Real women have (just the right) curves: investigating anti-thin bias in college women

  • Alexandria DaviesEmail author
  • C. Blair Burnette
  • Suzanne E. Mazzeo
Original Article



Weight stigma is associated with negative mental and physical health outcomes across the body mass index (BMI) continuum. However, few studies have examined discrimination experienced by people with low body weights.


This study explored the presence of anti-thin bias, defined as the belief that individuals at lower body weights have undesirable personality characteristics, in young adult women. Additionally, we examined perceived etiology of weight for women with underweight.


Participants (N =295 women, age 18.84 ± 2.32) were randomly assigned to read one of the six vignettes about women who differed by race (White and Black) and BMI status (slightly underweight, average weight, and slightly overweight).


Negative personality characteristics were more likely to be ascribed to vignette characters with under- or overweight BMIs, compared to characters with average weight BMIs. Participants were more likely to attribute underweight characters’ body weight to an eating disorder (ED) compared with average or overweight characters.


Results suggest that women with under- or overweight BMIs experience greater stigmatization for their body weight than women with average BMIs, underscoring the need for research to investigate weight discrimination across the weight spectrum.

Level of evidence

Level I, experimental study.


Underweight Thinness Weight stigma Attributions Eating disorder 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Reference Virginia Commonwealth University IRB No: HM20010525.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Puhl RM, Heuer CA (2009) The stigma of obesity: a review and update. Obesity. 17(5):941–964. CrossRefPubMedGoogle Scholar
  2. 2.
    Tantleff-Dunn S, Hayes S, Braun CP (2009) How did you get so thin? The effect of attribution on perceptions of underweight females. Eat Weight Disord 14(1):38–44. CrossRefPubMedGoogle Scholar
  3. 3.
    Allison M, Lee C (2014) Too fat, too thin: understanding bias against overweight and underweight in an Australian female university student sample. Psychol Health 30(2):189–202. CrossRefPubMedGoogle Scholar
  4. 4.
    Neumark-Sztainer D, Falkner N, Story M, Perry C, Hannan PJ, Mulert S (2002) Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes 26(1):123–131. CrossRefGoogle Scholar
  5. 5.
    Lian Q, Su Q, Li R, Elgar FJ, Liu Z, Zheng D (2018) The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries. PeerJ. CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Eisenberg ME, Neumark-Sztainer D, Story M (2003) Association of weight-based teasing and emotional well-being among adolescents. J Adolesc Health 32(2):121. CrossRefGoogle Scholar
  7. 7.
    McDonnell A, Lin L (2016) The hot body issue: weight and caption tone in celebrity gossip magazines. Body Image 18:74–77. CrossRefPubMedGoogle Scholar
  8. 8.
    Thompson JK, Heinberg LJ, Altabe M, Tantleff-Dunn S (1999) Exacting beauty: theory, assessment, and treatment of body image disturbance. American Psychological Association, Washington, DCCrossRefGoogle Scholar
  9. 9.
    Brown FL, Slaughter V (2011) Normal body, beautiful body: discrepant perceptions reveal a pervasive ‘thin ideal’ from childhood to adulthood. Body Image 8(2):119–125. CrossRefPubMedGoogle Scholar
  10. 10.
    Gross AE, Crofton C (1977) What is good is beautiful. Sociometry 40(1):85–90. CrossRefGoogle Scholar
  11. 11.
    Agthe M, Spörrle M, Maner JK (2011) Does being attractive always help? Positive and negative effects of attractiveness on social decision making. Pers Soc Psychol Bull 37(8):1042–1054. CrossRefPubMedGoogle Scholar
  12. 12.
    Agthe M, Spörrle M, Maner JK (2010) Don’t hate me because I’m beautiful: anti-attractiveness bias in organizational evaluation and decision making. J Exp Soc Psychol 46(6):1151–1154. CrossRefGoogle Scholar
  13. 13.
    Buote VM, Wilson AE, Strahan EJ, Gazzola SB, Papps F (2011) Setting the bar: divergent sociocultural norms for women’s and men’s ideal appearance in real-world contexts. Body Image 8(4):322–334. CrossRefPubMedGoogle Scholar
  14. 14.
    Bailey SD, Ricciardelli LA (2010) Social comparisons, appearance related comments, contingent self-esteem and their relationships with body dissatisfaction and eating disturbance among women. Eat Behav 11(2):107–112. CrossRefPubMedGoogle Scholar
  15. 15.
    van den Berg P, Thompson JK (2007) Self-schema and social comparison explanations of body dissatisfaction: a laboratory investigation. Body Image 4(1):29–38. CrossRefPubMedGoogle Scholar
  16. 16.
    Karazsia BT, Murnen SK, Tylka TL (2017) Is body dissatisfaction changing across time? A cross-temporal meta-analysis. Psychol Bull 143(3):293–320. CrossRefPubMedGoogle Scholar
  17. 17.
    Robinson L, Prichard I, Nikolaidis A, Drummond C, Drummond M, Tiggemann M (2017) Idealised media images: the effect of fitspiration imagery on body satisfaction and exercise behaviour. Body Image 22:65–71. CrossRefPubMedGoogle Scholar
  18. 18.
    Capodilupo CM (2015) One size does not fit all: using variables other than the thin ideal to understand Black women’s body image. Cult Divers Ethn Minor Psychol 21(2):268–278. CrossRefGoogle Scholar
  19. 19.
    Striegel-Moore RH, Schreiber GB, Lo A, Crawford P, Obarzanek E, Rodin J (2000) Eating disorder symptoms in a cohort of 11 to 16-year-old black and white girls: the NHLBI growth and health study. Int J Eat Disord 27(1):49–66.;2-E CrossRefPubMedGoogle Scholar
  20. 20.
    Perez M, Joiner T (2003) Body image dissatisfaction and disordered eating in Black and White women. Int J Eat Disord 33(3):342–350. CrossRefPubMedGoogle Scholar
  21. 21.
    Puhl RM, Brownell KD (2003) Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias. Obes Rev 4(4):213–227. CrossRefPubMedGoogle Scholar
  22. 22.
    Ebneter DS, Latner JD, O’Brien KS (2011) Just world beliefs, causal beliefs, and acquaintance: associations with stigma toward eating disorders and obesity. Pers Individ Differ 51(5):618–622. CrossRefGoogle Scholar
  23. 23.
    Foster GD, Wadden TA, Makris AP et al (2003) Primary care physicians’ attitudes about obesity and its treatment. Obes Res 11(10):1168–1177. CrossRefPubMedGoogle Scholar
  24. 24.
    Stewart M-C, Keel PK, Schiavo RS (2006) Stigmatization of anorexia nervosa. Int J Eat Disord 39(4):320–325. CrossRefPubMedGoogle Scholar
  25. 25.
    Yu J, Hildebrandt T, Lanzieri N (2015) Healthcare professionals’ stigmatization of men with anabolic androgenic steroid use and eating disorders. Body Image 15:49–53. CrossRefPubMedGoogle Scholar
  26. 26.
    Varnado-Sullivan PJ, Parker CC, Rohner A (2019) Stigmatization and knowledge of anorexia nervosa. Eat Weight Disord. CrossRefPubMedGoogle Scholar
  27. 27.
    Beggan JK, DeAngelis M (2015) Oh, My God, I Hate You:’’’ The felt experience of being othered for being thin. Symb Interact 38(3):371–392. CrossRefGoogle Scholar
  28. 28.
    Puhl RM, Himmelstein MS, Quinn DM (2018) Internalizing weight stigma: prevalence and sociodemographic considerations in US adults. Obesity 26(1):167–175. CrossRefPubMedGoogle Scholar
  29. 29.
    Faul F, Erdfelder E, Buchner A, Lang A-G (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149–1160. CrossRefPubMedGoogle Scholar
  30. 30.
    Evans SC, Roberts MC, Keeley JW et al (2015) Vignette methodologies for studying clinicians’ decision-making: validity, utility, and application in ICD-11 field studies. Int J Clin Heal Psychol 15(2):160–170. CrossRefGoogle Scholar
  31. 31.
    Mussap AJ, Manger E, Gold RS (2016) Weight-control effort can increase obesity stereotyping. Pers Individ Differ 88:178–181. CrossRefGoogle Scholar
  32. 32.
    Fryar CD, Gu Q, Ogden CL, Flegal KM (2016) Anthropometric reference data for children and adults: United States, 2011–2014. National Vital Statistics Report. Accessed Dec 2016
  33. 33.
    Swami V, Furnham A, Amin R et al (2008) Lonelier, lazier, and teased: the stigmatizing effect of body size. J Soc Psychol 148(5):577–594. CrossRefPubMedGoogle Scholar
  34. 34.
    Cundall A, Guo K (2017) Women gaze behaviour in assessing female bodies: the effects of clothing, body size, own body composition and body satisfaction. Psychol Res 81(1):1–12. CrossRefPubMedGoogle Scholar
  35. 35.
    Robinson BE, Bacon LC, O’Reilly J (1993) Fat phobia: measuring, understanding, and changing anti-fat attitudes. Int J Eat Disord 14(4):467–480.;2-J CrossRefPubMedGoogle Scholar
  36. 36.
    Crisafulli MA, Von Holle A, Bulik CM (2008) Attitudes towards anorexia nervosa: the impact of framing on blame and stigma. Int J Eat Disord 41(4):333–339. CrossRefPubMedGoogle Scholar
  37. 37.
    Simpson CC, Mazzeo SE (2017) Attitudes toward orthorexia nervosa relative to DSM-5 eating disorders. Int J Eat Disord 50(7):781–792. CrossRefPubMedGoogle Scholar
  38. 38.
    Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2):377–381. CrossRefPubMedGoogle Scholar
  39. 39.
    Schlomer GL, Bauman S, Card NA (2010) Best practices for missing data management in counseling psychology. J Couns Psychol 57(1):1–10. CrossRefPubMedGoogle Scholar
  40. 40.
    Tomiyama J (2014) Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite. 82(1):8–15. CrossRefPubMedGoogle Scholar
  41. 41.
    Overstreet NM, Quinn DM, Agocha VB (2010) Beyond thinness: the influence of a curvaceous body ideal on body dissatisfaction in Black and White women. Sex Roles 63(1–2):91–103. CrossRefGoogle Scholar
  42. 42.
    Weiner B, Perry RP, Magnusson J (1988) An attributional analysis of reactions to stigmas. J Pers Soc Psychol 55(5):738–748. CrossRefPubMedGoogle Scholar
  43. 43.
    Puhl RM, Latner JD, O’Brien KS, Luedicke J, Danielsdottir S, Forhan M (2015) A multinational examination of weight bias: predictors of anti-fat attitudes across four countries. Int J Obes 39(7):1166–1173. CrossRefGoogle Scholar
  44. 44.
    Crisafulli MA, Thompson-Brenner H, Franko DL, Eddy KT, Herzog DB (2010) Stigmatization of anorexia nervosa: characteristics and response to intervention. J Soc Clin Psychol 29(7):756–770. CrossRefGoogle Scholar
  45. 45.
    Murakami JM, Essayli JH, Latner JD (2016) The relative stigmatization of eating disorders and obesity in males and females. Appetite 102:77–82. CrossRefPubMedGoogle Scholar
  46. 46.
    Bulik CM, Marcus MD, Zerwas S, Levine MD, La Via M (2012) The changing “Weightscape” of bulimia nervosa. Am J Psychiatry 169(10):1031–1036. CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Franko DL, Thompson-Brenner H, Thompson DR et al (2012) Racial/ethnic differences in adults in randomized clinical trials of binge eating disorder. J Consult Clin Psychol 80(2):186–195. CrossRefPubMedGoogle Scholar
  48. 48.
    Sonneville KR, Lipson SK (2018) Disparities in eating disorder diagnosis and treatment according to weight status, race/ethnicity, socioeconomic background, and sex among college students. Int J Eat Disord. CrossRefPubMedGoogle Scholar
  49. 49.
    Phelan JE, Basow SA (2007) College students’ attitudes toward mental illness: an examination of the stigma process. J Appl Soc Psychol 37(12):2877–2902. CrossRefGoogle Scholar
  50. 50.
    Yan Y, Rieger E, Shou Y (2018) Reducing the stigma associated with anorexia nervosa: an evaluation of a social consensus intervention among Australian and Chinese young women. Int J Eat Disord 51(1):62–70. CrossRefPubMedGoogle Scholar
  51. 51.
    Cassone S, Rieger E, Crisp DA (2019) Reducing anorexia nervosa stigma: an exploration of a social consensus intervention and the moderating effect of blameworthy attributions. J Ment Health. CrossRefPubMedGoogle Scholar
  52. 52.
    Doley JR, Hart LM, Stukas AA, Petrovic K, Bouguettaya A, Paxton SJ (2017) Interventions to reduce the stigma of eating disorders: a systematic review and meta-analysis. Int J Eat Disord 50(3):210–230. CrossRefPubMedGoogle Scholar
  53. 53.
    Alberga AS, Pickering BJ, Alix Hayden K et al (2016) Weight bias reduction in health professionals: a systematic review. Clin Obes 6(3):175–188. CrossRefPubMedGoogle Scholar
  54. 54.
    Bacon L, Aphramor L, Kuller L et al (2011) Weight science: evaluating the evidence for a paradigm shift. Nutr J 10(9):9. CrossRefPubMedPubMedCentralGoogle Scholar
  55. 55.
    Sutin A, Robinson E, Daly M, Terracciano A (2016) Weight discrimination and unhealthy eating-related behaviors. Appetite. 102:83–89. CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of PsychologyVirginia Commonwealth UniversityRichmondUSA

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