Supposedly meaning "big beautiful woman," it's a term used by extremely insecure obese women. The fact that they have to add the qualifier "beautiful" is evidence of what an insecure term it is. Have you ever head of a TBW or SBW, as in "thin or skinny beautiful woman"? Of course not, because when you have a healthy body, there's no need to add the word "beautiful" to protect your fragile self-esteem.
BBW is used by women who want to feel good about their unhealthy obesity because they're too lazy to diet and exercise. Unfortunately for them, they won't have very long to enjoy feeling good about being fat, as they will likely be dead from a massive coronary before the age of 50.
It's no surprise that the term BBW was invented in the United States. Because, sadly, we have BY FAR the highest obesity rate on the planet. And instead of solving the problem, we invent terms like this so that people feel good about themselves, even when they get winded by waddling to the freezer for their daily quart of ice cream.
On the upside, those of us in decent shape are becoming more of a rarity, and are therefore more desirable and sought after than the fat masses.
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