Home > Review Articles > Obesity > The shame of fat shaming in public health: moving past racism to embrace indigenous solutions

The shame of fat shaming in public health: moving past racism to embrace indigenous solutions

Making Education Easy

Authors:
Summary:

These NZ researchers discuss the ways in which indigenous peoples in colonised countries have been stigmatised for generations for their skin colour, their beliefs and their culture. Over the last few decades, public and clinical health body weight has focused on body weight. This article describes how ‘recommended weight ranges’ support racist attitudes toward Māori, as an indigenous group. The BMI, which correlates with population data on health status, classifies people as underweight, ‘normal’, overweight and obese by weight ranges that do not account for inter (and intra) ethnic variation in body type. Evidence from studies on institutional and societal racism, as well as critical research on weight stigma and the weight loss industry, reveals how perceptions of weight have blamed indigenous (Māori) peoples for being fat and for being less productive (or moral) because they are fat. The article points out that a weight loss-centred approach has not improved the health of indigenous people. Instead, this approach upholds racist sentiment towards indigenous peoples in developed nations, who are more likely to be overweight, obese and disproportionately affected by weight-induced comorbidities and physical disorders, in comparison with other peoples in those nations. Psychological, emotional and social issues underlie those weight-associated physical ailments. These study researchers propose indigenous solutions based on local, traditional knowledge that provide an alternative to weight-focused health promotion and could serve as pathways out of fat shaming.

Comment:
Fat shaming by health providers is an issue, with a 2003 survey of 620 GPs finding that more than half considered obese patients to be “awkward, unattractive, ugly and non-compliant”. Many think fat-shaming may motivate people to lose weight when in fact it creates stress and anxiety. People who are obese are also less likely to be considered for job promotions and receive good service in public settings. The authors not only name the issues of ‘fat shaming’ and stigmatisation for Māori, but propose solutions to them.
Reference: Public Health. 2018 Oct 20. [Epub ahead of print]
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

Related Articles

A meal replacement intervention delivered in a specialist service achieved clinically meaningful weight loss and

A qualitative study has highlighted ontological approaches to aging-in-place for Indigenous peoples, as a strategy

Adverse childhood experiences (ACEs) contribute to childhood obesity, according to a Growing Up in New

Explore Māori Health Reviews

Dive into our publications and videos content from over 50 areas of medicine including Cardiology, Diabetes, Oncology, Haematology and Psychiatry. 

It looks like you are closest to our Australia site.

Australia
Australia
Find Reviews in Your Clinical Area
Please select your country of practice.
Terms and Conditions

Website terms of use 

By using our website, you agree to follow these terms and conditions. 

 

Privacy policy 

We take your privacy seriously. To understand how we collect, use, and protect your information, please read our Privacy Policy, which is part of these terms. 

 

Copyright and use of website content 

The content of our website is protected by copyright, trademarks, and other legal rights. You can: view, download, or print a single copy of content for your personal or professional use. 

You cannot:  copy, modify, or distribute website content, or use our website content for commercial purposes or in other works without permission. 

 

Links to third-party websites 

The Research Review website may link to third-party websites for your convenience. However: 

We do not endorse or approve their products, services, or actions. 

We are not responsible for their content or how they operate. 

There is no formal partnership between us and third parties unless we clearly state otherwise. 

 

Disclaimer and limitation of liability 

We do our best to keep the information on our website accurate, but we do not guarantee that it is always correct or up to date. 

To the fullest extent allowed by law, we are not responsible for: 

Any loss, damage, or costs you may suffer from using (or being unable to use) our website. 

Any decisions you make based on the information provided. 

Any business losses, such as lost profits, lost data, or business interruptions. 

 

Governing law 

These terms are governed by New Zealand law. If there is a dispute, it must be resolved in a New Zealand court.