EMPATHY AS A FACTOR ASSOCIATED WITH PREJUDICE TOWARD OBESE PEOPLE. STUDY CONDUCTED ON POLISH STUDENTS POPULATION
DOI:
https://doi.org/10.34813/16coll2023Keywords:
obesity, empathy, anti-fat biases, Anti-Fat Attitudes Scale, Empathic Sensitiveness ScaleAbstract
Stigma and discrimination toward obese persons are pervasive and pose numerous consequences for their psychological and physical health. Psychological effects of discrimination are known to have endur- ing impact on self-esteem, level of depression and severely influence body image satisfaction. The aim of that study was to examine relationship between level of empathy and level of anti-fat biases among young people in their early adulthood.
The study was conducted with undergraduate students of pedagogy of the Faculty of Social Sciences of the University of Warmia and Mazury in Olsztyn. The study group consisted of 240 people (Mage = 21.07, SDage = 1.28, range from 19 to 25 years). The applied research tool was the Anti-Fat Attitudes Scale and the Empathic Sensitiveness Scale.
The three empathy dimensions were significantly negatively correlated with anti-fat attitudes, i.e. empathic concern (r = −0.823, p < .001), personal distress (r = −0.833, p < .001), and perspective taking (r = −0.839, p < .001). There were significant effects of level of anti-fat attitudes on empathy scores, i.e. empathy concern F(2,237) = 212.732, p < 0.001, personal distress F(2,237) = 220.535, p < 0.001, and perspective taking F(2,237) = 204.646, p < 0.001.
Level of empathy proved to be significantly negatively correlated with anti-fat attitudes. Results obtained in the present study support the idea of designing and applying educational programs in the field of obesity stigma prevention. It is important to identify the nature of anti-fat biases in order to help to improve the daily functioning and well-being of individuals affected by obesity.
References
Ai, A. L., & Lee, J. (2021). Understanding a mechanism between perceived discrim-ination and obesity among Latinas in the United States. Ethnicity & Health, 26(4), 471–486. https://doi.org/10.1080/13557858.2018.1530737.
Alegria Drury, C. A., & Louis, M. (2002). Exploring the association between body weight, stigma of obesity, and health care avoidance. Journal of the American Academy of Nurse Practitioners, 14(12), 554–561. https://doi.org/10.1111/j.1745-7599.2002.tb00089.x.
Allport, G.W. (1979). The Nature of Prejudice. 25th Anniversary Edition. Ingram Publisher Services Us.
Aphramor, L. (2005). Is a weight-centred health framework salutogenic? Some thoughts on unhinging certain dietary ideologies. Social Theory & Health, 3(4), 315–340. http://doi.org/10.1057/palgrave.sth.8700059.
Aphramor, L. (2008). Weight and health: Changing attitudes and behaviours. Health Psychology Update, 17(1), 42. https://doi.org/10.1111/j.1746-1561.2011.00585.x.
Armstrong, G., Haregu, T., Young, J., & Paradies, Y. (2022). What are the effects of ethnicity, sexuality, disability and obesity on the odds of experiencing discrimination among Australian males? A nationwide cross-sectional survey. BMJ Open, 12(1), e053355. http://dx.doi.org/10.1136/bmjopen-2021-053355.
Batson, C. D., Polycarpou, M. P., Harmon-Jones, E., Imhoff, H. J., Mitchener, E. C., Bednar, L. L., Klein, T. R. & Highberger, L. (1997). Empathy and attitudes: Can feeling for a member of a stigmatized group improve feelings toward the group?. Journal ofPersonality and Social Psychology, 72(1), 105–118. https://doi.org/10.1037//0022-3514.72.1.105.
Batson, C. D., & Ahmad, N. Y. (2009). Using empathy to improve intergroup atti-tudes and relations. Social Issues and Policy Review, 3(1), 141–177. http://dx.doi.org/10.1111/j.1751-2409.2009.01013.x.
Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34(2), 163–175. https://doi.org/10.1023/b:jadd.0000022607.19833.00.
Batson, C. D., Chang, J., Orr, R., & Rowland, J. (2002). Empathy, attitudes, and action: Can feeling for a member of a stigmatized group motivate one to help the group?. Personality and Social Psychology Bulletin, 28(12), 1656–1666. https://doi.org/10.1177/014616702237647.
Campos-Vazquez, R. M., & Gonzalez, E. (2020). Obesity and hiring discrimination. Economics & Human Biology, 37, 100850. https://doi.org/10.1016/j.ehb.2020.100850.
Carr, D., Friedman, M. A., & Jaffe, K. (2007). Understanding the relationship be-tween obesity and positive and negative affect: the role of psychosocial mechanisms. Body Image, 4(2), 165–177. https://doi.org/10.1016/j.bodyim.2007.02.004.
Cedillo, Y. E., Lomax, R. O., Fernandez, J. R., & Moellering, D. R. (2020). Physio-logical significance of discrimination on stress markers, obesity, and LDL oxidation among a European American and African American Cohort of Females. International Journal of Behavioral Medicine,27(2), 213–224. https://doi.org/10.1007/s12529-020-09850-3.
Coke, J. S., Batson, C. D., & McDavis, K. (1978). Empathic mediation of helping: Atwo-stage model. Journal of Personality and Social Psychology, 36(7), 752–766. https://doi.org/10.1037/0022-3514.36.7.752.
Crandall, C. S. (1994). Prejudice against fat people: Ideology and self-interest. Jour-nal of Personality and Social Psychology, 66(5), 882–894. https://doi.org/10.1037//0022-3514.66.5.882.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for amultidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126. http://doi.org/10.1037/0022-3514.44.1.113.
Davis, M. H. (1980). A multidimensional approach to individual differences in em-pathy[Internet]. The University of Texas at Austin. https://www.uv.es/~friasnav/Da-vis_1980.pdf.
Dickerson, S. S., Gruenewald, T. L., & Kemeny, M. E. (2004). When the social self is threatened: Shame, physiology, and health. Journal of Personality, 72(6), 1191–1216. https://doi.org/10.1111/j.1467-6494.2004.00295.x.
Falkner, N. H., French, S. A., Jeffery, R. W., Neumark‐Sztainer, D., Sherwood, N. E.,&Morton, N. (1999). Mistreatment due to weight: prevalence and sources of per-ceived mistreatment in women and men. Obesity Research, 7(6), 572-576. https://doi.org/10.1002/j.1550-8528.1999.tb00716.x.
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. https://doi.org/10.3758/bf03193146.
Flint, S. W., Čadek, M., Codreanu, S. C., Ivić, V., Zomer, C., & Gomoiu, A. (2016). Obesity discrimination in the recruitment process:“You’re not hired!”. Frontiers in Psychology, 7, 647. http://doi.org/10.3389/fpsyg.2016.00647.
Fontana, F., Furtado Jr, O., Mazzardo Jr, O., Hong, D., & de Campos, W. (2017). Anti-fat bias by professors teaching physical education majors. European Physical Education Review, 23(1), 127–138. https://doi.org/10.1177/1356336X16643304.
Fruh, S. M., Nadglowski, J., Hall, H. R., Davis, S. L., Crook, E. D., & Zlomke, K. (2016). Obesity stigma and bias. The Journal for Nurse Practitioners, 12(7), 425–432. https://doi.org/10.1016%2Fj.nurpra.2016.05.013.
Fulton, M., & Srinivasan, V. N. (2021). Obesity, stigma and discrimination. In StatPearls [Internet]. StatPearls Publishing. https://www.statpearls.com/ArticleLi-brary/viewarticle/35347.
Gapinski, K. D., Schwartz, M. B., & Brownell, K. D. (2006). Can television change anti‐fat attitudes and behavior? 1. Journal of Applied Biobehavioral Research, 11(1), 1–28. http://dx.doi.org/10.1111/j.1751-9861.2006.tb00017.x.
Gloor, J. L., & Puhl, R. M. (2016). Empathy and perspective-taking: Examination and comparison of strategies to reduce weight stigma. Stigma and Health, 1(4), 269. http://dx.doi.org/10.1037/sah0000030.
Grilo, C. M., Wilfley, D. E., Brownell, K. D., & Rodin, J. (1994). Teasing, body image, and self-esteem in a clinical sample of obese women. Addictive Behaviors, 19(4), 443–450. https://doi.org/10.1016/0306-4603(94)90066-3 .
Imes, C., & Burke, L. E. (2014). Health and Community Systems, University of Pitts-burgh School of Nursing, Pittsburgh, PA 15261. The obesity epidemic: The United States as a cautionary tale for the rest of the world. Current Epidemiology Reports, 1(2), 82–88. https://doi.org/10.1007%2Fs40471-014-0012-6.
Jackson, S. E., & Steptoe, A. (2018). Obesity, perceived weight discrimination, and hair cortisol: a population-based study. Psychoneuroendocrinology, 98, 67–73.
Joslyn, M. R., & Haider-Markel, D. P. (2019). Perceived causes of obesity, emotions, and attitudes about Discrimination Policy. Social Science & Medicine, 223, 97–103.
Kaźmierczak, M., Plopa, M., & Petowski, S. (2007). Empathic sensitiveness scale. Przeglad Psychoogiczny, 50(1), 9–24.
Kenney, E. L., Gortmaker, S. L., Davison, K. K., & Bryn Austin, S. (2015). The ac-ademic penalty for gaining weight: a longitudinal, change-in-change analysis of BMI and perceived academic ability in middle school students. International Journal of Obesity, 39(9), 1408–1413. https://doi.org/10.1038/ijo.2015.88.
Kenney, E. L., Redman, M. T., Criss, S., Sonneville, K. R., & Austin, S. B. (2017). Are K-12 school environments harming students with obesity? A qualitative study of classroom teachers. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22, 141–152. https://doi.org/10.1007/s40519-016-0268-6.
Lau, P. W., Leung, B. W., Pitkethly, A. J., &Ransdell, L. (2018). Do physical edu-cation teachers and general teachers differ in their implicit anti-fat bias?. International Journal of Physical Education, 55(1), 27–38.
Machado, A. V., Camelo, L. V., Chor, D., Griep, R. H., Guimarães, J. M., Giatti, L., & Barreto, S. M. (2021). Racial inequality, racial discrimination and obesity inci-dence in adults from the ELSA-Brasil cohort. Journal ofEpidemiology andCommu-nity Health, 75(7), 695–701. https://doi.org/10.1136/jech-2020-214740.
Morrison, T. G., & O’Connor, W. E. (1999). Psychometric properties of a scale meas-uring negative attitudes toward overweight individuals. The Journal of Social Psychology, 139(4), 436–445.
Neumark‐Sztainer, D. (2005). Can we simultaneously work toward the prevention of obesity and eating disorders in children and adolescents?. International Journal of Eating Disorders, 38(3), 220–227. https://doi.org/10.1002/eat.20181.
Obara-Gołębiowska, M., Sebastyańska-Targowska, I. (2014). Weryfikacja postaw studentów kierunków pedagogicznych wobec otyłych dzieci. In: F. Nowak, M. Rogowska (eds.), Promocja zdrowia w środowisku szkolnym(157–166). Wydawnictwo PWSZ.
Obara-Golebiowska, M. (2016). Employment discrimination against obese women in obesity clinic’s patients perspective. Roczniki Państwowego Zakładu Higieny, 67(2).
Obara-Gołębiowska, M. (2016). Attempt to counteract stigmatization of obese per-sons. Effect of psychoeducation on the level of bias against obese persons. Nutrition, Obesity & Metabolic Surgery, 3(1), 21–23.
Obara-Golebiowska, M. (2021). Analysis of changes in BMIand perception of the quality of life and health in overweight female patients: Astudy with repeated meas-urements design. Colloquium, 13(3), 153–163.
Obara-Golebiowska, M., & Michalek-Kwiecien, J. (2018). Polish adaptation and val-idation of the Anti-Fat Attitudes Scale-AFAS. Baltic Journal of Health and Physical Activity, 10(2), 121–130. http://doi.org/10.29359/BJHPA.10.2.13.
Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta‐analytic tests of three mediators. European Journal of Social Psychology, 38(6), 922–934. http://dx.doi.org/10.1002/ejsp.504.
Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319–326. https://doi.org/10.1111/obr.12266.
Pizarro, D. (2000). Nothing more than feelings? The role of emotions in moral judg-ment. Journal for the Theory of Social Behaviour, 30(4), 355–375. http://doi.org/10.1111/1468-5914.00135.
Pories, M. L., & Rose, M. A. (2017). From stigma to empathy: Reframing our view of the bariatric patient. Bariatric Times, 14(4), 10–11.47.Puhl, R. M., & Heuer, C. A. (2009). The stigma of obesity: Areview and update. Obesity, 17(5), 941. https://doi.org/10.1038/oby.2008.636.
Puhl, R. M., & Latner, J. D. (2007). Stigma, obesity, and the health of the nation’s children. Psychological Bulletin, 133(4), 557. https://doi.org/10.1037/0033-2909.133.4.557.
Puhl, R., &Brownell, K. D. (2001). Bias, discrimination, and obesity. Obesity Re-search, 9(12), 788–805. https://doi.org/10.1038/oby.2001.108.
Puhl, R. M., Andreyeva, T., & Brownell, K. D. (2008). Perceptions of weight discrimination: Prevalence and comparison to race and gender discrimination in America.International Journal of Obesity, 32(6), 992–1000. https://doi.org/10.1038/ijo.2008.22.
Rich, E., & Evans, J. (2005). ‘Fat ethics’–the obesity discourse and body politics. Social Theory & Health, 3(4), 341–358.
Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2014). The stress of stigma: Exploring the effect of weight stigma on cortisol reactivity. Psychosomatic Medicine, 76(2), 156–162. https://doi.org/10.1057/palgrave.sth.8700057.
Sobczak, K., & Leoniuk, K. (2021). Attitudes of medical professionals towards discrimination of patients with obesity. Risk Management and Healthcare Policy, 14, 4169. https://doi.org/10.2147%2FRMHP.S317808.
Spahlholz, J., Baer, N., König, H. H., Riedel‐Heller, S. G., &Luck‐Sikorski, C. (2016). Obesity and discrimination–a systematic review and meta‐analysis of obser-vational studies. Obesity Reviews, 17(1), 43–55. https://doi.org/10.1111/obr.12343.
Thibodeau, P. H., Uri, R., Thompson, B., & Flusberg, S. J. (2017). Narratives for obesity: Effects of weight loss and attribution on empathy and policy support. Health Education & Behavior, 44(4), 638–647. https://doi.org/10.1177/1090198116684794.
Tomiyama, A. J. (2014). Weight stigma is stressful. A review of evidence for the Cyclic Obesity/Weight-Based Stigma model. Appetite, 82, 8–15. https://doi.org/10.1016/j.appet.2014.06.108.
Tomiyama, A. J., Epel, E. S., McClatchey, T. M., Poelke, G., Kemeny, M. E., McCoy, S. K., & Daubenmier, J. (2014). Associations of weight stigma with cortisol and oxidative stress independent of adiposity. Health Psychology, 33(8), 862. https://doi.org/10.1037%2Fhea0000107.
Vallejo-Torres, L., Morris, S., & Lopez-Valcarcel, B.G. (2018). Obesity and perceived work discrimination in Spain. Applied Economics, 50(36), 3870–3884. https://doi.org/10.1080/00036846.2017.1400654.
Vartanian, L. R., Trewartha, T., & Vanman, E. J. (2016). Disgust predicts prejudice and discrimination toward individuals with obesity. Journal of Applied Social Psychology, 46(6), 369–375. https://doi.org/10.1111/jasp.12370.
Van den Berg, P., Wertheim, E. H., Thompson, J. K., & Paxton, S. J. (2002). Devel-opment of body image, eating disturbance, and general psychological functioning in adolescent females: A replication using covariance structure modeling in an Australian sample. International Journal of Eating Disorders, 32(1), 46–51. https://doi.org/10.1002/eat.10030.
Wiese, H. J., Wilson, J. F., Jones, R. A., & Neises, M. (1992). Obesity stigma reduc-tion in medical students. International Journal of Obesity and Related Metabolic Dis-orders: Journal of the International Association for the Study of Obesity, 16(11), 859–868.
Zhang, W., Mahawar, K., Parmar, C., Chen, W., Wang, C., & Yang, W. (2021). Ending obesity stigma and discrimination: starting from healthcare professionals. Official Journal of the American College of Gastroenterology| ACG, 116(8), 1753. https://doi.org/10.14309/ajg.0000000000001269.
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