Weight Stigma in Gynecological Care Among Cisgender Women

ABSTRACT Objective Healthcare is one of the primary contexts in which people experience weight stigma (social devaluation due to body weight), especially in gynecological care, where people's bodies are exposed. Thus, people may feel especially vulnerable to negative evaluations from healthcare...

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Main Authors: Karen E. Wetzel, Mary S. Himmelstein
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Obesity Science & Practice
Subjects:
Online Access:https://doi.org/10.1002/osp4.70061
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author Karen E. Wetzel
Mary S. Himmelstein
author_facet Karen E. Wetzel
Mary S. Himmelstein
author_sort Karen E. Wetzel
collection DOAJ
description ABSTRACT Objective Healthcare is one of the primary contexts in which people experience weight stigma (social devaluation due to body weight), especially in gynecological care, where people's bodies are exposed. Thus, people may feel especially vulnerable to negative evaluations from healthcare providers due to their weight, given the physical exposure which accompanies a breast exam, abdominal palpitations, and a pap‐smear or cervical exam. The existing literature examining weight stigma in obstetrics and gynecology has focused almost exclusively on pregnant or postpartum women. The only research on weight stigma during routine gynecological care is based on qualitative studies with small samples. Methods Participants (N = 1087; cisgender women) were sampled on Qualtrics, and quotas were set to reflect the most recent US census. The women reported their experiences with gynecological care and then were asked to qualitatively describe what they most recently encountered. Results Overall, 14% of the women in this sample had experienced weight stigma in reproductive or gynecological care at least once, and about 5% of this sample reported that this occurred frequently. Participants with higher body weights (≥ 30 kg/m2) were more likely to report frequent weight stigma in gynecological care. A few participants reported more serious experiences, such as misdiagnosis, environmental or systemic weight stigma, and provider reluctance to perform a pelvic exam. Conclusions Women experience weight stigma in routine gynecological care, and future research should continue investigating the effects of these experiences.
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spelling doaj-art-6e4ae77e059f4b53a0223ff5fb574c7d2025-08-20T02:58:36ZengWileyObesity Science & Practice2055-22382025-02-01111n/an/a10.1002/osp4.70061Weight Stigma in Gynecological Care Among Cisgender WomenKaren E. Wetzel0Mary S. Himmelstein1Department of Psychological Sciences Kent State University Kent Ohio USADepartment of Psychological Sciences Kent State University Kent Ohio USAABSTRACT Objective Healthcare is one of the primary contexts in which people experience weight stigma (social devaluation due to body weight), especially in gynecological care, where people's bodies are exposed. Thus, people may feel especially vulnerable to negative evaluations from healthcare providers due to their weight, given the physical exposure which accompanies a breast exam, abdominal palpitations, and a pap‐smear or cervical exam. The existing literature examining weight stigma in obstetrics and gynecology has focused almost exclusively on pregnant or postpartum women. The only research on weight stigma during routine gynecological care is based on qualitative studies with small samples. Methods Participants (N = 1087; cisgender women) were sampled on Qualtrics, and quotas were set to reflect the most recent US census. The women reported their experiences with gynecological care and then were asked to qualitatively describe what they most recently encountered. Results Overall, 14% of the women in this sample had experienced weight stigma in reproductive or gynecological care at least once, and about 5% of this sample reported that this occurred frequently. Participants with higher body weights (≥ 30 kg/m2) were more likely to report frequent weight stigma in gynecological care. A few participants reported more serious experiences, such as misdiagnosis, environmental or systemic weight stigma, and provider reluctance to perform a pelvic exam. Conclusions Women experience weight stigma in routine gynecological care, and future research should continue investigating the effects of these experiences.https://doi.org/10.1002/osp4.70061gynecological carehealth careobesityreproductive careweight stigma
spellingShingle Karen E. Wetzel
Mary S. Himmelstein
Weight Stigma in Gynecological Care Among Cisgender Women
Obesity Science & Practice
gynecological care
health care
obesity
reproductive care
weight stigma
title Weight Stigma in Gynecological Care Among Cisgender Women
title_full Weight Stigma in Gynecological Care Among Cisgender Women
title_fullStr Weight Stigma in Gynecological Care Among Cisgender Women
title_full_unstemmed Weight Stigma in Gynecological Care Among Cisgender Women
title_short Weight Stigma in Gynecological Care Among Cisgender Women
title_sort weight stigma in gynecological care among cisgender women
topic gynecological care
health care
obesity
reproductive care
weight stigma
url https://doi.org/10.1002/osp4.70061
work_keys_str_mv AT karenewetzel weightstigmaingynecologicalcareamongcisgenderwomen
AT maryshimmelstein weightstigmaingynecologicalcareamongcisgenderwomen