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Borderline: The Ethics of Fat Stigma in Public Health

Published online by Cambridge University Press:  01 January 2021

Cat Pausé
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Abstract

This article argues that public health campaigns have an ethical obligation to combat fat stigma, not mobilize it in the “war on obesity.” Fat stigma is conceptualized, and a review is undertaken of how pervasive fat stigma is across the world and across the lifespan. By reviewing the negative impacts of fat stigma on physical health, mental health, and health seeking behaviors, fat stigma is clearly identified as a social determinant of health. Considering the role of fat stigma in public health, and the arguments made for using stigmatisation in public health campaigns to promote population health, it is concluded that it is a violation of public health ethics to use stigma as a tool in combatting fatness. The article concludes by making recommendations of how public health in New Zealand can combat, rather than reinforce, fat stigma.

Type
Symposium Articles
Information
Journal of Law, Medicine & Ethics , Volume 45 , Issue 4: Stigma & Health , Winter 2017 , pp. 510 - 517
Copyright
Copyright © American Society of Law, Medicine and Ethics 2017

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References

Pausé, C. J., “Live to Tell: Coming Out as Fat,” Somatechnics 2, no. 1 (2012): 42-56; Pausé, C. J., “Die Another Day: The Obstacles Facing Fat People in Accessing Shame-Free and Evidenced-Based Healthcare,” Narrative Inquiry in Bioethics 4, no. 3 (2014): 135–141.CrossRefGoogle Scholar
Goffman, E., Stigma: Notes on the Management of Spoiled Identity (New York, NY: Simon and Schuster, 2009), at 3.Google Scholar
Saguy, A. C. and Ward, A., “Coming Out as Fat: Rethinking Stigma,” Social Psychology Quarterly 74, no. 1 (2011): 53-75.Google Scholar
Pausé, C.J., “Rebel Heart: Performing Fatness Wrong Online,” M/C Journal 18, no. 3 (May 18, 2015).Google Scholar
Jutel, A., “Weighing Health: The Moral Burden of Obesity,” Social Semiotics 15, no. 2 (2005): 113-125.Google Scholar
Pausé, , supra note 4.Google Scholar
DeJong, W., “The Stigma of Obesity: The Consequence of Naïve Assumptions Concerning the Causes of Physical Deviance,” Journal of Health and Social Behavior 21, no. 1 (1980): 75-87.CrossRefGoogle Scholar
Cooper, C., Headless Fatties, CharlotteCooper.Net, available at <http://charlottecooper.net/publishing/digital/headless-fatties-01-07> (last visited Dec. 1, 2017)+(last+visited+Dec.+1,+2017)>Google Scholar
Sikorski, C., Luppa, M., Kaiser, M., Glaesmer, H., Schomerus, G., König, H. H., and Riedel-Heller, S. G., “The Stigma of Obesity in the General Public and its Implications for Public Health-A Systematic Review,” BMC Public Health 11, no 1 (2011): 1.CrossRefGoogle Scholar
Rogge, M. M., Greenwald, M., and Golden, A., “Obesity, Stigma, and Civilized Oppression,” Advances in Nursing Science 27, no. 4 (2004): 301-315.CrossRefGoogle Scholar
Pausé, , supra note 4; Sikorski et al., supra note 9.Google Scholar
Chrisler, J. C. and Barney, A., “Sizeism is a Health Hazard,” Fat Studies 6, no. 1 (2017): 38-53; Crawford, R., “Healthism and the Medicalization of Everyday Life,” International Journal of Health Services 10, no. 3 (1980): 365–388; Lee, J. A. and Pausé, C.J., “Stigma in Practice: Barriers to Health for Fat Women,” Frontiers in Psychology 7 (2016): 2063.CrossRefGoogle Scholar
Carr, D. and Friedman, M. A., “Is Obesity Stigmatizing? Body Weight, Perceived Discrimination, and Psychological Well-Being in the United States,” Journal of Health and Social Behavior 46, no. 3 (2005): 244-259.CrossRefGoogle Scholar
Goffman, , supra note 2.Google Scholar
Link, B. G. and Phelan, J. C., “Conceptualizing Stigma,” Annual Review of Sociology 27, no. 1 (2001): 363-385.CrossRefGoogle Scholar
Brewis, A. A., Wutich, A., Falletta-Cowden, A., and Rodriguez-Soto, I., “Body Norms and Fat Stigma in Global Perspective,” Current Anthropology 52, no. 2 (2011): 269-276, at 270; Council, S. K. and Placek, C., “Cultural Change and Explicit Anti-Fat Attitudes in a Developing Nation: A Case Study in Rural Dominica,” Social Medicine 6, no. 9 (2014): 11–21; Dedeli, O., Bursalioglu, S. A., and Deveci, A., “Validity and Reliability of the Turkish Version of the Attitudes Toward Obese Persons Scale and the Beliefs About Obese Persons Scale,” Clinical Nursing Studies 8, no. 2 (2014):105.CrossRefGoogle Scholar
Barlösius, E. and Philipps, A., “Felt Stigma and Obesity: Introducing the Generalized Other,” Social Science & Medicine 130 (2015): 9-15; Eriksen, S. J. and Manke, B., “‘Because Being Fat Means Being Sick’: Children at Risk of Type 2 Diabetes,” Sociological Inquiry 81, no. 4 (2011): 549–569; Latner, J. D. and Stunkard, A. J., “Getting Worse: The Stigmatization of Obese Children,” Obesity Research 11, no. 3 (2003): 452–456; Puhl, R. M. and Latner, J. D., “Stigma, Obesity, and the Health of the Nation’s Children,” Psychological Bulletin 133, no. 4 (2007): 557; Su, W., “Preschool Children’s Perceptions of Overweight Peers,” Journal of Early Childhood Research 10, no. 1 (2012): 19–31.CrossRefGoogle Scholar
Barlösius and Philipps, supra note 17; Puhl and Latner, supra note 17; Wills, W., Backett-Milburn, K., Gregory, S. and Lawton, J., “Young Teenagers’ Perceptions of Their Own and Others’ Bodies: A Qualitative Study of Obese, Overweight and ‘Normal’ Weight Young People in Scotland,” Social Science & Medicine 62, no. 2 (2006): 396-406.CrossRefGoogle Scholar
Ambwani, S., Thomas, K. M., Hopwood, C. J., Moss, S. A., and Grilo, C. M., “Obesity Stigmatization as the Status Quo: Structural Considerations and Prevalence Among Young Adults in the US,” Eating Behaviors 31, no. 3 (2014):366-370.Google Scholar
Greener, J., Douglas, F., and van Teijlingen, E., “More of the Same? Conflicting Perspectives of Obesity Causation and Intervention Amongst Overweight People, Health Professionals and Policy Makers,” Social Science & Medicine 70, no. 7 (2010): 1042-1049.Google Scholar
Ambwani, et al., supra note 19, at 368.Google Scholar
Greener, , Douglas, , and van Teijlingen, , supra note 20; Hilbert, A., Braehler, E., Haeuser, W., and Zenger, M., “Weight Bias Internalization, Core Self-Evaluation, and Health in Over-weight and Obese Persons,” Obesity 22, no. 1 (2014): 79-85; Lewis, S., Thomas, S. L., Blood, R. W., Castle, D. J., Hyde, J., and Komesaroff, P. A., “How do Obese Individuals Perceive and Respond to the Different Types of Obesity Stigma that They Encounter in their Daily Lives? A Qualitative Study,” Social Science & Medicine 73, no. 9 (2011): 1349–1356.; Rogge et al., supra note 10.Google Scholar
Puhl, R. M. and Brownell, K. D., “Confronting and Coping with Weight Stigma: An Investigation of Overweight and Obese Adults,” Obesity 14, no. 10 (2006): 1802-1815; Puhl, and Latner, , supra note 17.Google Scholar
Ogden, J. and Clementi, C., “The Experience of Being Obese and the Many Consequences of Stigma,” Journal of Obesity 2010 (2010): 2010; Puhl, and Brownell, , supra note 23; Puhl, and Latner, , supra note 17.Google Scholar
Puhl, and Brownell, , supra note 23; Sadati, A. K., Rahnavard, F., Ebrahimzadeh, N., and Rezaei, A., “Obesity, Lived Experience, and the Self: A Qualitative Study of Overweight People in Southern Iran,” Women’s Health Bulletin 3, no. 3 (2016): e31127; Su, supra note 17.Google Scholar
Puhl and Brownell, supra note 23; Sadati et al., supra note 25.Google Scholar
Abu-Odeh, D., “Fat Stigma and Public Health: A Theoretical Framework and Ethical Analysis,” Kennedy Institute of Ethics Journal 24, no. 3 (2014): 247-265.CrossRefGoogle Scholar
Puhl, and Brownell, , supra note 23; Puhl and Latner, supra note 17.Google Scholar
Brown, I. and McClimens, A., “Ambivalence and Obesity Stigma in Decisions about Weight Management: A Qualitative Study,” Science Research 4, no. 12A (2012): 1562-1569; Cooper, supra note 8; Heuer, C. A., McClure, K. J., and Puhl, R. M., “Obesity Stigma in Online News: A Visual Content Analysis,” Journal of Health Communication 16, no. 9 (2011): 976–987; Himes, S. M. and Thompson, J. K., “Fat Stigmatization in Television Shows and Movies: A Content Analysis,” Obesity 15, no. 3 (2007): 712–718; Rich, E., “‘I See Her Being Obesed!’ Public Pedagogy, Reality Media, and the Obesity Crisis,” Health 15, no. 3 (2011): 3e21.Google Scholar
Friedman, K., Reichmann, S., Costanzo, P., Zelli, A., Ash-more, J., and Musante, G., “Weight Stigmatization and Ideological Beliefs: Relation to Psychological Functioning in Obese Adults,” Obesity Research 13 (2005): 907–916; Myers, A. and Rosen, J. C., “Obesity Stigmatization and Coping: Relation to Mental Health Symptoms, Body Image, and Self-Esteem,” International Journal of Obesity 23 (1999): 221–230.Google Scholar
Lewis, et al., supra note 22.Google Scholar
Kwan, S., “Navigating Public Spaces: Gender, Race, and Body Privilege in Everyday Life,” Feminist Formations 22, no. 2 (2010): 144-166.Google Scholar
Kwan, , supra note 32; Rogge et al., supra note 10.Google Scholar
Kwan, , supra note 32.Google Scholar
Brewis, A. A., “Stigma and the Perpetuation of Obesity,” Social Science & Medicine 118 (2014): 152-158.CrossRefGoogle Scholar
Andreyeva, T., Puhl, R. M., and Brownell, K. D., “Changes in Perceived Weight Discrimination Among Americans, 1995–1996 through 2004–2006,” Obesity 16, no. 5 (2008): 1129-1134.CrossRefGoogle Scholar
Carr and Friedman, supra note 12; Malterud, K. and Ulriksen, K., “Obesity, Stigma, and Responsibility in Health Care: A Synthesis of Qualitative Studies,” International Journal of Qualitative Studies on Health and Well-Being 6, no. 4 (2011); Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., and Ryn, M., “Impact of Weight Bias and Stigma on Quality of Care and Outcomes for Patients with Obesity,” Obesity Reviews 16, no. 4 (2015): 319–326; Puhl and Brownell, supra note 23; Puhl, R. M. and Heuer, C. A., “Obesity Stigma: Important Considerations for Public Health,” American Journal of Public Health 100, no. 6 (2010): 1019–1028, at 1019; Rogge et al., supra note 10; Rudolph, C. W., Wells, C. L., Weller, M. D., and Baltes, B. B., “A Meta-Analysis of Empirical Studies of Weight-Based Bias in the Workplace,” Journal of Vocational Behavior 74, no. 1 (2009): 1–10; Seacat, J. D., Dougal, S. C., and Roy, D., “A Daily Diary Assessment of Female Weight Stigmatization,” Journal of Health Psychology 21, no. 2 (2016): 228–240.CrossRefGoogle Scholar
Baum, C. L. and Ford, W. F., “The Wage Effects of Obesity: A Longitudinal Study,” Health Economics 13, no. 9 (2004): 885-899; Cawley, J., “The Impact of Obesity on Wages,” Journal of Human Resources 39, no. 2 (2004): 451–474.CrossRefGoogle Scholar
Lewis, et al., supra note 22; Puhl, and Brownell, , supra note 23; Rogge, et al., supra note 10.Google Scholar
Crenshaw, K., “Mapping the Margins: Intersectionality, Identity Politics, and Violence against Women of Color,” Stanford Law Review 43, no. 6 (1991): 1241-1299.Google Scholar
Pausé, C. J., “X-static Process: Intersectionality within the Field of Fat Studies,” Fat Studies 3, no. 2 (2014): 80-85.CrossRefGoogle Scholar
Kwan, supra note 32; Stoneman, S., “Ending Fat Stigma: Precious, Visual Culture, and Anti-Obesity in the ‘Fat Moment,’” Review of Education, Pedagogy, and Cultural Studies 34, no. 3-4 (2012): 197-207.CrossRefGoogle Scholar
Muennig, P., “The Body Politic: The Relationship Between Stigma and Obesity-Associated Disease,” BMC Public Health 8, no. 1 (2008): 128.CrossRefGoogle Scholar
Himmelstein, M. S., Belsky, A.C. Incollingo, and Tomiyama, A. J., “The Weight of Stigma: Cortisol Reactivity to Manipulated Weight Stigma,” Obesity 23, no. 2 (2015): 368-374; Schvey, N. A., Puhl, R. M., and Brownell, K. D., “The Stress of Stigma: Exploring the Effect of Weight Stigma on Cortisol Reactivity,” Psychosomatic Medicine 76, no. 2 (2014): 156–162; Tomiyama, A. J., Epel, E. S., McClatchey, T. M., Poelke, G., Kemeny, M. E., McCoy, S. K., and Daubenmier, J., “Associations of Weight Stigma with Cortisol and Oxidative Stress Independent of Adiposity,” Health Psychology 33, no. 8 (2014): 862; Tomiyama, A. J., “Weight Stigma is Stressful: A Review of Evidence for the Cyclic Obesity/Weight-Based Stigma Model,” Appetite 82 (2014): 8-15.CrossRefGoogle Scholar
Major, B., Eliezer, D., and Rieck, H., “The Psychological Weight of Weight Stigma,” Social Psychological and Personality Science 3, no. 6 (2012): 651-658; Matthews, K. A., Salomon, K., Kenyon, K., and Zhou, F., “Unfair Treatment, Discrimination, and Ambulatory Blood Pressure in Black and White Adolescents,” Health Psychology 24, no. 3 (2005): 258.CrossRefGoogle Scholar
Sutin, A. R., Stephan, Y., Luchetti, M., and Terracciano, A., “Perceived Weight Discrimination and C-Reactive Protein,” Obesity 22, no. 9 (2014): 1959-1961.Google Scholar
Major, et al., supra note 45.Google Scholar
Sutin, et al., supra note 46.Google Scholar
Carr, and Friedman, , supra note 13; Friedman, et al., supra note 30; Hilbert et al., supra note 22; Lewis et al., supra note 22; Myers and Rosen, supra note 30; Puhl and Brownell, supra note 23; Puhl and Latner, supra note 17; Sadati et al., supra note 25; Salvy, S. J., Bowker, J. C., Nitecki, L. A., Kluczynski, M. A., Germeroth, L. J., and Roemmich, J. N., “Impact of Simulated Ostracism on Overweight and Normal-Weight Youths’ Motivation to Eat and Food Intake,” Appetite 56, no. 1 (2011): 39-45; Schvey et al., supra note 44; Seacat and Mickelson, supra note 37; Vartanian, L. R. and Shaprow, J. G., “Effects of Weight Stigma on Exercise Motivation and Behavior: A Preliminary Investigation Among College-Aged Females,” Journal of Health Psychology 13, no. 1 (2008): 131–138.Google Scholar
Carels, R. A., Wott, C. B., Young, K. M., Gumble, A., Koball, A., and Oehlhof, M. W., “Implicit, Explicit, and Internalized Weight Bias and Psychosocial Maladjustment Among Treatment-Seeking Adults,” Eating Behaviors 11, no. 3 (2010): 180-185; Friedman et al., supra note 30; Myers and Rosen, supra note 30; Sadati et al., supra note 25.Google Scholar
Carels et al., supra note 51; Friedman et al., supra note 30; Hilbert et al., supra note 22; Puhl and Brownell, supra note 23; Puhl and Latner, supra note 17; Wott, C. B. and Carels, R. A., “Overt Weight Stigma, Psychological Distress and Weight Loss,” Journal of Health Psychology 15, no. 4 (2010): 608-614.Google Scholar
Lewis, et al., supra note 22; Puhl and Latner, supra note 17; Rogge et al., supra note 10.Google Scholar
Puhl, and Latner, , supra note 17.Google Scholar
Hunger, J. M. and Major, B., “Weight Stigma Mediates the Association Between BMI and Self-Reported Health,” Health Psychology 34, no. 2 (2015): 172-175, at 174.Google Scholar
Lillis, J., Levin, M. E., and Hayes, S., “Exploring the Relationship Between BMI and Health-Related Quality of Life: A Pilot Study of the Impact of Weight Self-Stigma and Experiential Avoidance,” Journal of Health Psychology 16, no. 2 (2005): 498.Google Scholar
Carr, and Friedman, , supra note 13; Friedman et al., supra note 30; Lewis et al., supra note 22; Seacat et al., supra note 37; Wang, S. S., Brownell, K. D., and Wadden, T. A., “The Influence of the Stigma of Obesity on Overweight Individuals,” International Journal of Obesity 28, no. 10 (2004): 1333–1337.Google Scholar
Drury, A., Aramburu, C., and Louis, M., “Exploring the Association Between Body Weight, Stigma of Obesity, and Health Care Avoidance,” Journal of the American Academy of Nurse Practitioners 14, no. 12 (2002): 554-561; Rogge et al., supra note 10.Google Scholar
Hatzenbuehler, M. L., Keyes, K. M., and Hasin, D. S., “Associations Between Perceived Weight Discrimination and the Prevalence of Psychiatric Disorders in the General Population,” Obesity 17, no. 11 (2009):2033-2039.Google Scholar
Sutin, A. R. and Terracciano, A., “Perceived Weight Discrimination and Obesity,” PLoS One 8, no. 7 (2013): e70048.CrossRefGoogle Scholar
Hunger and Major, supra note 54, at 172; Major et al., supra note 45.Google Scholar
Seacat, J. D. and Mickelson, K. D., “Stereotype Threat and the Exercise/Dietary Health Intentions of Overweight Women,” Journal of Health Psychology 14, no. 4 (2009): 556-567.Google Scholar
Schafer, M. H. and Ferraro, K. F., “The Stigma of Obesity: Does Perceived Weight Discrimination Affect Identity and Physical Health?,” Social Psychology Quarterly 74, no. 1 (2011): 76-97, at 79.CrossRefGoogle Scholar
Gravlee, C. C., “How Race Becomes Biology: Embodiment of Social Inequality,” American Journal of Physical Anthropology 139, no. 1 (2009): 47-57; Schafer and Ferraro, supra note 62; Sellers, R. M., Caldwell, C. H., Schmeelk-Cone, K. H., and Zimmerman, M. A., “Racial Identity, Racial Discrimination, Perceived Stress, and Psychological Distress Among African American Young Adults,” Journal of Health and Social Behavior (2003): 302-317; Stuber, J., Meyer, I., and Link, B., “Stigma, Prejudice, Discrimination and Health,” Social Science & Medicine 67, no. 3 (2008): 351–357; Williams, D. R. and Mohammed, S. A., “Discrimination and Racial Disparities in Health: Evidence and Needed Research,” Journal of Behavioral Medicine 32, no. 1 (2009): 20–47.CrossRefGoogle Scholar
Almeida, L., Savoy, S., and Boxer, P., “The Role of Weight Stigmatization in Cumulative Risk for Binge Eating,” Journal of Clinical Psychology 67, no. 3 (2011): 278-292; Carels et al., supra note 50; Friedman et al., supra note 30; Major, B., Hunger, J. M., Bunyan, D. P., and Miller, C. T., “The Ironic Effects of Weight Stigma,” Journal of Experimental Social Psychology 51 (2014): 74-80; Jackson, S. E., Kirschbaum, C., and Steptoe, A., “Perceived Weight Discrimination and Chronic Biochemical Stress: A Population-Based Study using Cortisol in Scalp Hair,” Obesity 24, no. 12 (2016): 2515–2521; S.J. Salvy et al., supra note 49; Schvey et al., supra note 44; Vartanian, L. R. and Porter, A. M., “Weight Stigma and Eating Behavior: A Review of the Literature,” Appetite 102 (2016): 3-14; Wott and Carels, supra note 51.CrossRefGoogle Scholar
Puhl, and Brownell, , supra note 42.Google Scholar
Jackson, S. E. and Steptoe, A., “Association Between Perceived Weight Discrimination and Physical Activity: A Population-Based Study among English Middle-Aged and Older Adults,” BMJ 7, no.3 (2017): e014592; Lewis et al., supra note 12; Pearl, R. L., Puhl, R. M., and Dovidio, J. F., “Differential Effects of Weight Bias Experiences and Internalization on Exercise Among Women with Overweight and Obesity,” Journal of Health Psychology 20, no. 12 (2015): 1626–1632; Puhl and Latner, supra note 36; Schmalz, D. L., “‘I Feel Fat’: Weight-Related Stigma, Body Esteem, and BMI as Predictors of Perceived Competence in Physical Activity,” Obesity Facts 3, no. 1 (2010): 15–21; Seacat and Mickelson, supra note 56; Vartanian and Smyth, supra note 4; Wott and Carels, supra note 51.Google Scholar
Amy, N. K., Aalborg, A., Lyons, P., and Keranen, L., “Barriers to Routine Gynaecological Cancer Screening for White and African-American Obese Women,” International Journal of Obesity 30, no. 1 (2005): 147-155; Drury et al., supra note 57; K. Malterud and Ulriksen, supra note 37; Olson, C. L., Schumaker, H. D., and Yawn, B. P., “Overweight Women Delay Medical Care,” Archives of Family Medicine 3, no. 10 (1994): 888; Pausé, supra note 26; Puhl and Heuer, supra note 13.CrossRefGoogle Scholar
Pausé, supra note 1.Google Scholar
Pomeranz, J. L., “A Historical Analysis of Public Health, the Law, and Stigmatized Social Groups: The Need for Both Obesity and Weight Bias Legislation,” Obesity 16, no. S2 (2008): S93-S103.CrossRefGoogle Scholar
Fortenberry, J. D., McFarlane, M., Bleakley, A., Bull, S., Fishbein, M., Grimley, D. M., Malotte, C. K., and Stoner, B. P., “Relationships of Stigma and Shame to Gonorrhea and HIV Screening,” American Journal of Public Health 92, no. 3 (2002): 378-381.CrossRefGoogle Scholar
Herek, G. M., Capitanio, J. P., and Widaman, K. F., “Stigma, Social Risk, and Health Policy: Public Attitudes Toward HIV Surveillance Policies and the Social Construction of Illness,” Health Psychology 22, no. 5 (2003): 533-540, at 38.Google Scholar
Vartanian, L. R., and Smyth, J. M., “Primum non Nocere: Obesity Stigma and Public Health,” Journal of Bioethical Inquiry, 10, no. 1 (2013): 49-57; Wimalawansa, S. J., “Stigma of Obesity: A Major Barrier to Overcome,” Journal of Clinical & Translational Endocrinology 1, no. 3 (2014): 73–76.CrossRefGoogle Scholar
Abu-Odeh, supra note 27.Google Scholar
Couch, D., Fried, A., and Komesaroff, P., “Public Health and Obesity Prevention Campaigns – A Case Study and Critical Discussion,” Communication Research and Practice (2017): 1-18; Hunger, J. M., Major, B., Blodorn, A., and Miller, C. T., “Weighed Down by Stigma: How Weight-Based Social Identity Threat Contributes to Weight Gain and Poor Health,” Social and Personality Psychology Compass 9, no. 6 (2015): 255-268; Puhl, R., Luedicke, J., and Peterson, J. L., “Public Reactions to Obesity-Related Health Campaigns: A Randomized Controlled Trial,” American Journal of Preventive Medicine 45, no.1 (2013): 36-48.Google Scholar
Couch et al., supra note 74; Simpson, C. C., Griffin, B. J., and Mazzeo, S. E., “Psychological and Behavioral Effects of Obesity Prevention Campaigns,” Journal of Health Psychology (2017).Google Scholar
Couch et al., supra note 74, at 12.Google Scholar
Bayer, R., “Stigma and the Ethics of Public Health: Not Can We But Should We,” Social Science & Medicine 67, no. 3 (2008): 463-472.CrossRefGoogle Scholar
Callahan, D., “Obesity: Chasing an Elusive Epidemic,” Hastings Center Report 43, no. 1 (2013): 34-40.Google Scholar
Campos, P., Saguy, A., Ernsberger, P., Oliver, E., and Gaesser, G., “The Epidemiology of Overweight and Obesity: Public Health Crisis or Moral Panic?,” International Journal of Epidemiology 35, no.1 (2005): 55-60; Bacon, L. and Aphramor, L., “Weight Science: Evaluating the Evidence for a Paradigm Shift,” Nutrition Journal 10, no.1 (2011): 9.Google Scholar
Hartlev, M., “Stigmatisation as a Public Health Tool against Obesity — A Health and Human Rights Perspective,” European Journal of Health Law 21, no. 4 (2014): 365-386, at 386.Google Scholar
Vartanian and Smyth, supra note 72.Google Scholar
Salas, X. R., “The Ineffectiveness and Unintended Consequences of the Public Health War on Obesity,” Canadian Journal of Public Health 106, no. 2 (2015): e79-81, at e79.Google Scholar
Mann, T., Tomiyama, A. J., and Ward, A., “Promoting Public Health in the Context of the “Obesity Epidemic” False Starts and Promising New Directions,” Perspectives on Psychological Science 10, no. 6 (2015): 706-710; Simpson et al., supra note 75.CrossRefGoogle Scholar
Young, R., Subramanian, R., and Hinnant, A., “Stigmatizing Images in Obesity Health Campaign Messages and Healthy Behavioral Intentions,” Health Education & Behavior 43, no. 4 (2016): 412-419.Google Scholar
Puhl, et al., supra note 74.Google Scholar
Goldberg, D. S., “The Implications of Fundamental Cause Theory for Priority Setting,” American Journal of Public Health 104, no. 10 (2014): 1839-1843, at 1841.Google Scholar
Greener, et al., supra note 20; Lewis et al., supra note 22.Google Scholar
Puhl, and Heuer, , supra note 37.Google Scholar
Hatzenbuehler, M. L., Phelan, J. C., and Link, B. G., “Stigma as a Fundamental Cause of Population Health Inequalities,” American Journal of Public Health 103, no. 5 (2013): 813-821; Hunger et. al, supra note 54; Stuber et al, supra note 63.Google Scholar
See, for example, the Like Mine National Plan Ministry of Health and Health Promotion Agency, “Like Minds, Like Mine National Plan 2014–2019: Programme to Increase Social Inclusion and Reduce Stigma and Discrimination for People with Experience of Mental Illness,” (Wellington, New Zealand: Ministry of Health, 2014).Google Scholar
Hung, L. S., Tidwell, D. K., Hall, M. E., Lee, M. L., Briley, C. A., and Hunt, B. P., “A Meta-Analysis of School-Based Obesity Prevention Programs Demonstrates Limited Efficacy of Decreasing Childhood Obesity,” Nutrition Research 35, no. 3 (2015): 229-240; Puhl and Heuer, supra note 37.CrossRefGoogle Scholar
The connection of love to food is a cultural one, meant to address the indigenous population.Google Scholar
Powell, D., Anti-Obesity Scare Tactics Do More Harm than Good, New Zealand Herald, available at <http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11546101> (last visited December 10, 2016), at para 2.+(last+visited+December+10,+2016),+at+para+2.>Google Scholar
Simpson, et al., supra note 75.Google Scholar
Goldberg, , supra note 86.Google Scholar
Vartarian, L. R., “‘Obese People’ vs ‘Fat People’: Impact of Group Label on Weight Bias,” Eating and Weight Disorders 15, no. 3 (2010): 195-198.CrossRefGoogle Scholar
O’Reilly, C. and Sixsmith, J., “From Theory to Policy: Reducing Harms Associated with the Weight-Centered Health Paradigm,” Fat Studies 1, no. 1 (2012): 97-113.CrossRefGoogle Scholar
Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., and Busch, J. T. A., “Intervening Within and Across Levels: A Multilevel Approach to Stigma and Public Health,” Social Science & Medicine 103 (2014): 101-109.Google Scholar