Rebecca M. Puhl
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View article: Intersectional stigma among LGBTQIA+ adolescents with chronic primary musculoskeletal pain and its association with functioning and depressive symptoms.
Intersectional stigma among LGBTQIA+ adolescents with chronic primary musculoskeletal pain and its association with functioning and depressive symptoms. Open
The findings of the current study highlight unique challenges for LGBTQIA+ adolescents with CPMP and justify future research in this area. Socioecological frameworks are warranted that consider pain-related and intersectional stigma in the…
View article: Results of the 2024 International Weight Bias Summit: Establishing future research directions in the field
Results of the 2024 International Weight Bias Summit: Establishing future research directions in the field Open
Experts identified six critical research directions that should be prioritized to advance weight bias and stigma research and drive meaningful progress. Continued international collaboration was recognized as essential to driving this work…
View article: Feasibility and Acceptability of a Psychological Intervention for Internalized Health-Related Stigma Among Adults With Chronic Health Conditions: Preliminary Investigation
Feasibility and Acceptability of a Psychological Intervention for Internalized Health-Related Stigma Among Adults With Chronic Health Conditions: Preliminary Investigation Open
Background Health-related stigma is widely acknowledged as a threat to public health and a barrier to managing chronic health conditions. Internalized stigma is a particularly strong predictor of poor health outcomes across health conditio…
View article: Front-of-Package Food Labels and Perceived Weight Stigmatization
Front-of-Package Food Labels and Perceived Weight Stigmatization Open
Importance Front-of-package food labels (FOPLs) about nutrient content and health effects are a promising policy to improve diet quality but may also contribute to harmful weight stigma. Objective To assess whether different types of FOPLs…
View article: Experiences of diabetes stigma among adults with type 1 and type 2 diabetes: A multi‐study, multi‐country, secondary analysis
Experiences of diabetes stigma among adults with type 1 and type 2 diabetes: A multi‐study, multi‐country, secondary analysis Open
Aims To conduct a multi‐study, cross‐country examination of diabetes stigma among adults with type 1 and type 2 diabetes (T1D, T2D). Methods Pre‐existing, cross‐sectional studies of adults (aged ≥18) completing the T1D or T2D Diabetes Stig…
View article: Feminism and Its Associations with Weight Stigma, Body Image, and Disordered Eating: A Risk or Protective Factor?
Feminism and Its Associations with Weight Stigma, Body Image, and Disordered Eating: A Risk or Protective Factor? Open
The feminist perspective is relevant to the understanding, prevention, and treatment of disturbances in eating and body image. However, limited empirical research has explored the relationship between feminist identity and weight stigma. T…
View article: Prevalence of disordered eating behaviors varies at the intersection of gender identity and sexual orientation among sexual and gender minority youth.
Prevalence of disordered eating behaviors varies at the intersection of gender identity and sexual orientation among sexual and gender minority youth. Open
Engaging in disordered eating behaviors (DEBs) to attempt to control weight is a well-documented precursor to the development of an eating disorder. Both gender identity and sexual orientation have been identified as relevant social positi…
View article: Facing Challenges for Reducing Weight Stigma in Public Health Policy and Practice
Facing Challenges for Reducing Weight Stigma in Public Health Policy and Practice Open
The prevalence and harms of societal weight stigma have increased attention to its presence in public health approaches and communication. Calls to action from scholars, advocates, and health professionals emphasize the need to address wei…
View article: Support from school personnel and in-school resources jointly moderate the association between identity-based harassment and depressive symptoms among sexual and gender diverse youth.
Support from school personnel and in-school resources jointly moderate the association between identity-based harassment and depressive symptoms among sexual and gender diverse youth. Open
A growing body of research has found that perceptions of social-emotional support from school personnel and lesbian, gay, bisexual, transgender, and queer (LGBTQ) in-school resources (e.g., gender and sexuality alliances, inclusive curricu…
View article: Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race/Ethnicity
Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race/Ethnicity Open
Objective Prior work has documented inequities in disordered eating behavior (DEB) prevalence across gender identity, race, and ethnicity, yet has often ignored the fact that individuals belong to multiple social groups simultaneously. The…
View article: Adolescent experiences of weight‐related communication: Sociodemographic differences and the role of parents
Adolescent experiences of weight‐related communication: Sociodemographic differences and the role of parents Open
Summary Background Weight‐related conversations are common between adolescents and parents. However, there is limited understanding of how these conversations vary across sociodemographic groups, such as sex, sexual orientation, race/ethni…
View article: Measuring internalized health-related stigma across health conditions: development and validation of the I-HEARTS Scale
Measuring internalized health-related stigma across health conditions: development and validation of the I-HEARTS Scale Open
Background Health-related stigma and its internalization among individuals with chronic health conditions contribute to impaired mental and physical health and quality of life. Research on health-related stigma has been siloed, with diseas…
View article: Weight Bias in the Perinatal Period: An Integrative Review
Weight Bias in the Perinatal Period: An Integrative Review Open
Background Weight bias toward individuals with higher body weights in healthcare settings is associated with adverse health behaviors, reduced healthcare utilization, and poor health outcomes. The purpose of this integrative review was to …
View article: Exploring the interplay of weight-based teasing and sociodemographic factors in adolescent weight bias internalization
Exploring the interplay of weight-based teasing and sociodemographic factors in adolescent weight bias internalization Open
Objective Research has highlighted the potential adverse effects of weight bias internalization (WBI) on adolescents, but there has been little examination of WBI and sources of weight teasing (family, peers, or both) or across racial/ethn…
View article: ‘It’s not me, it’s them’ – a report describing the weight-related attitudes towards obesity in pregnancy among maternal healthcare providers
‘It’s not me, it’s them’ – a report describing the weight-related attitudes towards obesity in pregnancy among maternal healthcare providers Open
Background Occurrences of weight stigma have been documented in prenatal clinical settings from the perspective of pregnant patients, however little is known from the viewpoint of healthcare providers themselves. Reported experiences of we…
View article: The economic and social costs of body dissatisfaction and appearance-based discrimination in the United States
The economic and social costs of body dissatisfaction and appearance-based discrimination in the United States Open
This study estimated the social and economic costs of body dissatisfaction and appearance-based discrimination (specifically, weight and skin-shade discrimination) in the United States (USA) in the 2019 calendar year. We used a prevalence-…
View article: Implicit and Explicit Weight Bias among Midwives: Variations Across Demographic Characteristics
Implicit and Explicit Weight Bias among Midwives: Variations Across Demographic Characteristics Open
Introduction Weight bias toward individuals with higher body weights is present in health care settings. However, there has been limited quantitative exploration into weight bias among perinatal care providers and its potential variations …
View article: Weight Bias Among Certified Nurse‐Midwives and Certified Midwives: Findings From a National Sample
Weight Bias Among Certified Nurse‐Midwives and Certified Midwives: Findings From a National Sample Open
Introduction Weight bias toward individuals with higher body weights permeates health care settings in the United States and has been associated with poor weight‐related communication and quality of care as well as adverse health outcomes.…
View article: Negative familial weight talk and weight bias internalization in a US sample of children and adolescents
Negative familial weight talk and weight bias internalization in a US sample of children and adolescents Open
Summary Background Negative familial weight talk may contribute to higher weight bias internalization in pre‐ and early adolescents (hereafter referred to as children) and may differ by gender, weight status, and race and ethnicity. Object…
View article: Bias‐based bullying, self‐esteem, queer identity pride, and disordered eating behaviors among sexually and gender diverse adolescents
Bias‐based bullying, self‐esteem, queer identity pride, and disordered eating behaviors among sexually and gender diverse adolescents Open
Objective Limited research incorporates an intersectional approach when evaluating disordered eating behaviors among those holding minoritized social positions, such as lesbian, gay, bisexual, queer, questioning, and/or transgender/gender …
View article: Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation
Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation Open
Summary Weight stigma, defined as pervasive misconceptions and stereotypes associated with higher body weight, is both a social determinant of health and a human rights issue. It is imperative to consider how weight stigma may be impeding …
View article: An Examination of Parental Weight Stigma and Weight Talk Among Socioeconomically and Racially/Ethnically Diverse Parents
An Examination of Parental Weight Stigma and Weight Talk Among Socioeconomically and Racially/Ethnically Diverse Parents Open
Parental communication about body weight can influence children's emotional well-being and eating behaviors. However, little is known about the role of parental self-stigma concerning weight and social position variables (ie, race/ethnicit…
View article: Weight Self-Efficacy and Recovery Among African-Americans With Serious Mental Illness and High Body Weight
Weight Self-Efficacy and Recovery Among African-Americans With Serious Mental Illness and High Body Weight Open
Many African-Americans with serious mental illness fail to engage in evidence-based programs that positively affect weight management. We examined how having a weight-related physical illness correlated with self-efficacy, recovery, and qu…
View article: Family‐based weight stigma and psychosocial health: A multinational comparison
Family‐based weight stigma and psychosocial health: A multinational comparison Open
Objective Family‐based weight stigma can be expressed as criticism, judgment, teasing, and mistreatment by family members because of an individual's body weight. The current study compared the prevalence and psychosocial correlates of fami…
View article: Does Diagnostic Certainty Matter?: Pain-Related Stigma in Adolescents with Juvenile Idiopathic Arthritis
Does Diagnostic Certainty Matter?: Pain-Related Stigma in Adolescents with Juvenile Idiopathic Arthritis Open
Objectives Childhood chronic pain conditions are common and vulnerable to stigma. Adolescents with chronic primary pain experience diagnostic uncertainty and describe pain-related stigma experiences across multiple social contexts. Juvenil…
View article: Weight-biased attitudes about pediatric patients with obesity in Dutch healthcare professionals from seven different professions
Weight-biased attitudes about pediatric patients with obesity in Dutch healthcare professionals from seven different professions Open
Little is known about the prevalence of negative weight-biased attitudes among Dutch healthcare professionals (HCPs) when treating children and adolescents with obesity and whether interdisciplinary differences are present. Accordingly, we…
View article: The Role of Body Image and Refusal to be Weighed: Implications for Primary Healthcare
The Role of Body Image and Refusal to be Weighed: Implications for Primary Healthcare Open
CONTEXT: Stigma related to body size reduces healthcare quality and leads to healthcare avoidance, particularly for women. Barriers include weight bias from providers, lack of appropriately sized equipment for larger bodies, and internaliz…