In order to examine the phenomenon of fat messages presented through visual media, a content analysis was used to quantify and categorize fat-specific commentary. Fat commentary vignettes were identified using a targeted sampling procedure, and 135 scenes were excised from movies and TV shows. The material was coded by trained raters. Reliability indices were uniformly high for the seven categories (% agreement ranged from .90-.98; kappas ranged from .66-.94). Results indicated that fat commentary and fat humor is often verbal, directed toward another person, and is often presented directly in the presence of the overweight target. Results also indicated that male characters are three times more likely to engage in fat commentary or fat humor than female characters. These findings provide the first information regarding the specific gender, age, and types of fat commentary that occur frequently in movies and TV shows. The stimuli should prove useful in future research examining the role of individual difference factors (e.g., BMI) in the reaction to viewing such vignettes.

Weight bias exists in some health-related degree programs. Overweight and obese persons who experience weight bias in health-related services often delay or avoid medical attention altogether. Guided by the attribution theory, the purpose of this sequential explanatory study was to examine weight bias among health majors at a southwest regional university to illuminate how attitudes can affect the level of care provided to overweight persons. The Attitudes toward Obese Persons (ATOP) scores from a convenience sample of 184 health majors revealed that participants' scores were found to be significantly lower than the midpoint (60) of the ATOP scale, M = 56.68, SD = 16.75, t(183) = -2.69, p < .01, indicating more negative attitudes toward obese persons. As a follow-up measure, 12 interviews were conducted to examine how health majors described their own experiences in working with obese persons. Thematic analysis revealed that the majority of participants expressed common stereotypes to describe obese persons as lazy, lacking self-discipline, and unhealthy. The integration of both sets of data supported the need to develop weight bias curriculum to facilitate social change whereby adaptive approaches to minimize weight bias among students within the classroom and clinical settings become best practice. Future research efforts in the development and evaluation of interventions are needed to reduce weight bias among academic institutions that offer health-related degree programs.