Weight stigma experiences: A qualitative interview study among Finnish adults

Abstract Background Weight stigma is a public health concern linked to psychological distress, social exclusion, and poorer health outcomes. Although stigma in daily life has been studied internationally, little is known about its effects on lived experience in Finland, especially across different socioeconomic groups. This study examined how weight stigma is encountered in everyday life among Finnish adults, exploring potential differences in the sources and impacts of socioeconomic position and body mass index (BMI). Methods This qualitative interview study is a part of the Helsinki Health Study. Participants (n = 40) were selected from the City of Helsinki employee cohort, equally divided by educational level (low/high) and BMI (BMI ≥30 kg/m² and BMI <30 kg/m²), with an equal representation of women and men. Interviews were conducted in 2023-2024, and the data were analyzed using inductive content analysis. Results Participants described experiencing weight stigma as a recurring part of everyday life, especially in close relationships such as parents, partners, and relatives, as well as in healthcare, media, and workplaces. Stigma took many forms, from subtle suggestions or ‘concerns’ to direct criticism and bullying. These experiences led to shame, guilt, frustration, and sometimes defiance. Many reflected on the lasting effects on body image, self-worth, and health behavior. Some also described how their children were bullied because of their weight. The findings revealed how stigma was embedded in social relationships and often internalized over time. Conclusions The experience of weight stigma was not limited to public discourse or institutions but was deeply woven into everyday interactions. Even well-meaning comments could reinforce harmful ideals or cause emotional harm. Public health responses must address relational and intergenerational aspects of stigma and promote compassionate, inclusive environments in homes, workplaces, and healthcare. Key messages • Weight stigma experiences affect mental health, body image, and relationships, and cause emotional and social harm, as revealed through people’s lived experiences. • This study highlights the social nature of weight stigma in Finland, emphasizing the need for stigma-free environments in healthcare, workplaces, media, and families.