Weight stigma in the dental setting: a qualitative exploration of the experiences of people living with obesity

People living with obesity (PLWO) are frequently subject to weight stigma in healthcare settings, which reduces their quality-of-care and exacerbates health inequalities. Evidence suggests PLWO also encounter weight stigma in the dental setting, however little research has explored this from the perspective of PLWO. This study aimed to explore the lived experiences of PLWO in the dental setting, specifically whether PLWO encounter weight stigma, receive patient-centred care, and whether (if so how) visiting the dentist can be improved for PLWO. In-depth semi-structured interviews were conducted with 12 PLWO; 10 females and 2 males ranging in age from 21 to 71 years. Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis. Four overarching themes, (1) <i>the dental setting as a safe space</i>, (2) <i>structural weight stigma setting</i>, (3) <i>stigmatising dentist-patient interactions</i>, (4) <i>weight stigma impacts on delivering patient-centred care</i>, were generated. An equal number of participants had/had not encountered weight stigma in the dental setting. Weight stigma was perceived within direct dentist-patient interactions, the dental setting's physical environment and lack of access to bariatric dentistry, which seemed to impact upon the delivery of patient-centred care. Suggested avenues to improve visiting the dentist for PLWO included obesity education for the dental team. Participant lived experiences highlight that weight stigma is an issue some PLWO face in the dental setting. Professionals across clinical, educational and policy levels should work together to eliminate weight stigma in the dental setting and provide equitable care for PLWO.