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Does weight-related stigmatisation and discrimination depend on educational attainment and level of income? A systematic review
  1. Marie Bernard1,2,
  2. Thomas Fankhänel2,
  3. Steffi G Riedel-Heller3,
  4. Claudia Luck-Sikorski1,2
  1. 1 Integrated Research and Treatment Center AdiposityDiseases (IFB), University of Leipzig, Leipzig, Germany
  2. 2 SRH University of Applied Health Sciences, Gera, Germany
  3. 3 Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Leipzig, Germany
  1. Correspondence to Marie Bernard; marie.bernard{at}medizin.uni-leipzig.de

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.

  • obesity
  • stigma
  • discrimination
  • education
  • income

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors MB, CL-S and SGR-H outlined and specified the research question. MB and CL-S conducted the systematic search of the literature. Furthermore, MB, CL-S and TF discussed papers in detail in case of disagreement and uncertainty over the eligibility of abstracts. MB wrote the first draw of the manuscript. TF, SGR-H and CL-S revised it critically for valuable intellectual content. All authors contributed to and have approved the final manuscript.

  • Funding This study was supported by the Federal Ministry of Education and Research (BMBF), Germany, FKZ: 01EO1501.

  • Disclaimer The funding source had no involvement in study design, collection, analysis and interpretation of data.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.