Obesity affects millions worldwide, and Australia is no exception. For many men and women in Australia who have battled obesity for most of their lives, navigating the challenges and stereotypes associated with this condition can be disheartening.
As a specialist nurse practitioner in weight loss and weight management, I’m sharing my experience and those of my patients around how obesity is viewed, the stigma surrounding it and how we’re doing compared to other countries.
Obesity is a Significant Health Concern in Australia
In simple terms, obesity refers to having excess body fat, which can lead to a range of health problems. Statistics show that nearly two-thirds of adults in Australia are overweight or obese. This trend prompted healthcare professionals and policymakers to recognise obesity as a chronic disease, a crucial step in addressing its challenges.
What is a chronic condition?
A chronic condition (or disease) is a long-term medical condition that typically lasts for a year or more and requires ongoing medical attention and management. Chronic conditions often have complex causes and may not have a definitive cure, but they can often be controlled or managed through lifestyle changes and medical treatment.
Obesity is Influenced by More than Just Lifestyle Choices
Recognising obesity as a chronic condition is an important shift in how healthcare professionals perceive and address this issue.
It acknowledges that obesity is not merely a result of poor lifestyle choices but is influenced by genetic, environmental, and societal factors.
And it highlights the importance of providing ongoing support and care for individuals struggling with obesity.
However, despite this shift, many obese people in Australia still face significant challenges and biases within the healthcare system. Stigmatisation and discrimination can make it difficult for them to seek the help and support they need.
Stigma makes it harder to overcome
Obesity stigma is the negative attitudes and beliefs directed towards people who are overweight or obese. This stigma can appear in various ways, from hurtful comments and discrimination to assumptions about a person’s character based on weight.
Many of the hundreds of patients I’ve worked with over the last decade have said they feel judged, ashamed, and unsupported within the healthcare system. A lot hesitated to seek medical attention for obesity-related health worries due to the fear of being blamed for their condition or facing prejudice. This stigma can really impact someone’s psychological and emotional well-being, making it even harder to overcome the challenges of managing obesity.
How do we compare with other countries?
Both Canada and the United States recognise obesity as a chronic disease, each taking steps to combat obesity stigma. However, it is still prevalent and requires greater training for healthcare providers to reduce discrimination. The US has even higher rates of obesity and faces additional challenges due to its fragmented healthcare system and state policies. The UK does not recognise obesity as a chronic condition, and the advocates for doing so say that such recognition could help reduce stigma and discrimination, improve education and bring about a more holistic approach towards the condition.
Obesity is not simply a matter of willpower or self-control
It is a complex chronic disease with far-reaching health implications. I hope we’ll continue going in the right direction so obese individuals feel empowered to seek help without fear of judgment or discrimination.
If you or someone you know is struggling with obesity, remember that you are not alone, and support is available. Together, we can work towards a brighter and healthier future.