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Weight stigma associates with increased psychological distress, depression, and anxiety across diverse populations. Weight-related stigma and internalized weight bias contribute to healthcare avoidance, mistrust of providers, and reduced health care utilization. Weight bias among healthcare professionals perpetuates barriers to effective care and reinforces patient mistrust. Coping responses and internalization of stigma mediate links between weight stigma and negative mental and physiological outcomes, including cardiovascular reactivity. Physical activity avoidance partially mediates the association between weight stigma and lower activity levels, contributing to poorer behavioral health and potential long-term morbidity.
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