Weight bias and support of public health policies.
Bias
Canada
Obesity
Policy
Public health
Weight stigma
Journal
Canadian journal of public health = Revue canadienne de sante publique
ISSN: 1920-7476
Titre abrégé: Can J Public Health
Pays: Switzerland
ID NLM: 0372714
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
14
05
2020
accepted:
27
12
2020
pubmed:
16
5
2021
medline:
27
10
2021
entrez:
15
5
2021
Statut:
ppublish
Résumé
Public health policies have been proposed to help address prevalent Canadian obesity rates. Along with the increase in obesity prevalence, explicit weight bias is also rampant in Western society. This paper aimed to assess the association between explicit weight bias attitudes and Canadian public support of these policy recommendations. Canadian adults (N = 903; 51% female; BMI = 27.3 ± 7.0 kg/m Public support of policy recommendations ranged from 53% to 90%. Explicit weight bias was primarily expressed through a fear of weight gain and the belief that weight gain was within the individual's control based on willpower. Although the Dislike subscale was associated with lower support for several policies that enable or guide individual choice in behaviour change, the Willpower and Fear of fat subscales were associated with greater support for similar policies. This study contributes to evidence-informed public health action by describing public support of public health policies and demonstrating an association between explicit weight bias and public support. A higher total explicit weight bias score increased the odds of supporting primarily less intrusive policies. However, dislike of individuals with obesity was associated with decreased odds of supporting many policies. RéSUMé: OBJECTIFS: Il a été proposé que les politiques de santé publique soient adoptées pour contribuer à réduire la prévalence de l’obésité au Canada. Le biais et les préjugés liés au poids ont augmenté considérablement avec l’accroissement de la prévalence de l’obésité dans notre société occidentale. L’objectif de notre étude était d’examiner si le biais explicite lié au poids était associé au soutien des politiques et des stratégies canadiennes de prévention de l’obésité. MéTHODE: Des adultes canadiens (N = 903; 51 % femmes; IMC = 27,3 ± 7,0 kg/m
Autres résumés
Type: Publisher
(fre)
RéSUMé: OBJECTIFS: Il a été proposé que les politiques de santé publique soient adoptées pour contribuer à réduire la prévalence de l’obésité au Canada. Le biais et les préjugés liés au poids ont augmenté considérablement avec l’accroissement de la prévalence de l’obésité dans notre société occidentale. L’objectif de notre étude était d’examiner si le biais explicite lié au poids était associé au soutien des politiques et des stratégies canadiennes de prévention de l’obésité. MéTHODE: Des adultes canadiens (N = 903; 51 % femmes; IMC = 27,3 ± 7,0 kg/m
Identifiants
pubmed: 33990876
doi: 10.17269/s41997-020-00471-7
pii: 10.17269/s41997-020-00471-7
pmc: PMC8225739
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
758-765Subventions
Organisme : Fonds de Recherche du Québec - Santé
ID : Chercheur Boursier Junior 1
Références
Barry, C. L., Brescoll, V. L., Brownell, K. D., & Schlesinger, M. (2009). Obesity metaphors: How beliefs about the causes of obesity affect support for public policy. The Milbank Quarterly, 87(1), 7–47.
doi: 10.1111/j.1468-0009.2009.00546.x
Bhawra, J., Reid, J. L., White, C. M., Vanderlee, L., Raine, K., & Hammond, D. (2018). Are young Canadians supportive of proposed nutrition policies and regulations? An overview of policy support and the impact of socio-demographic factors on public opinion. Canadian Journal of Public Health, 109(4), 498–505.
doi: 10.17269/s41997-018-0066-1
Blaine, B., & Williams, Z. (2004). Belief in the controllability of weight and attributions to prejudice among heavyweight women. Sex Roles, 51(1–2), 79–84.
doi: 10.1023/B:SERS.0000032315.95890.d9
Brewis, A. A. (2014). Stigma and the perpetuation of obesity. Soc Sci Med, 118(C), 152–158. https://doi.org/10.1016/j.socscimed.2014.08.003 .
doi: 10.1016/j.socscimed.2014.08.003
pubmed: 25124079
Burstein, P. (2003). The impact of public opinion on public policy: A review and an agenda. Polit Res Q, 56(1), 29–40.
doi: 10.1177/106591290305600103
Census Profile, 2016 Census. (n.d.). Statistics Canada. https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/prof/index.cfm?Lang=E . Accessed 26 Mar 2019.
Chambers, S. A., & Traill, W. B. (2011). What the UK public believes causes obesity, and what they want to do about it: A cross-sectional study. J Public Health Policy, 32(4), 430–444.
doi: 10.1057/jphp.2011.45
Crandall, C. S. (1994). Prejudice against fat people: Ideology and self-interest. J Pers Soc Psychol, 66(5), 882.
doi: 10.1037/0022-3514.66.5.882
Hatzenbuehler, M. L., Keyes, K. M., & Hasin, D. S. (2009). Associations between perceived weight discrimination and the prevalence of psychiatric disorders in the general population. Obesity, 17(11), 2033–2039. https://doi.org/10.1038/oby.2009.131 .
doi: 10.1038/oby.2009.131
pubmed: 19390520
Kongats, K., McGetrick, J. A., Raine, K. D., & Nykiforuk, C. I. J. (2020). Using the intervention ladder to examine policy influencer and general public support for potential tobacco control policies in Alberta and Quebec. Health Promotion & Chronic Disease Prevention in Canada: Research, Policy & Practice, 40(2), 47–57.
Lange, R., & Faulkner, G. (2012). Support for obesity policy: The effect of perceptions of causes for obesity and national identity in Canada. Open Journal of Preventive Medicine, 2(4).
Latner, J. D., Barile, J. P., Durso, L. E., & O’Brien, K. S. (2014). Weight and health-related quality of life: The moderating role of weight discrimination and internalized weight bias. Eat Behav, 15(4), 586–590.
doi: 10.1016/j.eatbeh.2014.08.014
Link, B. G., & Phelan, J. C. (2006). Stigma and its public health implications. Lancet, 367(9509), 528–529.
doi: 10.1016/S0140-6736(06)68184-1
Lund, T. B., Sandøe, P., & Lassen, J. (2011). Attitudes to publicly funded obesity treatment and prevention. Obesity, 19(8), 1580–1585.
doi: 10.1038/oby.2011.84
Major, B., Eliezer, D., & Rieck, H. (2012). The psychological weight of weight stigma. Soc Psychol Personal Sci, 3(6), 651–658.
doi: 10.1177/1948550611434400
Mata, J., & Hertwig, R. (2018). Public beliefs about obesity relative to other major health risks: Representative cross-sectional surveys in the USA, the UK, and Germany. Ann Behav Med, 52(4), 273–286.
doi: 10.1093/abm/kax003
Mazzocchi, M., Cagnone, S., Bech-Larsen, T., Niedźwiedzka, B., Saba, A., Shankar, B., et al. (2015). What is the public appetite for healthy eating policies? Evidence from a cross-European survey. Health Economics, Policy and Law, 10(3), 267–292.
doi: 10.1017/S1744133114000346
Morin, P., & Roy, M.-A. (2013). Perceptions of employed parents about early childhood obesity and the need for prevention strategies. Health Promot Pract, 14(1), 113–121.
doi: 10.1177/1524839911405843
Nuffield Council on Bioethics. (2007). Public health: Ethical issues. In London, Nuffield Council on Bioethics.
Nykiforuk, C. I. J., Eyles, J., & Campbell, H. S. (2008). Smoke-free spaces over time: A policy diffusion study of bylaw development in Alberta and Ontario, Canada. Health and Social Care in the Community, 16(1), 64–74. https://doi.org/10.1111/j.1365-2524.2007.00727.x .
doi: 10.1111/j.1365-2524.2007.00727.x
pubmed: 18181816
Ogilvie, K. K., & Eggleton, A. (2016). Obesity in Canada: A whole-of-society approach for a healthier Canada. Ottawa, ON: Report of the Standing Senate Committee on Social Affairs. Science and Technology.
Oliver, J. E., & Lee, T. (2005). Public opinion and the politics of obesity in America. J Health Polit Policy Law, 30(5), 923–954.
doi: 10.1215/03616878-30-5-923
Potestio, M. L., McLaren, L., Vollman, A. R., & Doyle-Baker, P. K. (2008). Childhood obesity. Canadian Journal of Public Health, 99(2), 86–90.
doi: 10.1007/BF03405450
Puhl, R. M., & Brownell, K. D. (2001). Bias, discrimination, and obesity. Obesity Research, 9(12), 788–805.
Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. Am J Public Health, 100(6), 1019–1028. https://doi.org/10.2105/AJPH.2009.159491 .
doi: 10.2105/AJPH.2009.159491
pubmed: 20075322
pmcid: 2866597
Puhl, R. M., Latner, J. D., O’Brien, K. S., Luedicke, J., Danielsdottir, S., & Salas, X. R. (2015). Potential policies and laws to prohibit weight discrimination: Public views from 4 countries. The Milbank Quarterly, 93(4), 691–731.
doi: 10.1111/1468-0009.12162
Puhl, R. M., & Suh, Y. (2015). Health consequences of weight stigma: Implications for obesity prevention and treatment. Curr Obes Rep, 4(2), 182–190. https://doi.org/10.1007/s13679-015-0153-z .
doi: 10.1007/s13679-015-0153-z
pubmed: 26627213
Raine, K. D., Nykiforuk, C. I. J., Vu-Nguyen, K., Nieuwendyk, L. M., VanSpronsen, E., Reed, S., & Wild, T. C. (2014). Understanding key influencers’ attitudes and beliefs about healthy public policy change for obesity prevention. Obesity, 22(11), 2426–2433.
doi: 10.1002/oby.20860
Raphael, D., & Sayani, A. (2019). Assuming policy responsibility for health equity: Local public health action in Ontario, Canada. Health Promot Int, 34(2), 215–226. https://doi.org/10.1093/heapro/dax073 .
doi: 10.1093/heapro/dax073
pubmed: 29092023
Reid, I. (2011). Canadians’ perception of, and support for, potential measures to prevent and reduce childhood obesity. Final Report. Prepared for: Public Health Agency of Canada.
Washington, R. L. (2011). Childhood obesity: Issues of weight bias. Prev Chronic Dis, 8(5).