Individual differences and weight bias: Do people with an anti-fat bias have a pro-thin bias?

While levels of weight bias vary among individuals, it is not clear why one person possesses stronger anti-fat attitudes than another person. This investigation examined whether individual differences commonly associated with greater anti-fat bias are also associated with a greater preference for thinness among people of varying levels of weight. Young adults (62% women; 84% Caucasian) recruited from psychology classes (N = 308) rated four male and female figures with approximate BMIs of 18.5, 25, 30, and 40, on measures of dislike and personality characteristics and completed measures assessing weight controllability, attitudes toward the obese, and perceptual reliance. Greater negative attitudes, weight controllability beliefs, and perceptual reliance were positively associated with greater dislike and negative personality attributes among obese/severely obese figures, but inversely related among low normal weight figures. Individuals who judge others based on physical features or who view obesity as controllable evidence greater weight bias and a stronger preference for thin body types.     

Gender differences in social consequences of perceived overweight in the United States and Australia

This study investigated attitudes about body weight and appearance in a group of young adults. Undergraduate psychology students at the Flinders University of South Australia and at the University of Vermont were asked about their weight and dieting, consciousness about their body, the degree to which their weight had interfered with social activities, their perceptions about the causes of obseity, and their stereotypes about fat and thin men and women. Although 20% of the sample was overweight, 50% of subjects perceived themselves to be overweight to some degree. As expected, weight was a much greater issue for women, who felt more overweight, dieted more, expressed more body consciousness, and reported that weight had interfered more with social activities than did men. Also as expected, Vermont students reported greater frequency of dieting, more concern about weight, and more body consciousness than did students in Australia. Finally, men and women in both cultures stereotyped obese targets significantly more negatively than they did nonobese targets. The results indicate excessive and maladaptive concerns with weight in general, and among women and U.S. students in particular.     

Weight-related words associated with figure silhouettes

Antifat attitudes and obesity bias are prevalent in Western society; however, little is known about the social meanings and connotations of weight-related words such as fat, overweight, and obese (e.g., Robison & Erdman, 1998). The purpose of this study was to explore college students' perceptions of weight-related terminology. Participants (n=131) completed a modified figure rating scale in which they identified male and female figure silhouettes most associated with a variety of weight-related words and personal characteristics. Additionally, participants completed a word association task and provided definitions of five weight terms. Results indicated that participants grouped weight terms into two groupings (i.e., "slender" and "heavy" weight terms) both in the figure rating task and in the word association and definition tasks. Both male and female participants selected smaller female figure silhouettes for the weight terms overweight, large, fat, and normal weight than for the male figure silhouettes. Moreover, associations between weight-related words and personal characteristics, including normal weight -physically fit and overweight -lazy, were found. The results suggest that weight-related words carry with them social meanings and values that reflect an "ideology of blame."     

The Ideology of Anti-Fat Attitudes1

We surveyed over 1,000 undergraduates about their attitudes toward fatness and fat people. A consistent pattern of attitudes emerged: People who were anti-fat shared an ideologically conservative outlook on life. Those who disliked fatness tended to be politically conservative, racist, in favor of capital punishment, and less supportive of nontraditional marriages. By contrast, negative attitudes toward fatness were not associated with conservative sexual attitudes (which are less likely to be ideologically based), although they were related to less tolerance of sexuality among the handicapped, homosexuals, and the elderly. Antifat attitudes seem to be based on ideology, and not on one's own weight situation: Anti-fat attitudes were virtually unrelated to one's own degree of fatness. The relationship between ideology and anti-fat attitudes was stronger among men than among women, which indicates that a variety of other, perhaps more self-relevant factors, play into the anti-fat attitudes of women. For example, when women held a conservative, anti-fat ideology, and were in the heaviest weight group, they suffered from low self-esteem. This relationship did not hold for men, indicating that the relationship between ideology and self-derogation may be based on the greater self-relevance weight holds for women. In a second study, we found that anti-fat attitudes were substantially correlated with authoritarianism, indicating that prejudice against fat people may be another manifestation of a collection of political and social attitudes predicated on conventionalism and a narrow latitude of acceptance of others' behaviors.     

胖负面身体自我女性对身体信息注意偏向成分的时间进程：一项眼动追踪研究

虽然目前大量研究基于Vitousek和Hollon (1990)提出的饮食失调认知模型对胖负面身体自我图式者或饮食失调者的注意偏向进行探讨, 但对其注意偏向的成分仍未得出一致结论, 且尚无研究查考其时间进程特点。研究采用更具生态效度的身体图片为实验刺激, 刺激呈现时间2000ms, 采用传统经典的点探测范式与眼动追踪技术结合, 探讨胖负面身体自我女性对身体信息注意偏向成分的时间进程。基于前人的工作(Castellanos et al., 2009; Garner, Mogg, & Bradley, 2006), 研究考察了四个眼动数据：首视点定向偏向分数、首视点潜伏期偏向分数、首视点注视时间偏向以及总注视时间偏向分数, 系统探讨了注意定向、探测时间、最初注意维持/回避以及总体注意维持/回避。眼动数据发现, 胖负面身体自我图式者对不同身体图片存在不同的注意偏向模式, 对胖图片为注意警觉—维持模式, 具体表现为早期加速探测、注意定向, 以及最初的注意维持和总体注意维持; 对瘦图片仅为注意警觉, 具体表现为早期加速探测; 行为数据支持实验组对胖图片的注意维持以及对身体图片的注意脱离困难。该结果部分支持Vitousek和Hollon (1990)的模型, 即负面身体自我图式能够易化对图式一致信息的加工, 而未发现对图式不一致信息的回避或抑制。     

Fat is a Feminist Issue, but it is Complicated: Commentary on Fikkan and Rothblum

Fikkan and Rothblum (2011) review the literature on discrimination and bias against overweight and obese (fat) women. They provide convincing evidence that fat women face discrimination in the workplace, are treated disparately in medical, mental health, and educational settings, are at a disadvantage in social and romantic situations, and are either absent or portrayed negatively in the media. They conclude with the observation that feminists have largely ignored this issue that disproportionately affects women. While I agree that fat is a feminist issue, I also argue that the issue of gender differences in the experience of weight discrimination is more complicated than suggested in the Fikkan and Rothblum review. The commentary concludes with some possible explanations for why feminists have neglected this issue, emphasizing the historical changes in the feminist movement which have taken the focus off of issues primarily related to White middle-class women.     

Stigma, obesity, and the health of the nation's children

Preventing childhood obesity has become a top priority in efforts to improve our nation's public health. Although much research is needed to address this health crisis, it is important to approach childhood obesity with an understanding of the social stigma that obese youths face, which is pervasive and can have serious consequences for emotional and physical health. This report reviews existing research on weight stigma in children and adolescents, with attention to the nature and extent of weight bias toward obese youths and to the primary sources of stigma in their lives, including peers, educators, and parents. The authors also examine the literature on psychosocial and physical health consequences of childhood obesity to illustrate the role that weight stigma may play in mediating negative health outcomes. The authors then review stigma-reduction efforts that have been tested to improve attitudes toward obese children, and they highlight complex questions about the role of weight bias in childhood obesity prevention. With these literatures assembled, areas of research are outlined to guide efforts on weight stigma in youths, with an emphasis on the importance of studying the effect of weight stigma on physical health outcomes and identifying effective interventions to improve attitudes.     

‘Faking good’ with self-reported pro-authority attitudes and behaviours among schoolchildren

This study examined the relationship between the L Scale measure of social desirability responding on the Junior Eysenck Personality Inventory and two types of measures of self-reported pro-authority tendencies among schoolchildren. One type of measure assessed attitudes and the other behaviour, each in relation to the authority of parents and teachers. Positive and, in most cases, significant correlations were found between the L Scale and both types of measures. However, as predicted, correlations with the self-reported behaviour scales were, in general, significantly higher, suggesting that attitude to authority scales are less susceptible to bias resulting from ‘faking good’.     

“Weak,Sad, and Lazy Fatties”: Adolescents’ Explicit and Implicit Weight Bias Following Exposure to Weight Loss Reality TV Shows

Weight loss reality TV shows, which portray obese individuals and their struggle to lose weight, are highly popular. However, the shows often contain negative and stereotypical portrayals of obese individuals that can contribute to the formation of weight bias among viewers. In particular, adolescents might be highly susceptible to such portrayals, since physical appearance and body image play an important role during adolescence. In our experimental study, we investigated the priming effects of exposure to weight loss reality TV shows on implicit and explicit attitudes toward obese individuals among 353 adolescents. We exposed a treatment group (n = 173) to video clips of a weight loss reality TV show and a control group (n = 180) to video clips of an information-based TV magazine. Results indicated that for individuals who expressed a fear of being obese, exposure to the weight loss reality TV show reinforced negative explicit attitudes toward obese individuals by activating a perception of weight controllability. Exposure to the weight loss reality TV show also enhanced negative implicit attitudes toward obese individuals among all adolescents, irrespective of their fear of being obese. Altogether, our findings underscore the role of media in perpetuating weight bias.     

The Confounding of Fat, Control, and Physical Attractiveness for Women

Fikkan and Rothblum (2011) provided a comprehensive review of the experience of weight bias in women. However, they do not significantly address why fat might be so negatively stigmatized in women. In this paper, I propose that fat women experience both the stigma of unattractiveness and the stigma that they lack control. Because women are expected to be physically attractive, fat women are more impacted by these stigmas than are fat men. Given that much of the research on fat stigma and physical attractiveness is done in Western countries, and fat is not stigmatized in the same way in all cultures, this paper is primarily focused on the United States, although some cross cultural research is discussed. Considering the source of fat women’s stigma provides a necessary foundation for a comprehensive review of the effects of that stigma.     

We Agree: Fat IS a Feminist Issue! Response to Commentators

In our review of the literature on women and weight bias (Fikkan and Rothblum 2011), we attempted to cull findings from multiple disciplines that demonstrate the impact (social, educational, and financial) of the stigma of women’s weight. We undertook this for two purposes: the first was to address a gap in the weight bias literature, which tends to make only a side note mention that fat women suffer worse penalties than do fat men; the second, to raise the point that feminist scholars, though highly attuned to pressures on women to be thin, have spent less time discussing the disparate impact for women of being fat, despite the mounting evidence of how much weight bias impacts women. We offered some of our own thoughts on the persisting neglect of this topic among feminist writers, despite previous calls to action (Rothblum 1992, 1994). Given the dearth of attention to what has become one of the most frequent types of discrimination against women (Puhl et al. 2008), we asked: “is fat a feminist issue?” We were delighted with the response from the commentators and the thoughtful exploration they devoted to our question and to this issue within feminist scholarship. Here, we briefly summarize some of the main themes identified by these writers, offer our own thoughts on these themes and repeat their call to action for further study of this important area of women’s lives.     

Approach bias for food cues in obese individuals

This study aimed to investigate the existence of an approach bias for food cues in obese individuals. A community sample of 56 obese women and 56 normal weight controls completed an approach–avoidance variant of the implicit association task. The obese participants were faster to respond to trials that paired food words with approach words, and trials that paired non-food words with avoid words, than the converse pairings, thus, demonstrating an approach bias for food. This bias was evident for both high caloric and low caloric food words, and was not attributable to a state of deprivation or feelings of hunger. By contrast, the normal weight controls did not show any such bias. The results are consistent with recent neurocognitive perspectives of obesity. At a practical level, approach biases for food may present a potential target for modifying (excessive) food intake.     

The Effects of a Common In‐group Prime on Intentions to Help Indigenous and Homeless Australians

The article reports on research designed to test Australian attitudes towards helping impoverished members of the Australian society, in particular, indigenous and homeless people. Australian university students completed a questionnaire to measure their attitudes towards helping homeless and indigenous people under conditions that primed a common Australian identity. The findings showed that priming an inclusive identity led to relatively stronger intentions to help indigenous Australians but not homeless people. It was also found that participants preferred to endorse more autonomy than dependency help to both indigenous and homeless Australians. Whereas the findings indicate that helping intentions towards those living with poverty may be accentuated by priming a common in‐group, they also imply that helping attitudes vary with the type of help being sought and the way people perceive the cause of someone's poverty.     

Derogating obese individuals: the role of blame,contempt, and disgust

Weight stigma is pervasive and has profound negative consequences for obese individuals. The attribution‐emotion approach of stigmatization holds that blame attributions relate to derogation stigmatized groups indirectly through anger and pity. Other research suggests that disgust is related to weight stigma. In the present studies, we investigate whether contempt is a reliable predictor of biases against obese individuals. Study 1 (N = 297) shows that contempt partially mediates the relation between blame and both prejudice and support for weight related discrimination policies. Studies 2 and 3 (total N = 406) added disgust and show that both contempt and disgust relate to social distance and prejudice. Contempt mediated the relation between blame and negative reactions toward obese individuals, even after controlling for other emotions, while disgust only mediated these relations in Study 2. Anger and pity did not show this mediating role, but pity was moderately associated with weight bias. Contempt is likely to play an important role in how people react to members of this stigmatized group.     

Depression and medication adherence among breast cancer survivors: bridging the gap with the theory of planned behaviour

Evidence suggests that more depressed breast cancer patients will less likely adhere to treatment plans. This study presents evidence that the theory of planned behaviour mediates the relation between depression and intentions to adhere to treatment plans and between depression and lack of adherence to medication regime. Two hundred and thirteen women undergoing breast cancer treatment participated in this study. Measures of depressive symptoms and planned behaviour variables were collected at the first time point; measures of medication adherence were collected at the second time point. Structural equation models were utilised to fit the data to the proposed models. Depressive symptoms were significantly correlated to both intentions and medication adherence. In support of hypotheses, the relation between depressive symptoms and treatment intention was mediated by attitudes towards health maintenance plans. The relation between depressive symptoms and medication adherence was fully mediated by the planned behaviour process. Conditions under which treatment intentions and perceptions of control in adhering to treatment were most related to medication adherence were elucidated. The results point to avenues for interventions to increase medication adherence among breast cancer patients. Manipulating attitudes and perceptions of control towards treatment plans will potentially serve to increase medication adherence.     

Depression and medication adherence among breast cancer survivors: Bridging the gap with the theory of planned behaviour

Evidence suggests that more depressed breast cancer patients will less likely adhere to treatment plans. This study presents evidence that the theory of planned behaviour mediates the relation between depression and intentions to adhere to treatment plans and between depression and lack of adherence to medication regime. Two hundred and thirteen women undergoing breast cancer treatment participated in this study. Measures of depressive symptoms and planned behaviour variables were collected at the first time point; measures of medication adherence were collected at the second time point. Structural equation models were utilised to fit the data to the proposed models. Depressive symptoms were significantly correlated to both intentions and medication adherence. In support of hypotheses, the relation between depressive symptoms and treatment intention was mediated by attitudes towards health maintenance plans. The relation between depressive symptoms and medication adherence was fully mediated by the planned behaviour process. Conditions under which treatment intentions and perceptions of control in adhering to treatment were most related to medication adherence were elucidated. The results point to avenues for interventions to increase medication adherence among breast cancer patients. Manipulating attitudes and perceptions of control towards treatment plans will potentially serve to increase medication adherence.     

An Empirically Keyed Scale for Measuring Managerial Attitudes Toward Women Executives

A scale (MATWES) is presented providing reliability and some validity measures regarding managerial attitudes toward women executives. Methodology used demonstrates an empirical approach to scale development through the employment of a projective test for item generation and the use of a panel of women executives who served as Q-sorters to select the items. The use of the Scale as a research instrument and its value in minimizing researcher bias in its construction are discussed.     

Epistemological and ethical assessment of obesity bias in industrialized countries

Bernard Lonergan's cognitive theory challenges us to raise questions about both the cognitive process through which obesity is perceived as a behaviour change issue and the objectivity of such a moral judgment. Lonergan's theory provides the theoretical tools to affirm that anti-fat discrimination, in the United States of America and in many industrialized countries, is the result of both a group bias that resists insights into the good of other groups and a general bias of anti-intellectualism that tends to set common sense against insights that require any thorough scientific analyses. While general bias diverts the public's attention away from the true aetiology of obesity, group bias sustains an anti-fat culture that subtly legitimates discriminatory practices and policies against obese people. Although anti-discrimination laws may seem to be a reasonable way of protecting obese and overweight individuals from discrimination, obesity bias can be best addressed by reframing the obesity debate from an environmental perspective from which tools and strategies to address both the social and individual determinants of obesity can be developed. Attention should not be concentrated on individuals' behaviour as it is related to lifestyle choices, without giving due consideration to the all-encompassing constraining factors which challenge the social and rational blindness of obesity bias.     

What's in a Name? The Effects of the Labels “Fat” Versus “Overweight” on Weight Bias1

This research examined the effects of the labels “fat” vs. “overweight” in the expression of weight bias, with the prediction that the label “fat” biases individuals to respond more negatively than does the label “overweight.” In Study 1, participants' attitudes toward people labeled as fat were less favorable than were their attitudes toward people labeled as overweight. In Studies 2 and 3, although participants chose similar‐sized figures to depict fat and overweight targets, weight stereotypes and weight attitudes were more negative toward people labeled as fat than those labeled as overweight. In addition, the endorsement of weight stereotypes mediated the biasing effect of the “fat” label on weight prejudice. Implications of this work for prejudice researchers and for public attitudes are discussed.     

Biases in orienting and maintenance of attention among weight dissatisfied women: an eye-movement study

Despite evidence indicating fatness and thinness information are processed differently among weight-preoccupied and eating disordered individuals, the exact nature of these attentional biases is not clear. In this research, eye movement (EM) tracking assessed biases in specific component processes of visual attention (i.e., orientation, detection, maintenance and disengagement of gaze) in relation to body-related stimuli among 20 weight dissatisfied (WD) and 20 weight satisfied young women. Eye movements were recorded while participants completed a dot-probe task that featured fatness-neutral and thinness-neutral word pairs. Compared to controls, WD women were more likely to direct their initial gaze toward fatness words, had a shorter mean latency of first fixation on both fatness and thinness words, had longer first fixation on fatness words but shorter first fixation on thinness words, and shorter total gaze duration on thinness words. Reaction time data showed a maintenance bias towards fatness words among the WD women. In sum, results indicated WD women show initial orienting, speeded detection and initial maintenance biases towards fat body words in addition to a speeded detection – avoidance pattern of biases in relation to thin body words. In sum, results highlight the importance of the utility of EM-tracking as a means of identifying subtle attentional biases among weight dissatisfied women drawn from a non-clinical setting and the need to assess attentional biases as a dynamic process.