Perception of overweight and obesity from different angles: a qualitative study.
OBJECTIVE
Up to this date, the obesity pandemic has yet to be confined, with prevalence rates still rising in most countries. Aside from numerous negative consequences such as comorbid diseases and a reduction in life expectancy due to excessive bodyweight and the economic impact of obesity on healthcare systems, negative outcomes in overweight and obese individuals are also affected by perceived stigmatisation and discrimination. Knowledge of common views and perception overweight and obesity in the general public as well as in specific populations (e.g. healthcare professionals) is crucial in order to develop stigma-reduction interventions. The specific aim of the current study was to develop an appropriate questionnaire to be used in the survey to follow and further to enhance existing instruments.


METHODS
This qualitative study reports results from focus groups with normal-weight and overweight individuals as well as healthcare professionals.


RESULTS
Contents of the discussion of overweight and obesity did not differ substantially between the three groups. Results show that the definition of obesity in our focus groups is a subjective construct influenced mainly by aesthetics, sympathy, and activity. Within the groups, obesity was mainly seen as a controllable condition; however, external, such as societal, factors were named as well. In line with this and as expected from theoretical background, obese individuals are ascribed mainly negative attributions.


CONCLUSIONS
With these results, this study enlightens lived realities of different groups of people. The results can be applied to improve existing instruments for the measurement of attitudes towards obesity.
IFB Adiposity Diseases, Leipzig University Medical Center, Philipp-Rosenthal-Straße 55, Leipzig, Germany. Claudia.Sikorski@medizin.uni-leipzig.de
Claudia
C
Sikorski
Christiane
C
Riedel
Melanie
M
Luppa
Beate
B
Schulze
Perla
P
Werner
Hans-Helmut
HH
König
Steffi G
SG
Riedel-Heller
D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology*; D050177:Overweight / Q000523:psychology; D036301:Qualitative Research; D012938:Social Perception; D057545:Social Stigma; D011795:Surveys and Questionnaires; D055815:Young Adult