Abstracts
Abstract
Objective – This research investigates library research guides that share information about anti-fat bias to support weight-inclusive education or practice. By analyzing these guides, we seek to understand how academic librarians are engaging in this work and how they can continue to support weight inclusivity as educators, proponents of information literacy, and interdisciplinary partners.
Methods – The authors searched for and screened publicly available LibGuides from academic libraries that included content about anti-fat bias, weight stigma, and/or body liberation. Relevant guides were then evaluated with an original framework to examine their content for insight about their target audience and context.
Results – The authors identified and analyzed 36 relevant LibGuides, predominantly from college and university libraries. Thirty-three LibGuides came from institutions in the United States, and most of the institutions had at least one health sciences program, though eight offered no health-related programs. Thirty-two of the analyzed LibGuides presented anti-fat bias content in a tab within a larger guide, while the remaining few were standalone guides. The majority of guides with tab-level anti-fat bias content presented it as a social justice issue, though a few framed the content in a nutrition or other context. The most popular resource types offered in the guides were books, popular articles, videos, associations/organizations, and academic articles.
Conclusion – Weight inclusivity discourse is growing across disciplines and is an area that librarians are well-situated to support. Presenting anti-fat bias as a social justice and diversity, equity, inclusion, and accessibility (DEIA) issue in libraries is promising and highlights library workers’ commitment to anti-oppression efforts and learning. Work remains to be done to integrate more anti-fat bias content into academic curricula and education, and librarians should look to engage with disciplinary educators, learners, and colleagues to grow and support this work, particularly in the context of the health sciences.
Appendices
Bibliography
- Alberga, A. S., Edache, I. Y., Forhan, M., & Russell-Mayhew, S. (2019). Weight bias and health care utilization: A scoping review. Primary Health Care Research & Development, 20, e116. https://doi.org/10.1017/S1463423619000227
- Alimoradi, Z., Golboni, F., Griffiths, M. D., Broström, A., Lin, C.-Y., & Pakpour, A. H. (2020). Weight-related stigma and psychological distress: A systematic review and meta-analysis. Clinical Nutrition, 39(7), 2001–2013. https://doi.org/10.1016/j.clnu.2019.10.016
- Angell, K., & Price, C. (2012). Fat bodies in thin books: Information bias and body image in academic libraries. Fat Studies, 1(2), 153–165. https://doi.org/10.1080/21604851.2012.641895
- Barr-Walker, J., & Sharifi, C. (2019). Critical librarianship in health sciences libraries: An introduction. Journal of the Medical Library Association, 107(2), 258–264. https://doi.org/10.5195/jmla.2019.620
- Bishop, N. (2021). Fighting medical racism: Academic librarians have a role in educating students and faculty. American Libraries, 52(11/12), 46–46.
- Burchfield, J., & Possinger, M. (2023). Managing your library’s LibGuides: Conducting a usability study to determine student preference for LibGuide design. Information Technology and Libraries, 42(4), Article 4. https://doi.org/10.5860/ital.v42i4.16473
- Chabot, R. (2021). Is the library for “every body”? Examining fatphobia in library spaces through online library furniture catalogues. The Canadian Journal of Information and Library Science, 44(2/3), 12-30. https://doi.org/10.5206/cjilsrcsib.v44i2/3.13632
- Chen, H. M. (2019). Information visualization skills for academic librarians: A content analysis of publications and online LibGuides in the digital humanities. Library Hi Tech, 37(3), 591–603. https://doi.org/10.1108/LHT-01-2018-0012
- Chenevey, L. (2022, November 2-4). Exploring fat liberation in instruction [Conference presentation]. Critical Librarianship and Pedagogy Symposium, Tucson, AZ, United States. https://repository.arizona.edu/handle/10150/667039
- Chrisler, J. C., & Barney, A. (2017). Sizeism is a health hazard. Fat Studies, 6(1), 38–53. https://doi.org/10.1080/21604851.2016.1213066
- DiFilippo, D. (2024, February 12). N.J. Senate passes bill to ban discrimination based on height and weight. New Jersey Monitor. https://newjerseymonitor.com/briefs/n-j-senate-passes-bill-to-ban-discrimination-based-on-height-and-weight/
- Dobbs, A. W., Sittler, R. L., & Cook, D. (2013). Using LibGuides to enhance library services: A LITA guide. American Library Association.
- Gabriel, S., Gracely, E. J., & Fyfe, B. S. (2006). Impact of BMI on clinically significant unsuspected findings as determined at postmortem examination. American Journal of Clinical Pathology, 125(1), 127–131. https://doi.org/10.1309/NVVMPB3DTFRGW3VV
- Galasso, M. (2023a). Fatness and the future of equity, diversity, and inclusion in librarianship. ACRL 2023 Conference Proceedings, 170–180. https://hdl.handle.net/2022/28925
- Galasso, M. (2023b, October 19). Fatness and libraries: Amplifying the voices of fat librarians in DEIA work [Webinar]. NNLM Region 6. https://scholarworks.iu.edu/dspace/handle/2022/29463
- Gudzune, K. A., Bennett, W. L., Cooper, L. A., & Bleich, S. N. (2014). Patients who feel judged about their weight have lower trust in their primary care providers. Patient Education and Counseling, 97(1), 128–131. https://doi.org/10.1016/j.pec.2014.06.019
- Gupta, N., Bombak, A., Foroughi, I., & Riediger, N. (2020). Original quantitative research - Discrimination in the health care system among higher-weight adults: Evidence from a Canadian national cross-sectional survey. Health Promotion and Chronic Disease Prevention in Canada, 40(11–12), 329–335. https://doi.org/10.24095/hpcdp.40.11/12.01
- Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., Lunsford, D., Mendonca, E., Michalsky, M. P., Mirza, N., Ochoa, E. R., Jr., Sharifi, M., Staiano, A. E., Weedn, A. E., Flinn, S. K., … Okechukwu, K. (2023). Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics, 151(2), e2022060640. https://doi.org/10.1542/peds.2022-060640
- Harper, K. (2021). “That could have killed me.” How anti-fat bias can be dangerous, even deadly, for heavier patients [Master’s thesis, Massachusetts Institute of Technology]. DSpace@MIT. https://dspace.mit.edu/handle/1721.1/139976
- Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. American Journal of Public Health, 103(5), 813–821. https://doi.org/10.2105/AJPH.2012.301069
- Hebl, M. R., & Xu, J. (2001). Weighing the care: Physicians’ reactions to the size of a patient. International Journal of Obesity, 25(8), 1246–1252. https://doi.org/10.1038/sj.ijo.0801681
- Hobbes, M., & Gordon, A. (Hosts). (2020-present). Maintenance phase [Audio podcast]. https://www.maintenancephase.com
- Horton, J. J. (2017). An analysis of academic library 3D printing LibGuides. Internet Reference Services Quarterly, 22(2/3), 123–131. https://doi.org/10.1080/10875301.2017.1375059
- Huizinga, M. M., Cooper, L. A., Bleich, S. N., Clark, J. M., & Beach, M. C. (2009). Physician respect for patients with obesity. Journal of General Internal Medicine, 24(11), 1236–1239. https://doi.org/10.1007/s11606-009-1104-8
- Jaeger, P. T., Shilton, K., & Koepfler, J. (2016). The rise of social justice as a guiding principle in library and information science research. The Library Quarterly, 86(1), 1–9. https://doi.org/10.1086/684142
- Jones, R. (2020). Social justice in library science programs: A content analysis approach. Journal of Librarianship and Information Science, 52(4), 1102–1109. https://doi.org/10.1177/0961000620904432
- Kaminsky, J., & Gadaleta, D. (2002). A study of discrimination within the medical community as viewed by obese patients. Obesity Surgery, 12(1), 14–18. https://doi.org/10.1381/096089202321144513
- Lee, K. M., Hunger, J. M., & Tomiyama, A. J. (2021). Weight stigma and health behaviors: Evidence from the Eating in America Study. International Journal of Obesity, 45(7), 1499–1509. https://doi.org/10.1038/s41366-021-00814-5
- Lovelace, B., Jr. (2024, June 23). Beyond Ozempic: New GLP-1 drugs promise weight loss and health benefits. NBC News. https://www.nbcnews.com/health/health-news/beyond-ozempic-glp-1-drugs-promise-weight-loss-health-benefits-rcna157525
- Merrill, E., & Grassley, J. (2008). Women’s stories of their experiences as overweight patients. Journal of Advanced Nursing, 64(2), 139–146. https://doi.org/10.1111/j.1365-2648.2008.04794.x
- Michigan Department of Civil Rights. (n.d.). For victims of unlawful discrimination. https://www.michigan.gov/mdcr/for-victims-of-unlawful-discrimination
- Nyblade, L., Stockton, M. A., Giger, K., Bond, V., Ekstrand, M. L., Lean, R. M., Mitchell, E. M. H., Nelson, L. R. E., Sapag, J. C., Siraprapasiri, T., Turan, J., & Wouters, E. (2019). Stigma in health facilities: Why it matters and how we can change it. BMC Medicine, 17, 25. https://doi.org/10.1186/s12916-019-1256-2
- NYC Press Office. (2023, May 26). Mayor Adams signs legislation to prohibit height or weight discrimination in employment, housing, and public accommodations. NYC. http://www.nyc.gov/office-of-the-mayor/news/364-23/mayor-adams-signs-legislation-prohibit-height-weight-discrimination-employment-housing-
- Nyitray, K. J., & Reijerkerk, D. (2022). From pathfinder to indigenized: An assessment of LibGuides for indigenous studies by ARL member institutions. College & Research Libraries, 83(6), 1014-1031. https://doi.org/10.5860/crl.83.6.1014
- Pearl, R. L., & Puhl, R. M. (2016). The distinct effects of internalizing weight bias: An experimental study. Body Image, 17, 38–42. https://doi.org/10.1016/j.bodyim.2016.02.002
- Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015). Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obesity Reviews, 16(4), 319–326. https://doi.org/10.1111/obr.12266
- Phelan, S. M., Dovidio, J. F., Puhl, R. M., Burgess, D. J., Nelson, D. B., Yeazel, M. W., Hardeman, R., Perry, S., & van Ryn, M. (2014). Implicit and explicit weight bias in a national sample of 4,732 medical students: The medical student CHANGES study. Obesity, 22(4), 1201–1208. https://doi.org/10.1002/oby.20687
- Piper, G., Ameen, M., & Lowe, M. S. (2021). An investigation of anti-Black racism LibGuides at ARL member institutions. Communications in Information Literacy, 15(2), 188-207. https://doi.org/10.15760/comminfolit.2021.15.2.3
- Price, J. H., Desmond, S. M., Krol, R. A., Snyder, F. F., & O’Connell, J. K. (1987). Family practice physicians’ beliefs, attitudes, and practices regarding obesity. American Journal of Preventive Medicine, 3(6), 339–345. https://doi.org/10.1016/S0749-3797(18)31234-0
- Puhl, R. M., & Brownell, K. D. (2006). Confronting and coping with weight stigma: An investigation of overweight and obese adults. Obesity, 14(10), 1802–1815. https://doi.org/10.1038/oby.2006.208
- Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. American Journal of Public Health, 100(6), 1019–1028. https://doi.org/10.2105/AJPH.2009.159491
- Pun, R., Green, P. R., & Davis, N. (2023). Medical libraries and their complicated past: An exploration of the historical connections between medical collections and racial science. Journal of the Medical Library Association, 111(3), 740–745. https://doi.org/10.5195/jmla.2023.1728
- Roe, J. L., Fuentes, J. M., & Mullins, M. E. (2012). Underdosing of common antibiotics for obese patients in the ED. The American Journal of Emergency Medicine, 30(7), 1212–1214. https://doi.org/10.1016/j.ajem.2011.05.027
- Rutledge, L., Church, E., & Church, D. (2024). Addressing weight stigma in libraries to promote diversity, equity and inclusion. In the Library With the Lead Pipe. https://www.inthelibrarywiththeleadpipe.org/2024/weight-stigma-in-libraries/
- Stevens, G. A., & Fajardo, F. J. (2021). LGBTQ+ health research guides at North American health sciences libraries: A survey and content analysis. Journal of the Medical Library Association, 109(3), 406–413. https://doi.org/10.5195/jmla.2021.1189
- Strings, S. (2019). Fearing the black body: The racial origins of fat phobia. University Press.
- Taylor, S. R. (2021). The body is not an apology: The power of radical self-love (2nd ed.). Berrett-Koehler Publishers.
- TEDx Talks. (2017, October 18). Bodies as resistance: Claiming the political act of being oneself | Sonya Renee Taylor | TEDxMarin [Video]. YouTube. https://www.youtube.com/watch?v=MWI9AZkuPVg
- Tewell, E. (2015). A decade of critical information literacy: A review of the literature. Communications in Information Literacy, 9(1), 24-43. https://doi.org/10.15760/comminfolit.2015.9.1.174
- Vardell, E., & Charbonneau, D. H. (2020). Applying a health justice framework to examine health and social justice in LIS course offerings. In B. St. Jean, G. Jindal, Y. Liao, & P. T. Jaeger (Eds.), Roles and responsibilities of libraries in increasing consumer health literacy and reducing health disparities (pp. 83–100). Emerald Publishing Limited. https://doi.org/10.1108/S0065-283020200000047004
- Versluis, A., Agostino, C., & Cassidy, M. (2020). Fat, fit, and fem: Exploring performative femininity for fat female librarians. LIS Scholarship Archive. https://doi.org/10.31229/osf.io/z35fn
- Wiese, H. J., Wilson, J. F., Jones, R. A., & Neises, M. (1992). Obesity stigma reduction in medical students. International Journal of Obesity and Related Metabolic Disorders, 16(11), 859–868.
- Wilson, A. J., Staley, C., Davis, B., & Anton, B. (2023). Libraries advancing health equity: A literature review. Reference Services Review, 51(1), 65–76. https://doi.org/10.1108/RSR-09-2022-0037
- Winberry, J., & Bishop, B. W. (2021). Documenting social justice in library and information science research: A literature review. Journal of Documentation, 77(3), 743–754. https://doi.org/10.1108/JD-08-2020-0136
- Yu, M., & Summers, J. (2023, January 17). Anti-fatness keeps fat people on the margins, says Aubrey Gordon. NPR. https://www.npr.org/2023/01/12/1148169767/anti-fatness-keeps-fat-people-on-the-margins-says-aubrey-gordon

