Impacts of stigma and discrimination on people with obesity who smoke cigarettes
Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people wit...
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | Addictive Behaviors Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352853224000592 |
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| author | Liza A. Kolbasov Arryn A. Guy Cara M. Murphy |
| author_facet | Liza A. Kolbasov Arryn A. Guy Cara M. Murphy |
| author_sort | Liza A. Kolbasov |
| collection | DOAJ |
| description | Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (N = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population. |
| format | Article |
| id | doaj-art-5765ae6fa3ed418aa2b66f1935549150 |
| institution | Kabale University |
| issn | 2352-8532 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Addictive Behaviors Reports |
| spelling | doaj-art-5765ae6fa3ed418aa2b66f19355491502025-01-19T06:26:14ZengElsevierAddictive Behaviors Reports2352-85322025-06-0121100582Impacts of stigma and discrimination on people with obesity who smoke cigarettesLiza A. Kolbasov0Arryn A. Guy1Cara M. Murphy2Center for Alcohol and Addiction Studies, Brown University, Providence, RI, USACenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USACenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA; Corresponding author at: Brown University School of Public Health, Box G-S121-5, Providence, RI, USA.Stigma is the state of social devaluation due to a trait or group identity; weight and smoking-based self-, felt-, and enacted stigma may have detrimental health effects and pose barriers to smoking cessation. This study examined associations between stigma, discrimination, and health for people with overweight or obesity (body mass index [BMI] ≥ 25) who smoke cigarettes (cigarettes smoked/day ≥ 5) who reported interest in quitting smoking and minimizing weight gain. Participants (N = 63; predominantly women (81.0 %), White (63.5 %) or Black/African American (31.7 %), and heterosexual (85.7 %) with 50 % having a yearly income below $50,000) completed the measures of stigma (i.e., Weight Bias Internalization Scale and Internalized Stigma of Smoking Inventory), discrimination (i.e., Everyday Discrimination Scale), and symptoms of depression, weight, smoking, nicotine dependence, and concerns about gaining weight while quitting smoking were measured. Those who reported more internalization of weight bias and more everyday discrimination reported greater depressive symptomatology and greater concern about gaining weight while quitting smoking, with depressive symptomatology fully mediating both internalization of weight bias and everyday discrimination’s relation with concern about gaining weight while quitting smoking. There was also an association of smoking felt-stigma, but not self- or enacted-stigma, with symptoms of depression. Stigma’s associations with symptoms of depression and post-cessation weight concern suggest barriers to effective behavior change, and interventions may consider targeting processes for coping with stigma experienced by this population.http://www.sciencedirect.com/science/article/pii/S2352853224000592Post-cessation weight concernSmokingSmoking stigmaWeight stigma |
| spellingShingle | Liza A. Kolbasov Arryn A. Guy Cara M. Murphy Impacts of stigma and discrimination on people with obesity who smoke cigarettes Addictive Behaviors Reports Post-cessation weight concern Smoking Smoking stigma Weight stigma |
| title | Impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| title_full | Impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| title_fullStr | Impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| title_full_unstemmed | Impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| title_short | Impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| title_sort | impacts of stigma and discrimination on people with obesity who smoke cigarettes |
| topic | Post-cessation weight concern Smoking Smoking stigma Weight stigma |
| url | http://www.sciencedirect.com/science/article/pii/S2352853224000592 |
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