Weight stigma and narrative resistance evident in online discussions of obesity

This study sampled 2872 obesity-relevant comments from three years of interest from a multi-topic online message board. An inductive thematic analysis was conducted and three themes were evident: reactions and responses to obesity and obese bodies, diminished status of overweight/obese persons, and narrative resistance to an overweight/obese identity. Obesity stigma was pervasive and the discussion of the issue revealed it to be highly acceptable. Consistent with previous research, dominant representations of obese persons as lazy and unintelligent with poor self-control were evident. The analysis provided valuable insight into experiences of explicit stigma, the social and psychological repercussions of overt stigma and norms regarding the perception of obese bodies. There was a prevailing notion that the opinions and insights of overweight and obese persons on the issue of weight were not credible and were perceived as biased. Furthermore, individuals sought to distance themselves from the undesirable labels of 'overweight' and 'obese' by enacting narrative resistance to negotiate the social meaning of excess weight and endeavouring to place themselves on the 'safe' side of this boundary. These results highlight the pervasive nature of weight stigma and the social acceptability of such attitudes and beliefs. Furthermore, it highlights the richness of data that may be obtained by examining social media interactions as a window into the naturally-occurring discourse on obesity and stigma.

[1]  V. Moore,et al.  Bodies, mothers and identities: rethinking obesity and the BMI. , 2008, Sociology of health & illness.

[2]  D. M. Stein,et al.  The Impact of Exposure to the Thin-Ideal Media Image on Women , 2004, Eating disorders.

[3]  T. Wadden,et al.  The influence of the stigma of obesity on overweight individuals , 2004, International Journal of Obesity.

[4]  Sanna Inthorn,et al.  ‘It’s disgusting how much salt you eat!’ , 2010 .

[5]  L. Vartanian,et al.  Effects of Weight Stigma on Exercise Motivation and Behavior , 2008, Journal of health psychology.

[7]  C. Crandall,et al.  Social norms and the expression and suppression of prejudice: the struggle for internalization. , 2002, Journal of personality and social psychology.

[8]  E. Goffman Stigma; Notes On The Management Of Spoiled Identity , 1964 .

[9]  Aoife De Brún,et al.  “Fat is your fault”. Gatekeepers to health, attributions of responsibility and the portrayal of gender in the Irish media representation of obesity , 2013, Appetite.

[10]  R. Kozinets Netnography: Doing Ethnographic Research Online , 2009 .

[11]  Sue Ziebland,et al.  Analysing qualitative data , 2000, BMJ : British Medical Journal.

[12]  Carol Carr,et al.  Health Behavior Changes after Colon Cancer: A Comparison of Findings from Face‐to‐Face and On‐Line Focus Groups , 2001, Family & community health.

[13]  Lisbet Øygard Studying food tastes among young adults using Bourdieu's theory , 2000 .

[14]  B. Teachman,et al.  Implicit anti-fat bias among health professionals: is anyone immune? , 2001, International Journal of Obesity.

[15]  S. Gilman Fat: A Cultural History of Obesity , 2008 .

[16]  Samantha Kwan Framing the Fat Body: Contested Meanings between Government, Activists, and Industry* , 2009 .

[17]  John Suler,et al.  The Online Disinhibition Effect , 2004, Cyberpsychology Behav. Soc. Netw..

[18]  Alan Beardsworth,et al.  Sociology on the Menu , 1997 .

[19]  B. Weiner,et al.  An attributional analysis of reactions to stigmas. , 1988, Journal of personality and social psychology.

[20]  J. Ogden,et al.  The Experience of Being Obese and the Many Consequences of Stigma , 2010, Journal of obesity.

[21]  B MilesMatthew,et al.  Qualitative Data Analysis , 2018, Approaches and Processes of Social Science Research.

[22]  Avner Offer,et al.  Epidemics of Abundance: Overeating and Slimming in the USA and Britain since the 1950s , 1998 .

[23]  M. Sandelowski Sample size in qualitative research. , 1995, Research in nursing & health.

[24]  J. Thompson,et al.  Fat Stigmatization in Television Shows and Movies: A Content Analysis , 2007, Obesity.

[25]  Janine Willis,et al.  First Impressions , 2006, Psychological science.

[26]  Lee F. Monaghan ‘Physician Heal Thyself’, Part 1: A qualitative analysis of an online debate about clinicians’ bodyweight , 2010 .

[27]  P. Bourdieu Distinction: A Social Critique of the Judgement of Taste* , 2018, Food and Culture.

[28]  P. Rozin Towards a Psychology of Food and Eating: From Motivation to Module to Model to Marker, Morality, Meaning, and Metaphor , 1996 .

[29]  M. Banaji,et al.  Psychological. , 2015, The journals of gerontology. Series B, Psychological sciences and social sciences.

[30]  C. Bagley,et al.  Attitudes of Nurses toward Obesity and Obese Patients , 1989, Perceptual and motor skills.

[31]  C. Sibley,et al.  Immoral Bodies: The Implicit Association Between Moral Discourse and the Body , 2007 .

[32]  Chelsea A. Heuer,et al.  The Stigma of Obesity: A Review and Update , 2009, Obesity.

[33]  A. Saguy,et al.  Morality and health: News media constructions of overweight and eating disorders , 2010 .

[34]  Lee F. Monaghan ‘Physician Heal Thyself’, Part 2: Debating clinicians’ bodyweight , 2010 .

[35]  N. Taylor “Guys, She’s Humongous!”: Gender and Weight-Based Teasing in Adolescence , 2011 .

[36]  D. Lupton,et al.  Food, the body, and the self , 1996 .

[37]  Chelsea A. Heuer,et al.  Obesity stigma: important considerations for public health. , 2010, American journal of public health.

[38]  C. Crandall,et al.  Culture, Ideology, and Antifat Attitudes , 1996 .

[39]  C. Crandall Prejudice against fat people: ideology and self-interest. , 1994, Journal of personality and social psychology.

[40]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .

[41]  Peter Conrad,et al.  Social Behavior , 2018 .

[42]  K. Brownell,et al.  Weight bias among health professionals specializing in obesity. , 2003, Obesity research.

[43]  M. Billig Humour and Embarrassment , 2001 .

[44]  K. Brownell,et al.  Bias, discrimination, and obesity. , 2001, Obesity research.

[45]  Mabel Gracia-Arnaiz Fat bodies and thin bodies. Cultural, biomedical and market discourses on obesity , 2010, Appetite.

[46]  Bruce G. Link,et al.  Stigma, prejudice, discrimination and health. , 2008, Social science & medicine.