Article Correctness Is Author's Responsibility: The impact of weight stigma on decisions about weight loss surgery.

The article below may contain offensive and/or incorrect content.

Obese individuals are increasingly seeking weight-loss surgery (WLS) for the treatment of chronic obesity. Given the growing prevalence of WLS, more investigation is needed on the social factors that impact decisions to undergo surgery. Weight stigma–prejudicial, biased, or discriminatory of treatment of obese people–is on the rise and has significant negative consequences for obese individuals. This study examined the impact of weight stigma on decisions about WLS in a diverse sample of 95 obese women seeking WLS (54.7% White; 31.6% Black). It was predicted that body mass index, comorbidities, and weight stigma would predict (a) higher mortality risk taking, and (b) lower decisional conflict. Binary logistic regressions were used to examine the hypotheses. Results indicated that body mass index, comorbidities, and weight stigma significantly predicted mortality risk taking. The model accounted for 11% of the variance in mortality risk-taking scores; however, only weight stigma significantly contributed to the model. The strength of the model increased after controlling for racial/ethnic differences. Among obese White women, the model accounted for 20% of the variance in mortality risk-taking scores. Each 1-unit increase in weight stigma led to a 6% increase in mortality risk taking. Weight stigma did not predict lower decisional conflict. Findings from this study suggest that weight stigma may be a factor in obese women's decisions about WLS. Obese White women may be at particular risk for weight stigma. The implications for bariatric care are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved)