Posts Tagged ‘discrimination’

Are Pediatricians Doing Their Job?

December 6th, 2011

Amid continuing furor over the removal of the 8 year old boy in Cleveland from his family, come two reports. The first, a study just published in the Archives of Pediatrics and Adolescent Health showing that only a quarter of parents were told by their pediatricians that their child was overweight. Interestingly, more parents who were minority and low income were told than other groups of parents. Arch Pediatr Adolesc Med — Abstract: Parental Recall of Doctor Communication of Weight Status: National Trends From 1999 Through 2008, December 5, 2011, Perrin et al. 0 (2011): archpediatrics.2011.1135v1

Another report has addressed a recurring question in the Cleveland case which is ‘how widespread is the removal of overweight/obese children to foster care?’ There does not appear to a clear picture but there is a picture of the frequency in Great Britain, including the case of a child as young as three. Council ‘put child, 5, into care for being obese’ – Telegraph

Time Magazine blogger calls for abusing persons with obesity

November 15th, 2011

Time magazine blogger, Shannon Brownlee wants us to get serious about obesity with a ‘novel’ idea: 

Shannon Brownlee

insulting,  discriminating and penalizing persons with obesity. Boy, bet that will help. Shannon Brownlee: Let’s Stop Being Passive About Obesity | TIME Ideas | TIME.com

(Ever notice that the folks who espouse the most mean-spirited attacks on persons with obesity always think it is a novel idea? Why is that?)

Wash Post’s Robinson Joins Christie Fat-Bashing Crowd

September 30th, 2011

Eugene Robinson has a column in today’s Washington Post titled, “Christie’s Hefty Burden.” Chris Christie’s big problem – The Washington Post I cannot recall the last time I disagreed with one of Robinson’s columns but this one is really bad. The middle of the column is a recitation of facts about obesity, seemingly taken of f the NIH website. Robinson’s mistakes are two, one at the beginning and one at the end of his piece and they stigmatize persons with obesity.

 In the first paragraph, Robinson says that whether or not Christie runs for President he needs to lose weight. (I’m sure Christie is grateful for that insight.) But he goes on to state, “Like everyone else, elected officials perform best when they are in optimal health. Christie obviously is not.”

Whoa! Let’s look at this. First, being obese, even having extreme obesity, does not mean that a person cannot perform a given job. They may have a health problem, like diabetes, or joint problems or their weight may aggravate another problem but their weight, per se, does not mean they cannot perform a job. Does one have to be in “optimal” health to perform their best? Tell that to FDR with his polio  or JFK with his back pain. Tell that to tens of thousands of persons with handicapping conditions and diseases who go to work everyday and perform and, often, outperform, their colleagues. Even if Christie has some of the comorbid conditions of obesity, such as hypertension, type 2 diabetes and high cholesterol, many of these are manageable by medicine.

 In the last paragraph, Robinson offers Christie some “sincere advice: Eat a salad and take a walk.” I’d like to suggest Robinson go to anyone of thousands of Weight Watchers meetings this weekend or to the group sessions of bariatric surgery patients and see what reaction such ill-informed and gratuitous advice provokes. If it were so easy, we would not have an obesity problem. If a columnist did some homework, he might learn that even the best, most motivated behavioral interventions produce between 5% – 10% weight loss.

Of course, as most dieters will see, Robinson presumes that Christie is at his highest weight. Maybe?  Or maybe he has lost significant amounts of weight already. Maybe he has sustained that weight loss for a long time. To presume, as Robinson has, that Christie is (a) currently in bad health, (b) cannot perform a position such as governor or President if he is obese, and (c) hasn’t heard the message on eat less exercise more is ludicrous. (Actually, a lot of normal weight persons, in my experience, feel they are just a great person if they tell a fat person to eat better and exercise more.) It is an example (as if we needed another one) that obesity remains the last socially acceptable excuse for discrimination.

 The team on MSNBC’s Morning Joe this morning discussed Robinson’s column and, frankly, had a much more intelligent discussion than Robinson displayed. Hopefully, this will be a moment to educate Americans about the realities of obesity and avoid stigmatizing persons with obesity.

Employment and Wage Discrimination

September 27th, 2009

A starting point for any economic view of obesity is the current state of employment and wage discrimination against persons with obesity. For excellent resources, see:

http://www.yaleruddcenter.org/resources/upload/docs/what/reports/RuddBriefWeightBias2009.pdf

Economic causes and consequences of obesity. [Annu Rev Public Health. 2005] – PubMed Result

Evidence of discrimination against obese workers Do antifat attitudes predict antifat behaviors? [Obesity (Silver Spring). 2008] – PubMed Result

Bias, discrimination, and obesity. [Obes Res. 2001] – PubMed Result

Recent experiences of weight-based stigmatization …[Obesity (Silver Spring). 2008] – PubMed Result

Racism may increase weight in black women Perceived racism in relation to weight change in t…[Ann Epidemiol. 2009] – PubMed Result

Wage Discrimination

Obesity has significant impact on white women’s wages Obesity, Self-esteem and Wages

Body Composition and Wages

Weight and wages: fat versus lean paychecks. [Health Econ. 2009] – PubMed Result

Why obesity lowers wages: http://www.nber.org/digest/aug05/aug05.pdf

The wage effects of obesity: a longitudinal study. [Health Econ. 2004] – PubMed Result

Health, obesity, and earnings. [Am J Public Health. 1980] – PubMed Result

Weight Bias

September 26th, 2009

It is difficult to find any area of obesity untouched by issues of bias and discrimination.Is obesity stigmatizing? Body weight, perceived di…[J Health Soc Behav. 2005] – PubMed Result Perhaps the stigmatization associated with obesity is as great as for any human condition. Not only does stigmatization take a terrible toll on individuals’ life in society but it directly affects the health care they do, or do not, receive. The Yale Rudd Center on Food Policy and Obesity is the leading academic center focused on weight bias and discrimination. Rudd Center for Food Policy and Obesity — Home. MD

Weight bias is increasing in the United States without any legal or societal restraints. Changes in perceived weight discrimination among A…[Obesity (Silver Spring). 2008] – PubMed Result

Overweight and obese report stigmatizing encounters across a variety of settings but ones involving personal relationships seem hardest to take. Weight stigmatization and bias reduction: perspect…[Health Educ Res. 2008] – PubMed Result

Weight stigmatization may result in high rates of depression in severe or morbidly obese patients. Depressed mood in class III obesity predicted by w…[Obes Surg. 2007] – PubMed Result

Weight Bias http://www.yaleruddcenter.org/resources/upload/docs/what/bias/Bias-DiscriminationAgainstObese.pdf

Weight Discrimination compared to race and gender discrimination http://www.yaleruddcenter.org/resources/upload/docs/what/economics/WeightDiscrim-Prevalence-Comparison.pdf

Origins of Weight Bias and ways to reduce bias http://www.yaleruddcenter.org/resources/upload/docs/what/bias/OriginsOfWeightBias-WaysToReduce.pdf

Childhood stigmatization see,

Stigmatization of obese children and adolescents, …[Obes Rev. 2008] – PubMed Result

No change in weight-based teasing when school-base…[Arch Pediatr Adolesc Med. 2008] – PubMed Result

Associations of weight-based teasing and emotional…[Arch Pediatr Adolesc Med. 2003] – PubMed Result

Weight-teasing among adolescents: correlations wit…[Int J Obes Relat Metab Disord. 2002] – PubMed Result

Racial/ethnic differences in weight-related teasin…[Obesity (Silver Spring). 2008] – PubMed Result

Effect on provision of health care

Undertreatment of obese women undergoing cancer therapy: Arch Intern Med — Abstract: Undertreatment of Obese Women Receiving Breast Cancer Chemotherapy, June 13, 2005, Griggs et al. 165 (11): 1267

Weight Bias in Health Care Settings, http://www.yaleruddcenter.org/resources/upload/docs/what/bias/WeightBiasInHealthCareSettings.pdf