2020

DOI: 10.1002/oby.23037

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Can the Participant Speak Beyond Likert? Free‐Text Responses in COVID‐19 Obesity Surveys

Diana M. Thomas

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Benjamin Siegel

²

,

³

et al.

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Cited by 5 publications

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“…As for the characteristics of the studies, the majority corresponded to text and opinion documents (n = 16) [ 2 – 5 , 25 – 27 , 29 , 31 , 33 , 36 , 37 , 41 , 42 , 50 , 52 ] and narrative reviews (n = 6) [ 6 , 15 , 28 , 30 , 35 , 46 ]. Quantitative ( n = 6) [ 24 , 26 , 32 , 38 , 39 , 43 , 47 – 49 ] and qualitative research studies ( n = 8) [ 21 – 23 , 34 , 40 , 44 , 45 , 51 ] were retained. Of the quantitative studies, three were cross-sectional [ 24 , 39 , 47 ] and three were longitudinal [ 32 , 47 – 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the quantitative studies, three were cross-sectional [ 24 , 39 , 47 ] and three were longitudinal [ 32 , 47 – 49 ]. And, among the qualitative studies, seven corresponded to content analysis of texts or images [ 21 – 23 , 40 , 44 , 45 , 51 ] and one to people with obesity interviews [ 34 ]. (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, it is worth considering the focus of the respective document. Almost half of the studies [ 4 , 5 , 25 , 27 – 31 , 33 , 34 , 36 , 37 , 41 , 46 , 51 ] addressed weight stigma when evaluating aspects related to obesity in the pandemic context, and only six [ 24 , 26 , 32 , 38 , 39 , 43 , 47 – 49 ] directly measured variables related to weight stigma (Table 1 ).

Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, studies were predominantly from Europe ( n = 19) [ 2 , 4 , 22 – 24 , 28 – 31 , 33 , 34 , 37 , 38 , 41 – 43 , 46 , 47 , 54 ] and North America ( n = 14) [ 3 , 5 , 6 , 15 , 21 , 25 , 36 , 38 – 40 , 43 , 45 , 47 – 49 , 51 ]. One opinion piece [ 4 ] and two reviews [ 6 , 30 ] included authors from different countries.…”

Section: Resultsmentioning

confidence: 99%

“…Weight stigma in the pandemic has been cited in domains such as the media, healthcare settings, public campaigns, related to perceived experiences and internalization, as mentioned above, in public opinions of people with obesity [ 51 ], and interpersonal relationships [ 25 , 39 ]. Therefore, the following session will feature the evidence on the concept in all respective domains.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Weight stigma in the COVID-19 pandemic: a scoping review

¹

,

³

et al. 2022

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Background Weight stigma is a phenomenon associated with adverse behavioural and psychological consequences. Although experts suggest that its increase during the COVID-19 pandemic may be associated with worse health outcomes for people with obesity, a thorough analysis of the main findings and gaps is still needed when relating to this subject. Objective We aim to answer three questions: (1) How does weight stigma manifest in the COVID-19 pandemic? (2) How can weight stigma affect people with overweight or obesity in times of COVID-19? (3) What are the perceptions and experiences of weight stigma during the pandemic in individuals who experience overweight or obesity? Methods We conducted a scoping review of studies addressing weight stigma and the COVID-19 pandemic in electronic databases (Medline/PubMed, CINAHL, Embase, PsycInfo, BVS/Lilacs, Scopus, Web of Science, Google Scholar, and OpenGrey) published until 10th August 2021. All relevant studies were reviewed in full by two researchers. In addition, a narrative synthesis of the data was performed. Results The results included 35 studies out of 8,090 records and identified 13 original research publications, 14 text and opinion papers, and 6 narrative reviews. The results revealed the presence of weight stigma in the media, healthcare settings, interpersonal relationships, and public campaigns during the COVID-19 pandemic. The evidence of increasing weight stigma in the COVID-19 outbreak is limited, though. Many weight discrimination consequences were described during this time, such as impairment in accessing healthcare, worst COVID-19 outcomes, and maladaptive eating. However, only maladaptive behaviours and decline in mental health outcomes were demonstrated empirically in all age groups. This effect occurred regardless of body mass index, but people with high body weight were more likely to experience weight stigma. For some people with obesity, weight stigma in the pandemic has made activities of daily routine difficult. Conclusions The results suggest that weight stigma in the COVID-19 pandemic occurs in several settings; moreover, although weight discrimination impacts mental health, whether before or during the pandemic, this influence between the pandemic and pre-pandemic scenario is still unclear. Therefore, more research is required in this field while the pandemic lasts, especially with people with obesity. Plain English summary Overall, people with overweight or obesity are more vulnerable to weight stigma than individuals without overweight. In addition, weight stigma refers to discrimination or prejudice based on a person’s weight and relates to several consequences, for instance, poor healthcare treatment and mental health problems. In the COVID-19 outbreak, these weight stigma effects tend to become even more critical because they may be associated with unfavourable COVID-19 outcomes and eating disorder risks. Thus, it is crucial to investigate how weight stigma occurs during the pandemic and its impact on health, mainly for the most affected people. We investigated 35 studies published between 2019 and 2021 to map and explore how weight stigma was manifested and the related consequences for people with overweight or obesity in the COVID-19 pandemic. Only about a third of them were quantitative or qualitative, limiting the evidence of weight stigma in the COVID-19 context. The available evidence suggests that weight stigma manifests in several settings such as media, healthcare, public campaigns, and is more common in people with excess weight. However, weight discrimination experiences before or during the pandemic were associated with adverse psychological and behavioural consequences across all age groups, regardless of body weight. For some people with obesity, for instance, weight stigma made it difficult to accomplish their activities of daily routine. Nevertheless, it remains unclear whether weight stigma has increased in the pandemic, thus, more studies are required, especially about people with overweight or obesity.

“…As for the characteristics of the studies, the majority corresponded to text and opinion documents (n = 16) [ 2 – 5 , 25 – 27 , 29 , 31 , 33 , 36 , 37 , 41 , 42 , 50 , 52 ] and narrative reviews (n = 6) [ 6 , 15 , 28 , 30 , 35 , 46 ]. Quantitative ( n = 6) [ 24 , 26 , 32 , 38 , 39 , 43 , 47 – 49 ] and qualitative research studies ( n = 8) [ 21 – 23 , 34 , 40 , 44 , 45 , 51 ] were retained. Of the quantitative studies, three were cross-sectional [ 24 , 39 , 47 ] and three were longitudinal [ 32 , 47 – 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the quantitative studies, three were cross-sectional [ 24 , 39 , 47 ] and three were longitudinal [ 32 , 47 – 49 ]. And, among the qualitative studies, seven corresponded to content analysis of texts or images [ 21 – 23 , 40 , 44 , 45 , 51 ] and one to people with obesity interviews [ 34 ]. (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, it is worth considering the focus of the respective document. Almost half of the studies [ 4 , 5 , 25 , 27 – 31 , 33 , 34 , 36 , 37 , 41 , 46 , 51 ] addressed weight stigma when evaluating aspects related to obesity in the pandemic context, and only six [ 24 , 26 , 32 , 38 , 39 , 43 , 47 – 49 ] directly measured variables related to weight stigma (Table 1 ).

Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, studies were predominantly from Europe ( n = 19) [ 2 , 4 , 22 – 24 , 28 – 31 , 33 , 34 , 37 , 38 , 41 – 43 , 46 , 47 , 54 ] and North America ( n = 14) [ 3 , 5 , 6 , 15 , 21 , 25 , 36 , 38 – 40 , 43 , 45 , 47 – 49 , 51 ]. One opinion piece [ 4 ] and two reviews [ 6 , 30 ] included authors from different countries.…”

Section: Resultsmentioning

confidence: 99%

“…Weight stigma in the pandemic has been cited in domains such as the media, healthcare settings, public campaigns, related to perceived experiences and internalization, as mentioned above, in public opinions of people with obesity [ 51 ], and interpersonal relationships [ 25 , 39 ]. Therefore, the following session will feature the evidence on the concept in all respective domains.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Weight stigma in the COVID-19 pandemic: a scoping review

¹

,

³

et al. 2022

View full text Add to dashboard Cite

Background Weight stigma is a phenomenon associated with adverse behavioural and psychological consequences. Although experts suggest that its increase during the COVID-19 pandemic may be associated with worse health outcomes for people with obesity, a thorough analysis of the main findings and gaps is still needed when relating to this subject. Objective We aim to answer three questions: (1) How does weight stigma manifest in the COVID-19 pandemic? (2) How can weight stigma affect people with overweight or obesity in times of COVID-19? (3) What are the perceptions and experiences of weight stigma during the pandemic in individuals who experience overweight or obesity? Methods We conducted a scoping review of studies addressing weight stigma and the COVID-19 pandemic in electronic databases (Medline/PubMed, CINAHL, Embase, PsycInfo, BVS/Lilacs, Scopus, Web of Science, Google Scholar, and OpenGrey) published until 10th August 2021. All relevant studies were reviewed in full by two researchers. In addition, a narrative synthesis of the data was performed. Results The results included 35 studies out of 8,090 records and identified 13 original research publications, 14 text and opinion papers, and 6 narrative reviews. The results revealed the presence of weight stigma in the media, healthcare settings, interpersonal relationships, and public campaigns during the COVID-19 pandemic. The evidence of increasing weight stigma in the COVID-19 outbreak is limited, though. Many weight discrimination consequences were described during this time, such as impairment in accessing healthcare, worst COVID-19 outcomes, and maladaptive eating. However, only maladaptive behaviours and decline in mental health outcomes were demonstrated empirically in all age groups. This effect occurred regardless of body mass index, but people with high body weight were more likely to experience weight stigma. For some people with obesity, weight stigma in the pandemic has made activities of daily routine difficult. Conclusions The results suggest that weight stigma in the COVID-19 pandemic occurs in several settings; moreover, although weight discrimination impacts mental health, whether before or during the pandemic, this influence between the pandemic and pre-pandemic scenario is still unclear. Therefore, more research is required in this field while the pandemic lasts, especially with people with obesity. Plain English summary Overall, people with overweight or obesity are more vulnerable to weight stigma than individuals without overweight. In addition, weight stigma refers to discrimination or prejudice based on a person’s weight and relates to several consequences, for instance, poor healthcare treatment and mental health problems. In the COVID-19 outbreak, these weight stigma effects tend to become even more critical because they may be associated with unfavourable COVID-19 outcomes and eating disorder risks. Thus, it is crucial to investigate how weight stigma occurs during the pandemic and its impact on health, mainly for the most affected people. We investigated 35 studies published between 2019 and 2021 to map and explore how weight stigma was manifested and the related consequences for people with overweight or obesity in the COVID-19 pandemic. Only about a third of them were quantitative or qualitative, limiting the evidence of weight stigma in the COVID-19 context. The available evidence suggests that weight stigma manifests in several settings such as media, healthcare, public campaigns, and is more common in people with excess weight. However, weight discrimination experiences before or during the pandemic were associated with adverse psychological and behavioural consequences across all age groups, regardless of body weight. For some people with obesity, for instance, weight stigma made it difficult to accomplish their activities of daily routine. Nevertheless, it remains unclear whether weight stigma has increased in the pandemic, thus, more studies are required, especially about people with overweight or obesity.

Social Aspects of Bariatric Surgery

2021

Obesity, Bariatric and Metabolic Surgery

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No abstract

Social Aspects of Bariatric Surgery

¹

,

²

,

³

et al. 2023

Obesity, Bariatric and Metabolic Surgery

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No abstract

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