Signalling hostility: The relationship between witnessing weight-based discrimination in medical school and medical student wellbeing
dc.contributor.author | Meadows, A | |
dc.contributor.author | Barreto, M | |
dc.contributor.author | Dovidio, JF | |
dc.contributor.author | Burkle, SE | |
dc.contributor.author | Wittlin, NM | |
dc.contributor.author | Herrin, J | |
dc.contributor.author | Van Ryn, M | |
dc.contributor.author | Phelan, SM | |
dc.date.accessioned | 2021-11-29T11:15:38Z | |
dc.date.issued | 2021-12-16 | |
dc.date.updated | 2021-11-29T10:38:39Z | |
dc.description.abstract | Environments that are hostile to one or more marginalised groups are known to have a negative effect on the mental health and wellbeing of both targets and observers. Anti-fat attitudes have been well documented in medical education, including the use of derogatory humour and discriminatory treatment towards higher-weight patients. However, to date, it is not known what effect observing weight stigma and discrimination during medical school has on medical students’ psychological health and wellbeing, sense of belonging, and medical school burnout. The present study surveyed a total of 3,994 students enrolled across 49 US medical schools at the start of their first year and at the end of their fourth year. Participants reported the frequency with which they had observed stigmatising and discriminatory behaviours targeted at both higher-weight patients and higher-weight students during their four years of medical school. Observed weight stigma was prevalent, and was associated with worse psychological and general health, reduced medical school belonging and increased medical school burnout. The indirect effects of observed weight stigma on medical school burnout, via belonging, psychological health, and general health, were statistically significant in the sample as a whole, but were more pronounced in higher-weight students. This effect may be explained, in part, by the relationship between observed stigma and medical school belonging. Higher levels of observed stigma were associated with reduced feelings of belonging in higher-weight but not normative-weight students. Top-down institutional culture change is needed to rectify this situation, which is detrimental to both students and patients. | en_GB |
dc.description.sponsorship | Economic and Social Research Council (ESRC) | en_GB |
dc.description.sponsorship | Social Sciences and Humanities Research Council (SSHRC) | en_GB |
dc.description.sponsorship | National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health | en_GB |
dc.description.sponsorship | National Heart, Lung, and Blood Institute | en_GB |
dc.identifier.citation | Published online 16 December 2021 | en_GB |
dc.identifier.doi | 10.1111/jasp.12847 | |
dc.identifier.grantnumber | ES/S011129/1 | en_GB |
dc.identifier.grantnumber | 41194764696 | en_GB |
dc.identifier.grantnumber | K01DK095924 | en_GB |
dc.identifier.grantnumber | R01HL085631 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/127979 | |
dc.identifier | ORCID: 0000-0002-6973-7233 (Barreto, Manuela) | |
dc.identifier | ScopusID: 7004455398 (Barreto, Manuela) | |
dc.language.iso | en | en_GB |
dc.publisher | Wiley | en_GB |
dc.rights | © 2021 The Authors. Journal of Applied Social Psychology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. | |
dc.subject | Weight stigma | en_GB |
dc.subject | Anti-fat attitudes | en_GB |
dc.subject | Medical education | en_GB |
dc.subject | Microaggressions | en_GB |
dc.subject | Observed discrimination | en_GB |
dc.subject | Indirect discrimination | en_GB |
dc.subject | Organisational climate | en_GB |
dc.title | Signalling hostility: The relationship between witnessing weight-based discrimination in medical school and medical student wellbeing | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2021-11-29T11:15:38Z | |
dc.identifier.issn | 1559-1816 | |
dc.description | This is the final version. Available on open access from Wiley via the DOI in this record | en_GB |
dc.description | Data availability statement: The data that support the findings of this study are available on reasonable request from the corresponding author (SP). | en_GB |
dc.identifier.journal | Journal of Applied Social Psychology | en_GB |
dc.relation.ispartof | Journal of Applied Social Psychology | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2021-11-25 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2021-11-25 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2021-11-29T10:38:42Z | |
refterms.versionFCD | AM | |
refterms.dateFOA | 2021-12-23T13:21:53Z | |
refterms.panel | A | en_GB |
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Except where otherwise noted, this item's licence is described as © 2021 The Authors. Journal of Applied Social Psychology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,
provided the original work is properly cited.