A recent study published in Psychological Science has shed light on the complex relationship between obesity and its associated medical and psychological harms, revealing that the severity of these issues is significantly influenced by the prevalence of obesity in one’s area. Researchers, led by Jana Berkessel from the University of Mannheim, analyzed data from over 3.4 million individuals across the United States and the United Kingdom to understand how social contexts affect the experiences of those struggling with obesity.
The findings indicate that individuals with obesity may face lighter medical and psychological repercussions in regions where obesity is more common. Berkessel noted, “For me, this means that at least some of the adverse consequences of obesity appear socially constructed and, thus, can be reduced.” This suggests that societal attitudes and norms surrounding body weight play a crucial role in shaping individuals’ experiences.
Obesity is a growing global concern, with the World Health Organization reporting that its prevalence has nearly tripled since 1975. In the United States, healthcare costs related to obesity are estimated to be around $147 billion. Those living with obesity often face a range of challenges, including higher unemployment rates, reduced social connections, and poorer overall health, along with stigma and discrimination.
However, the study highlights a critical nuance: the impact of obesity varies across different regions. In areas with low obesity rates, individuals may feel more conspicuous, leading to harsher social experiences and greater psychological distress. Berkessel explained, “It is quite easily imaginable that persons with obesity in regions with low obesity rates stick out much more.”
The research team utilized three large datasets containing information about participants’ weight, height, and their geographical locations, alongside social, health, and economic outcomes. They defined obesity as a Body Mass Index (BMI) of 30 or higher, with a healthy BMI ranging from 18.5 to 24.9.
In the U.S., obesity rates were found to be higher in the Midwest, the South, and along parts of the East Coast, while regions like New England and parts of the Western U.S. showed lower rates. In the U.K., higher obesity rates were concentrated in Central and Northern regions, particularly in Southern Wales, whereas the lowest rates were observed in the southern areas, including London.
Despite reporting more relationship and health challenges, individuals in high-obesity areas were found to experience fewer economic disadvantages and were less likely to be unemployed compared to their counterparts in low-obesity regions. Moreover, the study revealed that weight bias tended to be lower in areas with higher obesity rates, which may contribute to better social outcomes for individuals living with obesity in these regions.
While these findings provide valuable insights into the social dynamics surrounding obesity, the researchers emphasize that public health initiatives must continue to prioritize obesity reduction due to its significant health risks. Co-authors of the study included Jochen E. Gebauer from the University of Mannheim and the University of Copenhagen, Tobias Ebert from the University of St. Gallen, and Peter J. Rentfrow from the University of Cambridge.
This research not only deepens our understanding of the societal implications of obesity but also highlights the potential for changing perceptions and attitudes to mitigate the harms associated with this condition.