The Use and Meaning of the Term Obesity in Rural Older Adults: A Qualitative Study

John A. Batsis, Alexandra B. Zagaria, Emma Brooks, Matthew M. Clark, Sean Phelan, Francisco Lopez-Jimenez, Stephen J. Bartels, Sivan Rotenberg, Elizabeth Carpenter-Song

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


The term “obesity” is associated with societal stigma and discrimination. Eight individual semi-structured interviews and five focus groups with 29 community-dwelling, rural older adults with obesity, seven primary care clinicians, and four rural community leaders were completed using purposive and snowball sampling. Clinicians perceived that older adults are less affected by obesity stigma than younger adults, yet this was not observed by community leaders; however, older participants with obesity reported that they often felt ashamed and/or stigmatized because of their weight. There was also a disconnect between clinician and older adult understanding of obesity. For older adults with obesity, the word “obesity” was associated with negative connotations. Just as physiological aspects of obesity persist into older adulthood, so do psychological aspects, such as perceptions of stigma. The use of the word “obesity” in medical settings may hinder communication between clinician and older participants. Heightened awareness may change the dialogue around obesity.

Original languageEnglish (US)
Pages (from-to)423-432
Number of pages10
JournalJournal of Applied Gerontology
Issue number4
StatePublished - Apr 2021


  • aging
  • obesity
  • older adult
  • qualitative
  • stigma

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


Dive into the research topics of 'The Use and Meaning of the Term Obesity in Rural Older Adults: A Qualitative Study'. Together they form a unique fingerprint.

Cite this