Perceived weight discrimination and high-risk health-related behaviors.

Abstract

Perceived weight discrimination has been associated with several health-risk behaviors related to eating and physical activity. The purpose of this research is to test whether weight discrimination is associated with nonweight-related high-risk behaviors that put the individual's health at risk. As part of a larger survey on health and well-being, participants (N = 5,163) reported on their experiences with weight discrimination and their engagement in four high-risk behaviors: current cigarette smoking, driving while intoxicated, risky sexual/drug use behaviors, and seat belt use. Logistic regression was used to test the association between weight discrimination and each behavior, controlling for relevant demographics and BMI. Perceived weight discrimination was associated with increased risk of cigarette smoking (odds ratio [OR] = 1.64, 95% confidence interval [CI] = 1.36-1.99), driving while intoxicated (OR = 2.01, 95% CI = 1.60-2.54), risky sexual/drug use behaviors (OR = 2.17, 95% CI = 1.69-2.80), and not using a seat belt (OR = 1.53, 95% CI = 1.15-2.03). With the exception of seat belt use, all associations remained significant controlling for depressive symptoms. The results of this research indicate that the harmful associations between weight discrimination and health-risk behaviors are not limited to behaviors related to eating and physical activity but extend to high-risk behaviors that may contribute to the association between weight discrimination and poor health.