Weight stigma in Latin America and the Caribbean: regional evidence and a call to action by ABESO.

Abstract

Weight stigma (WS) negatively impacts the health and well-being of people living with obesity (PwO). However, it remains understudied in Latin America and the Caribbean. This review synthesizes findings from 128 studies across the region, revealing widespread WS in society, healthcare, education, workplaces, and media. Evidence highlights explicit and implicit biases among healthcare professionals and students, frequent bullying of children and adolescents, and social exclusion of PwO. Cultural beliefs often associate obesity with personal failure, reinforcing the stigma and undermining access to care. This review highlights the need for reforms in healthcare systems, professional education, and public communication to address WS. It also highlights the absence of legal safeguards against weight-based discrimination in most countries. Together with the Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO), this review issues a <i>Call to Action</i> urging the adoption of person-first, non-stigmatizing language, evidence-based care, and policies to reduce WS. Addressing WS is critical to ensuring equitable, ethical, and effective treatment for PwO in Latin America and the Caribbean.