“Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms

Individuals who are higher-weight and low-income may disproportionately experience weight and income stigmas in healthcare experiences compared to lower-weight, higher-income individuals. The ways that weight and income stigmas interact in healthcare should be better understood in order to provide...

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Main Authors: Lee Turner, Andrea E. Bombak
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-11-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://www.pagepressjournals.org/qrmh/article/view/12480
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author Lee Turner
Andrea E. Bombak
author_facet Lee Turner
Andrea E. Bombak
author_sort Lee Turner
collection DOAJ
description Individuals who are higher-weight and low-income may disproportionately experience weight and income stigmas in healthcare experiences compared to lower-weight, higher-income individuals. The ways that weight and income stigmas interact in healthcare should be better understood in order to provide better, less stigmatizing care to higher-weight, low-income patients. This study assesses how patients manage stigmatizing experiences in both healthcare and everyday experiences and how that impacts health seeking and stigma management behaviors through semistructured interviews with 11 higher-weight (Body Mass Index ≥30), low-income adults (≥18 years of age) in an Atlantic Canadian province. Participants took part in two interviews that focused on healthcare experiences and both positive and negative places/spaces. The two face-to-face interviews for each participant (total 21 interviews) were audio-recorded and professionally transcribed verbatim. The transcripts were analyzed using thematic analysis to identify recurring concepts and patterns within the data. Two major themes emerged from the data, uptake of stigmatizing, neoliberal health messaging and coping with stigma. Coping with stigma included subthemes control over stigmatizing experiences and stoicism in the face of stigma. The findings suggest that individuals understand their health and wellness through a neoliberal lens and that they deploy strategies of control and stoicism to cope with the stigmas they face.
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spelling doaj-art-f955102823dd42ccaa7ae12271b0bf6f2025-08-20T03:57:55ZengKeAi Communications Co., Ltd.Qualitative Research in Medicine & Healthcare2532-20442024-11-018310.4081/qrmh.2024.12480“Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanismsLee Turner0Andrea E. Bombak1Department of Sociology, University of New Brunswick, Fredericton NBDepartment of Sociology, University of New Brunswick, Fredericton NB Individuals who are higher-weight and low-income may disproportionately experience weight and income stigmas in healthcare experiences compared to lower-weight, higher-income individuals. The ways that weight and income stigmas interact in healthcare should be better understood in order to provide better, less stigmatizing care to higher-weight, low-income patients. This study assesses how patients manage stigmatizing experiences in both healthcare and everyday experiences and how that impacts health seeking and stigma management behaviors through semistructured interviews with 11 higher-weight (Body Mass Index ≥30), low-income adults (≥18 years of age) in an Atlantic Canadian province. Participants took part in two interviews that focused on healthcare experiences and both positive and negative places/spaces. The two face-to-face interviews for each participant (total 21 interviews) were audio-recorded and professionally transcribed verbatim. The transcripts were analyzed using thematic analysis to identify recurring concepts and patterns within the data. Two major themes emerged from the data, uptake of stigmatizing, neoliberal health messaging and coping with stigma. Coping with stigma included subthemes control over stigmatizing experiences and stoicism in the face of stigma. The findings suggest that individuals understand their health and wellness through a neoliberal lens and that they deploy strategies of control and stoicism to cope with the stigmas they face. https://www.pagepressjournals.org/qrmh/article/view/12480Weight stigmafatnesslow incomesocioeconomic statusclassismstigma coping
spellingShingle Lee Turner
Andrea E. Bombak
“Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
Qualitative Research in Medicine & Healthcare
Weight stigma
fatness
low income
socioeconomic status
classism
stigma coping
title “Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
title_full “Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
title_fullStr “Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
title_full_unstemmed “Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
title_short “Constantly justifying my existence”: Lower-income, higher-weight Canadian adults’ stigma coping mechanisms
title_sort constantly justifying my existence lower income higher weight canadian adults stigma coping mechanisms
topic Weight stigma
fatness
low income
socioeconomic status
classism
stigma coping
url https://www.pagepressjournals.org/qrmh/article/view/12480
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