How can primary care help to reduce weight stigma?

Journal article


Henderson, E., Norrenberg, A., Cairns, J. and Gadsby, E. 2018. How can primary care help to reduce weight stigma? British Journal of General Practice (BJGP). 68 (1). https://doi.org/10.3399/bjgp18X696665
AuthorsHenderson, E., Norrenberg, A., Cairns, J. and Gadsby, E.
Abstract

Background: The WHO recently recognised stigma as a fundamental cause for health inequalities. Weight stigma is associated with negative health consequences, and patients experience it commonly in healthcare settings. This study forms part of systematic review that aimed to understand how weight stigma can be reduced through the adoption of whole systems approaches.

Aim: To generate new understandings of the roles primary care can take in reducing weight stigma.

Method: A systematic international literature review of peer-reviewed articles utilising EPPI guidance, and using PICOS terms in Web of Science searches. Recommendations for policy, practice and/or research were extracted and conceptually synthesised as guided by Research Unit for Research Utilisation.

Results: The search identified 194 full texts with 540 total recommendations. Approximately 45% of recommendations (248 of 540) were coded under healthcare, of which 75% were in primary care including general practice (189 of 248). Findings indicate areas where weight stigma could be addressed in primary care: 1) Training; 2) Self-awareness; 3) Non-stigmatising approaches; 4) Formal patient assessments; 5. Coping strategies; 6) Organisational/structural support; 7) Cross-sector working; 8) Anti-discrimination legislation and classify obesity as a disease.

Conclusion: Literature on reducing weight stigma focuses substantially on healthcare, and there is a range of approaches that could be taken. Tensions arise between the medicalisation of obesity and need to consider social determinants of obesity. Healthcare is only one of many settings in which the weight stigma needs to be addressed and whole systems approaches, for example working with local government, are required in particular to reduce health inequalities.

Year2018
JournalBritish Journal of General Practice (BJGP)
Journal citation68 (1)
PublisherRoyal College of General Practitioners
ISSN0960-1643
Digital Object Identifier (DOI)https://doi.org/10.3399/bjgp18X696665
Related URLbjgp.org
Publication dates
Print01 Jun 2018
Publication process dates
Deposited19 Jun 2018
Accepted23 Mar 2018
Output statusPublished
EventBritish Journal of General Practice Conference 2018
Permalink -

https://repository.canterbury.ac.uk/item/88v45/how-can-primary-care-help-to-reduce-weight-stigma

  • 3
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

The effects of social protection policies on health inequalities:evidence from systematic reviews
Hillier-Brown, F., Thomson, K., McGowan, V., Cairns, J., Eikemo, T., Gonzalez, D. and Bambra, C. 2019. The effects of social protection policies on health inequalities:evidence from systematic reviews. Scandinavian Journal of Public Health. https://doi.org/10.1177/1403494819848276
The pain divide: a cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England
Todd, A., Akhter, N., Cairns, J., Kasim, A., Walton, N., Ellison, A., Chazot, P., Eldabe, S. and Bambra, C. 2018. The pain divide: a cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England. BMJ Open. 8 (7). https://doi.org/10.1136/bmjopen-2018-023391
Defying the odds? Identifying and understanding the relationship between health and resilience
Cairns, J. 2013. Defying the odds? Identifying and understanding the relationship between health and resilience. PhD Thesis Durham University Geography department
Health Inequalities
Cairns, J. and Curtis, S. 2017. Health Inequalities. in: Richardson, D., Castree, N., Goodchild, M., Kobayashi, A., Liu, W. and Marston, R. (ed.) International Encyclopedia of Geography Wiley.
The impact of place on suicidal behaviour
Bambra, C. and Cairns, J. 2017. The impact of place on suicidal behaviour. Samaritans.
Interim evaluation of an integrated approach to improving health and wellbeing in County Durham, UK
Visram, S., Thirlway, F., Cairns, J., Akhter, N. and Lewis, S. 2016. Interim evaluation of an integrated approach to improving health and wellbeing in County Durham, UK. Oxford University Press. https://doi.org/10.1093/eurpub/ckw169.002
Public involvement in alcohol research
Cairns, J. and Nicholls, J. 2017. Public involvement in alcohol research. UK Alcohol Research UK.
How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? two systematic reviews
Bambra, C., Hillier-Brown, F., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2015. How effective are interventions at reducing socioeconomic inequalities in obesity among children and adults? two systematic reviews. Public Health Research. 3 (1). https://doi.org/10.3310/phr03010
A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults
Hillier-Brown, F., Bambra, C., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2014. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults. International Journal of Obesity. 38 (12), pp. 1483-1490. https://doi.org/10.1038/ijo.2014.75
Defying the odds: a mixed-methods study of health resilience in deprived areas of England
Cairns, J. and Bambra, C. 2013. Defying the odds: a mixed-methods study of health resilience in deprived areas of England. Social Science and Medicine. 91, pp. 229-237. https://doi.org/10.1016/j.socscimed.2013.03.014
Defying deprivation: a cross-sectional analysis of area level health resilience in England
Cairns, J., Curtis, S. and Bambra, C. 2012. Defying deprivation: a cross-sectional analysis of area level health resilience in England. Health & Place. 18 (4), pp. 928-933. https://doi.org/10.1016/j.healthplace.2012.02.011
Healthy land? an examination of the area-level association between brownfield land and morbidity and mortality in England
Bambra, C., Robertson, S., Kasim, A., Smith, J., Cairns, J., Copeland, A., Finlay, N. and Johnson, K. 2014. Healthy land? an examination of the area-level association between brownfield land and morbidity and mortality in England. Environment and Planning A: Economy and Space. 46 (2), pp. 433-454. https://doi.org/10.1068/a46105
A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children
Hillier-Brown, F., Bambra, C., Cairns, J., Kasim, A., Moore, H. and Summerbell, C. 2014. A systematic review of the effectiveness of individual, community and societal level interventions at reducing socioeconomic inequalities in obesity amongst children. BMC Public Health. 14 (1,). https://doi.org/10.1186/1471-2458-14-834
Weighing up the evidence: a systematic review of the effectiveness of workplace interventions to tackle socio-economic inequalities in obesity
Cairns, J., Bambra, C., Hillier-Brown, F., Moore, H. and Summerbell, C. 2014. Weighing up the evidence: a systematic review of the effectiveness of workplace interventions to tackle socio-economic inequalities in obesity. Journal of Public Health. 37 (4,), pp. 659-670. https://doi.org/10.1093/pubmed/fdu077
This divided land: an examination of regional inequalities in exposure to brownfield land and the association with morbidity and mortality in England
Bambra, C., Cairns, J., Kasim, A., Smith, J., Robertson, S., Copeland, A. and Johnson, K. 2015. This divided land: an examination of regional inequalities in exposure to brownfield land and the association with morbidity and mortality in England. Health & Place. 34, pp. 257-269. https://doi.org/10.1016/j.healthplace.2015.05.010
Inside and out: a critical analysis of social capital
Cairns, J. 2017. Inside and out: a critical analysis of social capital. Journal of Poverty and Social Justice. 25 (3), pp. 233-248. https://doi.org/10.1332/175982717X14903615014478
Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review
Cairns, J., Graham, E. and Bambra, C. 2017. Area-level socioeconomic disadvantage and suicidal behaviour in Europe: a systematic review. Social Science and Medicine. 192, pp. 102-111. https://doi.org/10.1016/j.socscimed.2017.09.034
Making the case for qualitative comparative analysis in geographical research: a case study of health resilience
Cairns, J., Wistow, J. and Bambra, C. 2017. Making the case for qualitative comparative analysis in geographical research: a case study of health resilience. Area. 49 (3,), pp. 369-376. https://doi.org/10.1111/area.12327
Go slow: an umbrella review of the effects of 20 mph zones and limits on health and health inequalities
Cairns, J., Warren, J., Garthwaite, K., Greig, G. and Bambra, C. 2014. Go slow: an umbrella review of the effects of 20 mph zones and limits on health and health inequalities. Journal of Public Health. 37 (3,), pp. 515-520. https://doi.org/10.1093/pubmed/fdu067
Co-production in substance use research
Cairns, J. and Nicholls, J. 2018. Co-production in substance use research. Drugs and Alcohol Today. 18 (1), pp. 6-16. https://doi.org/10.1108/DAT-02-2018-0002
Tackling inequalities in obesity: a protocol for a systematic review of the effectiveness of public health interventions at reducing socioeconomic inequalities in obesity among adults
Bambra, C., Hillier-Brown, F., Moore, H., Cairns, J. and Summerbell, C. 2013. Tackling inequalities in obesity: a protocol for a systematic review of the effectiveness of public health interventions at reducing socioeconomic inequalities in obesity among adults. Systematic Reviews. 2 (1,). https://doi.org/10.1186/2046-4053-2-27