Fat, queer and sick? A critical analysis of ‘lesbian obesity’ in public health discourse

Critical Public Health

Volumn 25, Issue 5, 2015, Pages 539-553

  McPhail, Deborah ^a   Bombak, Andrea E ^a  

^a UNIVERSITY OF MANITOBA   (Canada)

Author keywords

critical discourse analysis; Lesbians; public health literature; Obesity ; risk populations

Indexed keywords

ARTICLE; BODY FAT; CHILD SEXUAL ABUSE; COMORBIDITY; EXERCISE; GAZE; HIGH RISK POPULATION; HOMOSEXUAL FEMALE; HUMAN; LESBIANISM; LGBT PEOPLE; OBESITY; PUBLIC HEALTH; SEXUAL SATISFACTION; SEXUALITY;

EID: 84941103598     PISSN: 09581596     EISSN: 14693682     Source Type: Journal    
DOI: 10.1080/09581596.2014.992391     Document Type: Article

References (92)

1. D.J.Aaron,, & T.L.Hughes, (2007). Association of childhood sexual abuse with obesity in a community sample of lesbians. Obesity, 15, 1023–1028. doi:10.1038/oby.2007.63410.1038/oby.2007.634
2. D.J.Aaron,., N.Markovic,., M.E.Danielson,., J.A.Honnold,., J.E.Janosky,., & N.J.Schmidt,. (2001). Behavioral risk factors for disease and preventive health practices among lesbians. American Journal of Public Health, 91, 972–975. Retrieved from http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.91.6.972
3. E.L.Austin,, & J.A.Irwin, (2010). Health behaviors and health care utilization of southern lesbians. Women’s Health Issues, 20, 178–184. doi:10.1016/j.whi.2010.01.00210.1016/j.whi.2010.01.002
4. S.B.Austin,, N.J.Ziyadeh,, H.L.Corliss,, J.Haines,, H.R.Rockett,, D.Wypij,, & A.E.Field, (2009). Sexual orientation disparities in weight status in adolescence: Findings from a prospective study. Obesity, 17, 1776–1782. doi:10.1038/oby.2009.7210.1038/oby.2009.72
5. J.H.Beitchman,, K.J.Zucker,, J.E.Hood,, G.A.DaCosta,, D.Akman,, & E.Cassavia, (1992). A review of the long-term effects of child sexual abuse. Child Abuse and Neglect, 16, 101–118. doi:10.1016/0145-2134(92)90011-F10.1016/0145-2134(92)90011-F
6. K.Bell,, D.McNaughton,, & A.Salmon, (2009). Medicine, morality and mothering: Public health discourses on foetal alcohol exposure, smoking around children and childhood overnutrition. Critical Public Health, 19, 155–170. doi:10.1080/0958159080238566410.1080/09581590802385664
7. S.E.Beren,, H.A.Hayden,, D.E.Wilfley,, & R.H.Striegel-Moore, (1997). Body dissatisfaction among lesbian college students: The conflict of straddling mainstream and lesbian cultures. Psychology of Women Quarterly, 21, 431–445. doi:10.1111/j.1471-6402.1997.tb00123.x10.1111/pwqu.1997.21.issue-3
8. S.B.Bergman, (2009). Part-time fatso. In E.Rothblum & S.Solovay (Eds.), The fat studies reader (pp. 139–142). New York, NY: New York University Press.
9. U.Boehmer,, D.J.Bowen,, & G.R.Bauer, (2007). Overweight and obesity in sexual-minority women: Evidence from population-based data. American Journal of Public Health, 97, 1134–1140. doi:10.2105/AJPH.2006.08841910.2105/AJPH.2006.088419
10. N.Boero, (2009). Fat kids, working moms, and the ‘epidemic of obesity’: Race, class, and mother blame. In E.Rothblum & S.Solovay (Eds.), The fat studies reader (pp. 113–119). New York, NY: New York University Press.
11. D.J.Bowen,, K.F.Balsam,, B.Diergaarde,, M.Russo,, & G.M.Escamilla, (2006). Healthy eating, exercise, and weight: Impressions of sexual minority women. Women and Health, 44, 79–93. doi:10.1300/J013v44n01_0510.1300/J013v44n01_05
12. J.E.Braziel, (2001). Sex and fat chics: Deterritorializing the fat female body. In J.E.Braziel & K.LeBesco (Eds.), Bodies out of bounds (pp. 231–256). Berkeley, CA: University of California Press.
13. V.J.Burroughs,, C.Nonas,, C.T.Sweeney,, J.M.Rohay,, A.M.Harkins,, T.K.Kyle,, & S.L.Burton, (2008). Self-reported comorbidities among self-described overweight African–American and hispanic adults in the United States: Results of a national survey. Obesity, 16, 1400–1406. doi:10.1038/oby.2008.6110.1038/oby.2008.61
14. P.Campos, (2004). The Obesity myth: Why America’s obsession with weight is hazardous to your health. New York, NY: Gotham Books.
15. C.Carpenter, (2003). Sexual orientation and body weight: Evidence from multiple surveys. Gender Issues, 21, 60–74. doi: 10.1007/s12147-003-0006-z10.1007/s12147-003-0006-z
16. B.Chapin, (2013). Lesbians & obesity: Your tax dollars at work! Retrieved from https://www.youtube.com/watch?v=vauhXazxzhA
17. S.D.Cochran,, F.C.Bandiera,, & V.M.Mays, (2013). Sexual orientation-related differences in tobacco use and secondhand smoke exposure among US adults aged 20 to 59 years: 2003–2010 national health and nutrition examination surveys. American Journal of Public Health, 103, 1837–1844. doi:10.2105/AJPH.2013.30142310.2105/AJPH.2013.301423
18. A.B.Cohen,, & I.J.Tannenbaum, (2001). Lesbian and bisexual women’s judgments of the attractiveness of different body types. Journal of Sex Research, 38, 226–232. doi:10.1080/0022449010955209110.1080/00224490109552091
19. C.Cooper, (2010). Fat studies: Mapping the field. Sociology Compass, 4, 1020–1034. doi:10.1111/j.1751-9020.2010.00336.x10.1111/soco.2010.4.issue-12
20. C.Cooper, M.Robinson,, & L.Giles, (2014).Fact sheet: A critical understanding of weight in LGBT communities. Toronto: Rainbow Health Ontario. Retrieved from http://www.ohio.edu/lgbt/upload/Understanding_Weight_in_LGBT_Communities.pdf
21. B.Doherty, (2013). Studying why lesbians tend to be overweight: Why government spending can’t be cut a dime. Retrieved from http://reason.com/blog/2013/03/12/studying-why-lesbians-tend-to-be-overweight
22. A.Dwyer, (2014). ‘We're not like these weird feather boa-covered AIDS-spreading monsters’: How LGBT young people and service providers think riskiness informs LGBT youth-police interactions. Critical Criminology, 22, 65–79. doi:10.1007/s10612-013-9226-z10.1007/s10612-013-9226-z
23. P.Ernsberger, (2009). Does social class explain the connection between weight and health? In E.Rothblum & S.Solovay (Eds.), The fat studies reader (pp. 25–36). New York, NY: New York University Press.
24. B.Evans, (2010). Anticipating fatness: Childhood, affect and the pre-emptive ‘war on obesity’. Transactions of the Institute of British Geographers, 35, 21–38. doi:10.1111/j.1475-5661.2009.00363.x10.1111/(ISSN)1475-5661
25. A.Eves, (2004). Queer theory, butch/femme identities and lesbian space. Sexualities, 7, 480–496. doi:10.1177/136346070404706410.1177/1363460704047064
26. A.E.Farrell, (2011). Fat shame: Stigma and the fat body in American culture. New York, NY: New York University Press.
27. M.Fee, (2006). Racializing narratives: Obesity, diabetes and the ‘Aboriginal’ thrifty genotype. Social Science and Medicine, 62, 2988–2997. doi:10.1016/j.socscimed.2005.11.06210.1016/j.socscimed.2005.11.062
28. K.M.Flegal,, B.I.Graubard,, D.F.Williamson,, & M.H.Gail, (2007). Cause-specific excess deaths associated with underweight, overweight, and obesity. Journal of the American Medical Association, 298, 2028–2037. doi:10.1001/jama.298.17.202810.1001/jama.298.17.2028
29. K.M.Flegal,, B.K.Kit,, H.Orpana,, & B.I.Graubard, (2013). Association of all-cause mortality with overweight and obesity using standard Body Mass Index categories: A systematic review and meta-analysis. The Journal of the American Medical Association, 309, 71–82. doi:10.1001/jama.2012.11390510.1001/jama.2012.113905
30. S.Fogel,, L.Young,, & J.B.McPherson, (2009). The experience of group weight loss efforts among lesbians. Women and Health, 49, 540–554. doi:10.1080/0363024090342401210.1080/03630240903424012
31. C.D.Forth, (2013). Nobody loves a fat man’: Masculinity and food in film noir. Men and Masculinities, 16, 387–406. doi:10.1177/1097184X1350265310.1177/1097184X13502653
32. M.Foucault, (1982). The archeology of knowledge; and, the discourse on language. New York, NY: Pantheon.
33. K.I.Fredriksen-Goldsen,, H.Kim,, S.E.Barkan,, A.Muraco,, & C.P.Hoy-Ellis, (2013). Health disparities among lesbian, gay, and bisexual older adults: Results From a population-based study. American Journal of Public Health, 103, 1802–1809. doi:10.2105/AJPH.2012.30111010.2105/AJPH.2012.301110
34. K.I.Fredriksen-Goldsen,, C.A.Emlet,, H.Kim,, A.Muraco,, E.A.Erosheva,, J.Goldsen,, & C.P.Hoy-Ellis, (2013). The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: The role of key health indicators and risk and protective factors. The Gerontologist, 53, 664–675. doi:10.1093/geront/gns12310.1093/geront/gns123
35. M.Friedman, (2012). Fat is a social work issue: Fat bodies, moral regulation and the history of social work. Intersectionalities, 1, 53–61. Retrieved from http://journals.library.mun.ca/ojs/index.php/IJ/article/view/350
36. A.K.Gilmore,, K.H.Koo,, H.V.Nguyen,, H.F.Granato,, T.L.Hughes,, & D.Kaysen, (2014). Sexual assault, drinking norms, and drinking behavior among a national sample of lesbian and bisexual women. Addictive Behaviors, 39, 630–636. doi:10.1016/j.addbeh.2013.11.01510.1016/j.addbeh.2013.11.015
37. J.Guthman, (2013). Fatuous measures: The artifactual construction of the obesity epidemic. Critical Public Health, 23, 263–273. doi:10.1080/09581596.2013.76667010.1080/09581596.2013.766670
38. S.E.Hadland,, S.B.Austin,, C.S.Goodenow,, & J.P.Calzo, (2014). Weight misperception and unhealthy weight control behaviors among sexual minorities in the general adolescent population. Journal of Adolescent Health, 54, 296–303. doi:10.1016/j.jadohealth.2013.08.02110.1016/j.jadohealth.2013.08.021
39. J.Halberstam, (1998). Female masculinity. Durham, NC: Duke University Press.
40. S.C.Han,, M.W.Gallagher,, M.R.Franz,, M.S.Chen,, F.M.Cabral,, & B.P.Marx, (2013). Childhood sexual abuse, alcohol use, and PTSD symptoms as predictors of adult sexual assault among lesbians and gay men. Journal of Interpersonal Violence, 28, 2505–2520. doi:10.1177/088626051347903010.1177/0886260513479030
41. E.Harrington, (2013). Feds spend $1.5 million to study why lesbians are fat. Retrieved from http://cnsnews.com/news/article/feds-spend-15-million-study-why-lesbians-are-fat
42. C.Hartley, (2001). Letting ourselves go: Making room for the fat body in feminist scholarship. In J.Braziel & K.LeBesco (Eds.), Bodies out of bounds (pp. 60–73). Berkeley, CA: University of California Press.
43. K.Heffernan, (1996). Eating disorders and weight concern among lesbians. International Journal of Eating Disorders, 19, 127–138. doi: 10.1002/(SICI)1098-108X(199603)19:2<127::AID-EAT3>3.0.CO;2-P10.1002/(ISSN)1098-108X
44. A.L.Hequembourg,, J.A.Livingston,, & K.A.Parks, (2013). Sexual victimization and associated risks among lesbian and bisexual women. Violence Against Women, 19, 634–657. doi:10.1177/107780121349055710.1177/1077801213490557
45. G.M.Herek,, K.F.Widaman,, & J.P.Capitanio, (2005). When sex equals AIDS: Symbolic stigma and heterosexual adults’ inaccurate beliefs about sexual transmission of AIDS. Social Problems, 52, 15–37. doi:10.1525/sp.2005.52.1.1510.1525/sp.2005.52.1.15
46. A.Herndon, (2005). Collateral damage from friendly fire? Race, nation, class and the “war against obesity”. Social Semiotics, 2, 127–141.
47. S.Heusser,, & D.Elkonin, (2014). Childhood sexual abuse and HIV sexual-risk behaviour among men who have sex with men in South Africa. South African Journal of Psychology, 44, 83–96. doi:10.1177/008124631351625810.1177/0081246313516258
48. B.hooks, b. (2000). Feminist theory: From margin to centre (2nd ed.). London: Pluto Press.
49. M.M.Johns,, E.S.Pingel,, E.J.Youatt,, J.H.Soler,, S.I.McClelland,, & J.A.Bauermeister, (2013). LGBT community, social network characteristics, and smoking behaviors in young sexual minority women. American Journal of Community Psychology, 52, 141–154. doi:10.1007/s10464-013-9584-410.1007/s10464-013-9584-4
50. L.Kann,, E.O.Olsen,, T.McManus,, S.Kinchen,, D.Chyen,, W.A.Harris,, & H.Wechsler, (2011). Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9–12 – Youth risk behavior surveillance, selected sites, United States, 2001–2009. Morbidity and Mortality Weekly Report, 60(SS-7), 1–134. Retrieved from http://files.eric.ed.gov/fulltext/ED520413.pdf
51. K.LeBesco, (2004). Revolting bodies? The struggle to redefine fat identity. Amherst, MA: University of Massachusetts Press.
52. T.Legenbauer,, S.Vocks,, C.Schäfer,, S.Schütt-Strömel,, W.Hiller,, C.Wagner,, & C.Vögele, (2009). Preference for attractiveness and thinness in a partner: Influence of internalization of the thin ideal and shape/weight dissatisfaction in heterosexual women, heterosexual men, lesbians, and gay men. Body Image, 6, 228–234. doi:10.1016/j.bodyim.2009.04.00210.1016/j.bodyim.2009.04.002
53. R.Limbaugh, (2013). Government spends $1.5 million to study fat lesbians [Radio transcript]. Retrieved from http://www.rushlimbaugh.com/daily/2013/03/12/government_spends_1_5_million_to_study_fat_lesbians
54. J.Lloyd, (2014). Bodies over borders: The sized body and geographies of transnationalism. Gender, Place and Culture, 21, 121–131. doi:10.1080/0966369X.2013.791253
55. M.Lovejoy, (2001). Disturbances in the social body differences in body image and eating problems among African American and White women. Gender and Society, 15, 239–261. doi:10.1177/08912430101500200510.1177/089124301015002005
56. K.N.Luis, (2012). Karma eaters: The politics of food and fat in women’s land communities in the United States. Journal of Lesbian Studies, 16, 108–134. doi:10.1080/10894160.2011.60500710.1080/10894160.2011.605007
57. D.Lupton, (2013). Fat. Abingdon: Routledge.
58. B.E.Masini,, & H.A.Barrett, (2008). Social support as a predictor of psychological and physical well-being and lifestyle in lesbian, gay, and bisexual adults aged 50 and over. Journal of Gay and Lesbian Social Services, 20, 91–110.
59. S.Maynard, (2012). ‘On the case of the case: The emergence of the homosexual as a case history in early twentieth-century Ontario. In M.FitzGerald & S.Rayter (Eds.), Queerly Canadian: An introductory reader in sexuality studies (pp. 153–170). Toronto: Canadian Scholars Press.
60. D.McPhail,, G.E.Chapman,, & B.L.Beagan, (2011). ‘Too much of that stuff can't be good’: Canadian teens, morality, and fast food consumption. Social Science and Medicine, 73, 301–307. doi:10.1016/j.socscimed.2011.05.02210.1016/j.socscimed.2011.05.022
61. D.McPhail,, G.E.Chapman,, & B.L.Beagan, (2013). The rural and the rotund? A critical interpretation of food deserts and rural adolescent obesity in the Canadian context. Health and Place, 22, 132–139. doi:10.1016/j.healthplace.2013.03.00910.1016/j.healthplace.2013.03.009
62. Z.Meleo-Erwin, (2012). Disrupting normal: Toward the ‘ordinary and familiar’ in fat politics. Feminism and Psychology, 22, 388–402. doi:10.1177/095935351244535810.1177/0959353512445358
63. L.F.Monaghan, (2008). Men and the war on obesity. Abingdon: Routledge.
64. S.A.Mravcak, (2006). Primary care for lesbians and bisexual women. American Family Physician, 74, 279–286. Retrieved from http://www.aafp.org/afp/2006/0715/p279.html
65. S.Murray, (2008). Fat female body. London: Palgrave Macmillan.10.1057/9780230584419
66. M.E.Norman, (2013). ‘Dere’s not just one kind of fat’: Embodying the ‘skinny’ self through constructions of fat-masculine-other. Men and Masculinities, 16, 407–431. doi: 10.1177/1097184X1350266210.1177/1097184X13502662
67. P.O’Byrne,, & J.Watts, (2014). Include, differentiate and manage: Gay male youth, stigma and healthcare utilization. Nursing Inquiry, 21, 20–29. doi:10.1111/nin.1201410.1111/nin.2014.21.issue-1
68. L.A.Peplau,, D.A.Frederick,, C.Yee,, N.Maisel,, J.Lever,, & N.Ghavami, (2009). Body image satisfaction in heterosexual, gay, and lesbian adults. Archives of Sexual Behavior, 38, 713–725. doi:10.1007/s10508-008-9378-110.1007/s10508-008-9378-1
69. Public Health Agency of Canada and the Canadian Institute for Health Information. (2011). Obesity in Canada: A joint report from the public health agency of Canada and the Canadian institute for health information. Retrieved from http://www.phac-aspc.gc.ca/hp-ps/hl-mvs/oic-oac/assets/pdf/oic-oac-eng.pdf
70. C.Rice, (2007). Becoming ‘the fat girl’: Acquisition of an unfit identity. Women’s Studies International Forum, 30, 158–174. doi:10.1016/j.wsif.2007.01.00110.1016/j.wsif.2007.01.001
71. S.Ristovski-Slijepcevic,, G.E.Chapman,, & B.L.Beagan, (2011). Engaging with healthy eating discourse(s): Ways of knowing about food and health in three ethnocultural groups in Canada. Appetite, 50, 177–178.
72. S.A.Roberts,, S.L.Dibble,, B.Nussey,, & K.Casey, (2003). Cardiovascular disease risk in lesbian women. Women’s Health Issues, 13, 167–174. doi:10.1016/S1049-3867(03)00041-010.1016/S1049-3867(03)00041-0
73. S.J.Roberts,, E.M.Stuart-Shor,, & R.A.Oppenheimer, (2010). Lesbians’ attitudes and beliefs regarding overweight and weight reduction. Journal of Clinical Nursing, 19, 1986–1994.
74. A.Saguy, (2012). Why fat is a feminist issue. Sex Roles, 66, 600–607. doi:10.1007/s11199-011-0084-410.1007/s11199-011-0084-4
75. A.C.Saguy,, & A.Ward, (2011). Coming out as fat: Rethinking stigma. Social Psychology Quarterly, 74, 53–75. doi:10.1177/019027251139819010.1177/0190272511398190
76. L.Schoenfielder,, & B.Wieser, (Eds.). (1983). Shadow on a tightrope: Writings by women on fat oppression. San Francisco, CA: Aunt Lute Books.
77. T.L.Share,, & L.B.Mintz, (2002). Differences between lesbians and heterosexual women in disordered eating and related attitudes. Journal of Homosexuality, 42, 89–106. doi:10.1300/J082v42n04_0610.1300/J082v42n04_06
78. H.A.Smith,, N.Markovic,, M.E.Danielson,, A.Matthews,, A.Youk,, E.O.Talbott,, … T.Hughes, (2010). Sexual abuse, sexual orientation, and obesity in women. Journal of Women’s Health, 19, 1525–1532. doi:10.1089/jwh.2009.176310.1089/jwh.2009.1763
79. S.Snider, (2010). Revisioning fat lesbian subjects in contemporary lesbian periodicals. Journal of Lesbian Studies, 14, 174–184. doi:10.1080/1089416090319657410.1080/10894160903196574
80. C.B.Struble,, L.L.Lindley,, K.Montgomery,, J.Hardin,, & M.Burcin, (2010). Overweight and obesity in lesbian and bisexual college women. Journal of American College Health, 59, 51–56. Retrieved from http://triggered.stanford.clockss.org/ServeContent?rft_id=info:doi/10.1001/archfami.9.9.84310.1080/07448481.2010.483703
81. H.Sykes, (2009). The qBody project: From lesbians in physical education to queer bodies in/out of school. Journal of Lesbian Studies, 13, 238–254. doi:10.1080/1089416090287667110.1080/10894160902876671
82. J.Treacher, (2013). Why are lesbians so fat? Retrieved from http://dailycaller.com/2013/09/06/why-are-lesbians-so-fat/
83. B.G.Valanis,, D.J.Bowen,, T.Bassford,, E.Whitlock,, P.Charney,, & R.A.Carter, (2000). Sexual orientation and health: Comparisons in the women’s health initiative sample. Archives of Family Medicine, 9, 843–853. doi:10.1080/07448481.2010.48370310.1001/archfami.9.9.843
84. D.L.Volcano, (2008). Femmes of power: Exploding queer femininities. London: Serpent’s Tail.
85. L.Wahlert, (2012). The painful reunion: The remedicalization of homosexuality and the rise of the queer. Journal of Bioethical Inquiry, 9, 261–275. doi:10.1007/s11673-012-9382-y10.1007/s11673-012-9382-y
86. M.Wann, (2009). Foreword: Fat studies: An invitation to revolution. In E.Rothblum & S.Solovay (Eds.), The fat studies reader (pp. xi–xxvi). New York, NY: NYU Press.
87. B.W.Ward,, J.M.Dahlhamer,, A.M.Galinsky,, & S.S.Joestl, (2014). Sexual orientation and health among US adults: National health interview survey, 2013 (Report No. 77). Hyattsville, MD: Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf
88. S.C.Wilsnack,, T.L.Hughes,, T.P.Johnson,, W.B.Bostwick,, L.A.Szalacha,, P.Benson,, … K.E.Kinnison, (2008). Drinking and drinking-related problems among heterosexual and sexual minority women. Journal of Studies on Alcohol and Drugs, 69, 129–139. Retrieved from http://www.jsad.com.proxy1.lib.umanitoba.ca/jsad/article/Drinking_and_DrinkingRelated_Problems_Among_Heterosexual_and_Sexual_Minori/2211.html
89. B.D.M.Wilson, (2009). Widening the dialogue to narrow the gap in health disparities: Approaches to fat Black lesbian and bisexual women’s health promotion. In E.Rothblum & S.Solovay (Eds.), The fat studies reader (pp. 54–64). New York, NY: NYU Press.
90. World Health Organization. (2000). Obesity: Preventing and managing the global epidemic (WHO Technical Report Series 894). Geneva: World Health Organization. Retrieved from http://whqlibdoc.who.int/trs/WHO_TRS_894.pdf?ua=1
91. World Health Organization. (2013). Health topics: Obesity. Retrieved from http://www.who.int/topics/obesity/en/
92. A.K.Yancey,, S.D.Cochran,, H.L.Corliss,, & V.M.Mays, (2003). Correlates of overweight and obesity among lesbian and bisexual women. Preventive Medicine, 36, 676–683. doi:10.1016/S0091-7435(03)00020-310.1016/S0091-7435(03)00020-3