Weight stigma after bariatric surgery: A qualitative study with Brazilian women

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorULIAN, Mariana Dimitrov
dc.contributor.authorUNSAIN, Ramiro Fernandez
dc.contributor.authorFRANCO, Ruth Rocha
dc.contributor.authorSANTO, Marco Aurelio
dc.contributor.authorBREWIS, Alexandra
dc.contributor.authorTRAINER, Sarah
dc.contributor.authorSTURTZSREETHARAN, Cindi
dc.contributor.authorWUTICH, Amber
dc.contributor.authorGUALANO, Bruno
dc.contributor.authorSCAGLIUSI, Fernanda Baeza
dc.date.accessioned2023-10-30T15:14:58Z
dc.date.available2023-10-30T15:14:58Z
dc.date.issued2023
dc.description.abstractPrior studies suggest that one anticipated benefit of bariatric surgery is the achievement of a thinner body, one that is less subject to perceived negative judgment and condemnation by others. However, additional analyses also indicate that stigma may persist even with significant post-surgery weight loss. To investigate the stigma-related perceptions and experiences of women who have undergone bariatric surgery and the resulting body transformations, we conducted individual, semi-structured interviews with thirty Brazilian women (15 aged 33-59 and 15 aged 63-72). The resulting text was then analyzed using thematic analysis. We found that some form of weight stigma persisted for our participants, regardless of weight loss. Ongoing experiences of stigma were also evidenced by the constant internal and external vigilance reported by the women, as well as their articulated efforts to distance themselves from their previous bodies. Additionally, participants reported being judged for choosing an ""easy way out"" to lose weight. Those in the older group reported that weight stigma was entangled with ageism: older participants received mixed messages underscoring the ways that weight and age may interact in doubly stigmatizing ways. Family and close peers were especially powerful sources of stigma experiences. Collectively, these results show that weight stigma persists even when people undergo a procedure to lose substantive weight and that the degree and types of stigma experiences are influenced by gender and age. Our study suggest future research should explore whether a targeted approach might be more effective, for example, an approach that would emphasize the importance of developing coping strategies with respect to experiences of stigma and discrimination after surgery.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP) [2019/00031-0]
dc.description.sponsorshipFAPESP [2017/17424-9]
dc.description.sponsorshipCNPq [309514/2018-5]
dc.identifier.citationPLOS ONE, v.18, n.7, article ID e0287822, 17p, 2023
dc.identifier.doi10.1371/journal.pone.0287822
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/56359
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCEeng
dc.relation.ispartofPlos One
dc.rightsopenAccesseng
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCEeng
dc.subject.otherobesity surgeryeng
dc.subject.otherbody-imageeng
dc.subject.otherhealtheng
dc.subject.otherstigmatizationeng
dc.subject.otherhistoryeng
dc.subject.otherfoodeng
dc.subject.otherbiaseng
dc.subject.wosMultidisciplinary Scienceseng
dc.titleWeight stigma after bariatric surgery: A qualitative study with Brazilian womeneng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalULIAN, Mariana Dimitrov:Univ Sao Paulo, Dept Nutr, Fac Saude Publ, Sao Paulo, SP, Brazil
hcfmusp.author.externalBREWIS, Alexandra:Arizona State Univ, Sch Human Evolut & Social Change, Tempe, AZ USA
hcfmusp.author.externalTRAINER, Sarah:Arizona State Univ, Sch Human Evolut & Social Change, Tempe, AZ USA
hcfmusp.author.externalSTURTZSREETHARAN, Cindi:Arizona State Univ, Sch Human Evolut & Social Change, Tempe, AZ USA
hcfmusp.author.externalWUTICH, Amber:Arizona State Univ, Sch Human Evolut & Social Change, Tempe, AZ USA
hcfmusp.author.externalSCAGLIUSI, Fernanda Baeza:Univ Sao Paulo, Dept Nutr, Fac Saude Publ, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcRAMIRO ANDRES FERNANDEZ UNSAIN
hcfmusp.contributor.author-fmusphcRUTH ROCHA FRANCO
hcfmusp.contributor.author-fmusphcMARCO AURELIO SANTO
hcfmusp.contributor.author-fmusphcBRUNO GUALANO
hcfmusp.description.articlenumbere0287822
hcfmusp.description.issue7
hcfmusp.description.volume18
hcfmusp.origemWOS
hcfmusp.origem.pubmed37498887
hcfmusp.origem.scopus2-s2.0-85166391139
hcfmusp.origem.wosWOS:001066222400033
hcfmusp.publisher.citySAN FRANCISCOeng
hcfmusp.publisher.countryUSAeng
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