Equity in Obesity Review

Karla N Kendrick; Kevin J Bode Padron; Nichola Z Bomani; Jashalynn C German; Dennis D Nyanyo; Brenda Varriano; Lucy Tu; Fatima Cody Stanford

doi:10.1016/j.ecl.2023.05.003

Equity in Obesity Review

Endocrinol Metab Clin North Am. 2023 Dec;52(4):617-627. doi: 10.1016/j.ecl.2023.05.003. Epub 2023 Jun 9.

Authors

Karla N Kendrick¹, Kevin J Bode Padron², Nichola Z Bomani³, Jashalynn C German⁴, Dennis D Nyanyo⁵, Brenda Varriano⁶, Lucy Tu⁷, Fatima Cody Stanford⁸

Affiliations

¹ Beth Israel Lahey Health, Winchester Hospital Weight Management Center. Electronic address: karlankendrick@gmail.com.
² Massachusetts General Hospital Neuroendocrine and Pituitary Tumor Clinical Center, 100 Blossom Street, Cox Building Suite 140, Boston, MA 02114, USA; Duke University School of Medicine, DUMC 2927, 40 Duke Medicine Circle, 124 Davison Building, Durham, NC 27710, USA.
³ Massachusetts General Hospital Neuroendocrine and Pituitary Tumor Clinical Center, 100 Blossom Street, Cox Building Suite 140, Boston, MA 02114, USA; Case Western Reserve University School of Medicine, 9501 Euclid Avenue, Cleveland, OH 44106, USA.
⁴ Duke Division of Endocrinology, Metabolism, and Nutrition, 200 Trent Drive, Baker House, DUMC Box 3021, Durham, NC 27710, USA.
⁵ Beth Israel Lahey Health, Winchester Hospital Weight Management Center; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Harvard Kennedy School of Government, 79 John F. Kennedy Street, Cambridge, MA 02138, USA.
⁶ Mass-General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
⁷ Department of Sociology, Harvard University, 33 Kirkland Street, Cambridge, MA, USA; Department of History of Science, Harvard University, 1 Oxford St #371, Cambridge, MA, USA.
⁸ Massachusetts General Hospital MGH Weight Center, 50 Staniford Street, Suite 430, Boston, MA 02114, USA.

PMID: 37865477
DOI: 10.1016/j.ecl.2023.05.003

Abstract

Obesity disproportionately affects racial and ethnic minoritized populations and those of lower socioeconomic status. Similarly, disparities exist in the development of its downstream consequences, such as type 2 diabetes and hypertension. The causes of these disparities are multifactorial and are influenced by structural factors such as segregation and healthcare access, and individual-level factors such as weight stigma. Interventions to decrease disparities in obesity should consider macro-level, community, and individual-level factors that might reduce disparities and improve equity in obesity care. Clinicians must also recognize the chronic nature of obesity, and how bias and stigma may impact patient care.

Keywords: Disparities; Health equity; Health policy; Obesity; Social determinants of health.

Publication types

Review
Research Support, N.I.H., Extramural

MeSH terms

Diabetes Mellitus, Type 2* / epidemiology
Diabetes Mellitus, Type 2* / etiology
Diabetes Mellitus, Type 2* / therapy
Ethnicity
Health Services Accessibility
Humans
Obesity / epidemiology
Obesity / therapy

Abstract

Publication types

MeSH terms

Grants and funding