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Stories of culture Weight stigma Prejudices

Beyond Borders, Beyond Bias: How perceptions and experiences of obesity differs in different countries

5 min. read

The global prevalence of obesity is a challenge that transcends borders, but the cultural contexts and societal norms surrounding weight and body image are far from uniform across the world. To adequately address obesity with compassion and respect, we must recognise that the journey of every individual living with obesity is personal and influenced by various social, cultural and biological backgrounds. This journey goes beyond the numbers on the scale and embraces the stories and experiences that shape our lives.

Read on to find out how evolving cultural values, socioeconomic factors, and media representations can shape the perceptions and experiences of people living with obesity in various countries.

how-perceptions-and-experiences-of-obesity-differs-in-different-countries

Cultural values

Cultural values towards beauty, health, and body size differ significantly across regions. In many Western countries, thinness is often idolized, a standard perpetuated by media representations and societal expectations. Conversely, other cultures associate larger body sizes with prosperity, health, and well-being. These different views can impact social acceptance and the daily lives of people with obesity.

A recent survey revealed the complexity of these cultural nuances:

  •  76% of people living with obesity in India and 75% in Brazil believe obesity negatively affects their social life, compared to only 40% in Spain
  •  51% of people living with obesity in India fear losing their job due to excess weight, a concern that is markedly less prevalent in Spain and Italy, where 18% and 24% respectively, share this fear

These differences across countries demonstrate the varied societal pressures, cultural influences, and challenges faced by people with obesity in different parts of the world. Negative cultural views leading to weight stigma, most frequently experienced in childhood and adolescence, can create feelings of being judged, rejected and shamed for people living with obesity, and can be potentially damaging to public health.

how-perceptions-and-experiences-of-obesity-differs-in-different-countries

Socioeconomic factors

Socioeconomic disparities play a critical role in shaping obesity across the globe.  Access to healthy food options, quality healthcare, and weight management resources often depends on an individual's economic status, creating a gap in obesity care and support.

According to a recent survey, people living with obesity often spend a significant portion of their income on out-of-pocket costs related to their condition. These expenses range from $3,856 per year in Brazil, to $17,076 per year in Japan. Interestingly, respondents in Japan and South Korea were least likely to consider these costs justifiable. This discrepancy reflects different cultural attitudes towards the value of obesity management and the perceived benefits of investing in health. 

Conclusion

Understanding the nuanced differences in how obesity is perceived and experienced across cultures is critical. A one-size-fits-all approach to tackling global obesity is inadequate; we must recognize and respect cultural differences to develop effective, compassionate, and culturally appropriate solutions.

References:
  1. Swami.  Cultural Influences on Body Size Ideals: Unpacking the Impact of Westernization and Modernization. Euro Psych. 2013. https://doi.org/10.1027/1016-9040/a000150
  2. Yunus et al, The experience of living with obesity for adults in Asian countries: A scoping review of qualitative studies. Obes Rev. 2023. doi:%2010.1111/obr.13619
  3. Ferreira, K. et al (2024) The Hidden Individual Out-of-Pocket Cost of Living with Obesity. Obesity Science and Practice. https://doi.org/10.1002/osp4.70000
  4. Brewis et al, Obesity stigma as a globalizing health challenge. Global Health. 2018. doi:10.1186/s12992-018-0337-x
  5. Puhl, R et al. International comparisons of weight stigma: addressing a void in the field. Int J Obes. 2021. doi:10.1038/s41366-021-00860-z
  6. Hwalla et al. CHAPTER 8. Cultural determinants of obesity in low- and middle-income countries in the Eastern Mediterranean Region. In: Romieu I, Dossus L, Willett WC, editors. Energy Balance and Obesity. Lyon (FR): International Agency for Research on Cancer; 2017. (IARC Working Group Reports, No. 10.) Available from: https://www.ncbi.nlm.nih.gov/books/NBK565803/
  7. Lee et al. Social and Environmental Factors Influencing Obesity. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278977/

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