294; Comas, M. (Marta)|||/items/7952d879-90d4-4727-8916-73109eba7adb; López-Cano, C. (Carolina)|||/items/2339e540-bc9f-4446-9afb-1b9e3ca16dcc; Lecube, A. (Albert)|||/items/124fad00-5deb-427d-8762-d6caa034f350

Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study

Introduction: This study aims to assess the extent of rejection and instances of stigmatization linked to obesity within the Spanish population, encompassing a diverse spectrum of weights ranging from normal weight to morbid obesity. Additionally, the study seeks to identify the primary factors infl...

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Autores:	Sánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831, Ciudin, A. (Andreea)\|\|\|/items/4e67aef6-8296-4f86-a532-f20356be9cd6, Sánchez‑Heras, A.B. (Ana Beatriz)\|\|\|/items/0033adb3-2691-4428-8dd0-aed6561e7499, Gutiérrez-Medina, S. (Sonsoles)\|\|\|/items/2cfa931d-4e41-4c98-9856-dc8b08a87419, Valdés, N. (Nuria)\|\|\|/items/c0eb127e-5a48-4229-b142-275dcf73c1f1, Flores, L. (Lilliam)\|\|\|/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5, Mari-Sanchis, A. (Amelia)\|\|\|/items/127e473e-f40c-4cb8-b239-d98bf55ce1ee, Goñi, F. (Fernando)\|\|\|/items/d5038ba3-d56f-4787-a272-872cb8e39855, Sánchez, M. (Marta)\|\|\|/items/73dfca4f-617e-4ae3-9861-aefd7c01f36b, Nicolau, J. (Joana)\|\|\|/items/2951556b-c372-41f4-a86e-778b0a897558, Muñoz, C. (Concepción)\|\|\|/items/a2ff5b98-e07f-4389-87cd-e539845a6632, Díaz-Trastoy, O. (Olaia)\|\|\|/items/ce1c08bf-5711-447f-893f-405f88c34715, Cuatrecasas, G. (Guillem)\|\|\|/items/255d9ed8-347b-4056-be8d-63048c1a3684, Cañizares, S. (Silvia)\|\|\|/items/09338ca6-72ec-4606-baf1-39d6649df294, Comas, M. (Marta)\|\|\|/items/7952d879-90d4-4727-8916-73109eba7adb, López-Cano, C. (Carolina)\|\|\|/items/2339e540-bc9f-4446-9afb-1b9e3ca16dcc, Lecube, A. (Albert)\|\|\|/items/124fad00-5deb-427d-8762-d6caa034f350
Tipo de recurso:	artículo
Fecha de publicación:	2023
País:	España
Institución:	Universidad de Navarra
Repositorio:	Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:	inglés
OAI Identifier:	oai:dadun.unav.edu:10171/122176
Acceso en línea:	https://hdl.handle.net/10171/122176
Access Level:	acceso abierto
Palabra clave:	stigma discrimination weight bias obesity bariatric surgery

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spelling	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA studySánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831Ciudin, A. (Andreea)\|\|\|/items/4e67aef6-8296-4f86-a532-f20356be9cd6Sánchez‑Heras, A.B. (Ana Beatriz)\|\|\|/items/0033adb3-2691-4428-8dd0-aed6561e7499Gutiérrez-Medina, S. (Sonsoles)\|\|\|/items/2cfa931d-4e41-4c98-9856-dc8b08a87419Valdés, N. (Nuria)\|\|\|/items/c0eb127e-5a48-4229-b142-275dcf73c1f1Flores, L. (Lilliam)\|\|\|/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5Mari-Sanchis, A. (Amelia)\|\|\|/items/127e473e-f40c-4cb8-b239-d98bf55ce1eeGoñi, F. (Fernando)\|\|\|/items/d5038ba3-d56f-4787-a272-872cb8e39855Sánchez, M. (Marta)\|\|\|/items/73dfca4f-617e-4ae3-9861-aefd7c01f36bNicolau, J. (Joana)\|\|\|/items/2951556b-c372-41f4-a86e-778b0a897558Muñoz, C. (Concepción)\|\|\|/items/a2ff5b98-e07f-4389-87cd-e539845a6632Díaz-Trastoy, O. (Olaia)\|\|\|/items/ce1c08bf-5711-447f-893f-405f88c34715Cuatrecasas, G. (Guillem)\|\|\|/items/255d9ed8-347b-4056-be8d-63048c1a3684Cañizares, S. (Silvia)\|\|\|/items/09338ca6-72ec-4606-baf1-39d6649df294Comas, M. (Marta)\|\|\|/items/7952d879-90d4-4727-8916-73109eba7adbLópez-Cano, C. (Carolina)\|\|\|/items/2339e540-bc9f-4446-9afb-1b9e3ca16dccLecube, A. (Albert)\|\|\|/items/124fad00-5deb-427d-8762-d6caa034f350stigmadiscriminationweight biasobesitybariatric surgeryIntroduction: This study aims to assess the extent of rejection and instances of stigmatization linked to obesity within the Spanish population, encompassing a diverse spectrum of weights ranging from normal weight to morbid obesity. Additionally, the study seeks to identify the primary factors influencing these experiences and further examines the impact of bariatric surgery on such dynamics. Materials and methods: Multicenter observational study with involving a total of 1,018 participants who were recruited from various Obesity Units. Negatives attitudes towards people with obesity were assessed through three questionnaires: (i) Antifat Attitudes Scale (AFA), (ii) Stigmatizing Situations Inventory (SSI) and (iii) Weight Bias Internalization Scale (WBIS). Subjects were categorized into four groups based on their BMI and history of prior bariatric surgery. Results: The cumulative score across all questionnaires (AFA, SSI and WBIS) exhibited a progressive increase, from participants with normal weight to those with obesity (p < 0.001 for all). Within the AFA questionnaire, males showed more rejection towards people with obesity than women, also perceiving obesity as a disease linked to a lack of willpower (p = 0.004 and p = 0.030, respectively). The overall SSI score was negatively associated with age (r = −0.080, p = 0.011), with young participants encountering more stigmatizing experiences than their adult counterparts. Neither employment status nor educational demonstrated a significant association with any of the questionnaires. Interestingly, patients who underwent lost weight following bariatric surgery did not exhibit improved outcomes. Conclusion: Individuals with obesity demonstrate a heightened level of aversion towards the disease compared to those with normal weight. Concurrently, the incidence of stigmatizing encounters displays a concerning escalation among younger individuals.Frontiers Media S.A.Dadun. Depósito Académico Digital Universidad de Navarra20232023-01-0120232023-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/122176reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1221762026-06-21T12:47:57Z
dc.title.none.fl_str_mv	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
title	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
spellingShingle	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study Sánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831 stigma discrimination weight bias obesity bariatric surgery
title_short	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
title_full	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
title_fullStr	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
title_full_unstemmed	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
title_sort	Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study
dc.creator.none.fl_str_mv	Sánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831 Ciudin, A. (Andreea)\|\|\|/items/4e67aef6-8296-4f86-a532-f20356be9cd6 Sánchez‑Heras, A.B. (Ana Beatriz)\|\|\|/items/0033adb3-2691-4428-8dd0-aed6561e7499 Gutiérrez-Medina, S. (Sonsoles)\|\|\|/items/2cfa931d-4e41-4c98-9856-dc8b08a87419 Valdés, N. (Nuria)\|\|\|/items/c0eb127e-5a48-4229-b142-275dcf73c1f1 Flores, L. (Lilliam)\|\|\|/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5 Mari-Sanchis, A. (Amelia)\|\|\|/items/127e473e-f40c-4cb8-b239-d98bf55ce1ee Goñi, F. (Fernando)\|\|\|/items/d5038ba3-d56f-4787-a272-872cb8e39855 Sánchez, M. (Marta)\|\|\|/items/73dfca4f-617e-4ae3-9861-aefd7c01f36b Nicolau, J. (Joana)\|\|\|/items/2951556b-c372-41f4-a86e-778b0a897558 Muñoz, C. (Concepción)\|\|\|/items/a2ff5b98-e07f-4389-87cd-e539845a6632 Díaz-Trastoy, O. (Olaia)\|\|\|/items/ce1c08bf-5711-447f-893f-405f88c34715 Cuatrecasas, G. (Guillem)\|\|\|/items/255d9ed8-347b-4056-be8d-63048c1a3684 Cañizares, S. (Silvia)\|\|\|/items/09338ca6-72ec-4606-baf1-39d6649df294 Comas, M. (Marta)\|\|\|/items/7952d879-90d4-4727-8916-73109eba7adb López-Cano, C. (Carolina)\|\|\|/items/2339e540-bc9f-4446-9afb-1b9e3ca16dcc Lecube, A. (Albert)\|\|\|/items/124fad00-5deb-427d-8762-d6caa034f350
author	Sánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831
author_facet	Sánchez, E. (Enric)\|\|\|/items/d3da2e56-a1c7-4333-a84d-f10649816831 Ciudin, A. (Andreea)\|\|\|/items/4e67aef6-8296-4f86-a532-f20356be9cd6 Sánchez‑Heras, A.B. (Ana Beatriz)\|\|\|/items/0033adb3-2691-4428-8dd0-aed6561e7499 Gutiérrez-Medina, S. (Sonsoles)\|\|\|/items/2cfa931d-4e41-4c98-9856-dc8b08a87419 Valdés, N. (Nuria)\|\|\|/items/c0eb127e-5a48-4229-b142-275dcf73c1f1 Flores, L. (Lilliam)\|\|\|/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5 Mari-Sanchis, A. (Amelia)\|\|\|/items/127e473e-f40c-4cb8-b239-d98bf55ce1ee Goñi, F. (Fernando)\|\|\|/items/d5038ba3-d56f-4787-a272-872cb8e39855 Sánchez, M. (Marta)\|\|\|/items/73dfca4f-617e-4ae3-9861-aefd7c01f36b Nicolau, J. (Joana)\|\|\|/items/2951556b-c372-41f4-a86e-778b0a897558 Muñoz, C. (Concepción)\|\|\|/items/a2ff5b98-e07f-4389-87cd-e539845a6632 Díaz-Trastoy, O. (Olaia)\|\|\|/items/ce1c08bf-5711-447f-893f-405f88c34715 Cuatrecasas, G. (Guillem)\|\|\|/items/255d9ed8-347b-4056-be8d-63048c1a3684 Cañizares, S. (Silvia)\|\|\|/items/09338ca6-72ec-4606-baf1-39d6649df294 Comas, M. (Marta)\|\|\|/items/7952d879-90d4-4727-8916-73109eba7adb López-Cano, C. (Carolina)\|\|\|/items/2339e540-bc9f-4446-9afb-1b9e3ca16dcc Lecube, A. (Albert)\|\|\|/items/124fad00-5deb-427d-8762-d6caa034f350
author_role	author
author2	Ciudin, A. (Andreea)\|\|\|/items/4e67aef6-8296-4f86-a532-f20356be9cd6 Sánchez‑Heras, A.B. (Ana Beatriz)\|\|\|/items/0033adb3-2691-4428-8dd0-aed6561e7499 Gutiérrez-Medina, S. (Sonsoles)\|\|\|/items/2cfa931d-4e41-4c98-9856-dc8b08a87419 Valdés, N. (Nuria)\|\|\|/items/c0eb127e-5a48-4229-b142-275dcf73c1f1 Flores, L. (Lilliam)\|\|\|/items/9b3ff969-3a3e-4d61-b347-7d94a9327da5 Mari-Sanchis, A. (Amelia)\|\|\|/items/127e473e-f40c-4cb8-b239-d98bf55ce1ee Goñi, F. (Fernando)\|\|\|/items/d5038ba3-d56f-4787-a272-872cb8e39855 Sánchez, M. (Marta)\|\|\|/items/73dfca4f-617e-4ae3-9861-aefd7c01f36b Nicolau, J. (Joana)\|\|\|/items/2951556b-c372-41f4-a86e-778b0a897558 Muñoz, C. (Concepción)\|\|\|/items/a2ff5b98-e07f-4389-87cd-e539845a6632 Díaz-Trastoy, O. (Olaia)\|\|\|/items/ce1c08bf-5711-447f-893f-405f88c34715 Cuatrecasas, G. (Guillem)\|\|\|/items/255d9ed8-347b-4056-be8d-63048c1a3684 Cañizares, S. (Silvia)\|\|\|/items/09338ca6-72ec-4606-baf1-39d6649df294 Comas, M. (Marta)\|\|\|/items/7952d879-90d4-4727-8916-73109eba7adb López-Cano, C. (Carolina)\|\|\|/items/2339e540-bc9f-4446-9afb-1b9e3ca16dcc Lecube, A. (Albert)\|\|\|/items/124fad00-5deb-427d-8762-d6caa034f350
author2_role	author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv	stigma discrimination weight bias obesity bariatric surgery
topic	stigma discrimination weight bias obesity bariatric surgery
description	Introduction: This study aims to assess the extent of rejection and instances of stigmatization linked to obesity within the Spanish population, encompassing a diverse spectrum of weights ranging from normal weight to morbid obesity. Additionally, the study seeks to identify the primary factors influencing these experiences and further examines the impact of bariatric surgery on such dynamics. Materials and methods: Multicenter observational study with involving a total of 1,018 participants who were recruited from various Obesity Units. Negatives attitudes towards people with obesity were assessed through three questionnaires: (i) Antifat Attitudes Scale (AFA), (ii) Stigmatizing Situations Inventory (SSI) and (iii) Weight Bias Internalization Scale (WBIS). Subjects were categorized into four groups based on their BMI and history of prior bariatric surgery. Results: The cumulative score across all questionnaires (AFA, SSI and WBIS) exhibited a progressive increase, from participants with normal weight to those with obesity (p < 0.001 for all). Within the AFA questionnaire, males showed more rejection towards people with obesity than women, also perceiving obesity as a disease linked to a lack of willpower (p = 0.004 and p = 0.030, respectively). The overall SSI score was negatively associated with age (r = −0.080, p = 0.011), with young participants encountering more stigmatizing experiences than their adult counterparts. Neither employment status nor educational demonstrated a significant association with any of the questionnaires. Interestingly, patients who underwent lost weight following bariatric surgery did not exhibit improved outcomes. Conclusion: Individuals with obesity demonstrate a heightened level of aversion towards the disease compared to those with normal weight. Concurrently, the incidence of stigmatizing encounters displays a concerning escalation among younger individuals.
publishDate	2023
dc.date.none.fl_str_mv	2023 2023-01-01 2023 2023-01-01
dc.type.none.fl_str_mv	journal article http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://hdl.handle.net/10171/122176
url	https://hdl.handle.net/10171/122176
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Frontiers Media S.A.
publisher.none.fl_str_mv	Frontiers Media S.A.
dc.source.none.fl_str_mv	reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra
instname_str	Universidad de Navarra
reponame_str	Dadun. Depósito Académico Digital de la Universidad de Navarra
collection	Dadun. Depósito Académico Digital de la Universidad de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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Assessment of obesity stigma and discrimination among Spanish subjects with a wide weight range: the OBESTIGMA study

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