Weight stigma and health – Repercussions on the health of adolescents and adults: integrative review of the literature

ABSTRACT Objective To conduct an integrative review in order to understand the repercussions of the social stigma of overweight on the health of adults and adolescents. Methods The international protocol for systematic review and meta-analysis studies PRISMA was adopted to guide the writing of this review. The databases used were PubMed, Psycinfo, SciELO, Medline, Lilacs and Pepsic, considering studies published in the period from 2000 to 2020. Sixty-seven (67) articles were analyzed, and 4 categories emerged: repercussions on physical well-being; repercussions on social well-being; repercussions on mental well-being; and mixed category (physical and psychological impact). Results In the vast majority of studies analyzed, weight stigma had a negative impact on the different spheres that make up the health construct, that is, the physical, social and mental spheres. Conclusions The consequences of weight stigma are a source of intense suffering, with an impact that reduces the quality of life of individuals who experience stigmatization, involving physical, emotional and social aspects.

摘要 目的：本研究旨在开展整合性综述，以明确超重社会污名对成年人及青少年健康的影响。方法：本综述遵循系统综述与元分析研究的国际报告规范PRISMA撰写，检索数据库包括PubMed、Psycinfo、SciELO、Medline、Lilacs及Pepsic，纳入2000年至2020年间发表的相关研究。最终共分析67篇文献，归纳出4类研究范畴：躯体健康福祉影响、社会健康福祉影响、心理健康福祉影响，以及混合范畴（兼具躯体与心理影响）。结果：在所分析的绝大多数研究中，体重污名对构成健康内涵的不同维度均产生负面影响，即躯体、社会与心理维度。结论：体重污名所带来的后果会引发强烈的痛苦，其影响会降低经历污名化个体的生活质量，涉及躯体、情感与社会多个层面。