School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
Canadian Obesity Network, Edmonton, Alberta, Canada.
Obes Rev. 2017 Nov;18(11):1323-1335. doi: 10.1111/obr.12592.
Weight discrimination is the unjust treatment of individuals because of their weight. There have been very few interventions to address weight discrimination, due in part to the lack of consensus on key messages and strategies. The objective of the third Canadian Weight Bias Summit was to review current evidence and move towards consensus on key weight bias and obesity discrimination reduction messages and strategies. Using a modified brokered dialogue approach, participants, including researchers, health professionals, policy makers and people living with obesity, reviewed the evidence and moved towards consensus on key messages and strategies for future interventions. Participants agreed to these key messages: (1) Weight bias and obesity discrimination should not be tolerated in education, health care and public policy sectors; (2) obesity should be recognized and treated as a chronic disease in health care and policy sectors; and (3) in the education sector, weight and health need to be decoupled. Consensus on future strategies included (1) creating resources to support policy makers, (2) using personal narratives from people living with obesity to engage audiences and communicate anti-discrimination messages and (3) developing a better clinical definition for obesity. Messages and strategies should be implemented and evaluated using consistent theoretical frameworks and methodologies.
体重歧视是指因为个体的体重而对其进行不公正的待遇。由于缺乏关于关键信息和策略的共识,很少有干预措施来解决体重歧视问题。第三届加拿大体重偏见峰会的目的是审查当前的证据,并就关键的体重偏见和肥胖歧视减少信息和策略达成共识。会议采用改良的经纪人对话方法,包括研究人员、卫生专业人员、政策制定者和肥胖症患者在内的与会者审查了证据,并就未来干预措施的关键信息和策略达成了共识。与会者同意以下关键信息:(1)在教育、医疗保健和公共政策领域,不应容忍体重偏见和肥胖歧视;(2)在医疗保健和政策领域,应认识到肥胖是一种慢性疾病并加以治疗;(3)在教育领域,体重和健康需要脱钩。未来策略的共识包括(1)创建资源以支持政策制定者,(2)利用肥胖症患者的个人叙述来吸引受众并传达反歧视信息,(3)制定更准确的肥胖症临床定义。应使用一致的理论框架和方法来实施和评估信息和策略。