Forward QI-Module 4: Addressing Stigma and Bias in Caring for Patients with Obesity

Module 4: Addressing Stigma and Bias in Caring for Patients with Obesity

Video Transcription

Video Summary

Marissa Szent, an ambulatory care pharmacist, explains how weight stigma and implicit/explicit bias hinder appropriate obesity care. Although most clinicians view obesity as a chronic disease, fewer patients do, despite frequent discussions and multiple prior weight-loss attempts. Weight bias—common and largely unprotected legally—leads to stereotypes, reduced appointment time, delayed care, and worse outcomes. She emphasizes people-first, nonjudgmental language and respectful accommodations. Weight stigma can worsen depression, eating behaviors, blood pressure, and avoidance of exercise, reducing weight-loss success when patients feel judged. Strategies include focusing on healthy behaviors, avoiding blaming terms, sensitivity training, and teaching obesity biology while addressing social determinants and ensuring equitable access to evidence-based treatment.

Meta Tag

Domain Healthcare Administration

Profession Nurse

Subject Matter Theory

Keywords

weight stigma in healthcare

implicit and explicit bias

obesity as a chronic disease

people-first nonjudgmental language

equitable evidence-based obesity treatment

Healthcare Administration

Nurse

Theory