Missing the target: including perspectives of women with overweight and obesity to inform stigma-reduction strategies.
Missing the target: including perspectives of women with overweight and obesity to inform stigma-reduction strategies.
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DOI：
10.1002/osp4.101
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发表时间：
2017-03
影响因子：
2.2
通讯作者：
Suh YJ
中科院分区：
文献类型：
--
作者：
Puhl RM;Himmelstein MS;Gorin AA;Suh YJ
普遍存在的体重耻辱和歧视导致人们不断呼吁努力减少这种偏见。尽管越来越多的研究减少耻辱的策略，谁经历过体重耻辱的个人的观点很少被纳入通知这项研究。本研究对体重偏高的女性进行了系统的检查，以评估她们对减少体重歧视的广泛策略的看法。超重或肥胖的女性（N = 461）完成了一项在线调查，他们在调查中评估了35种减少污名策略在不同环境中的重要性、可行性和潜在影响。参与者（91.5%报告经历过体重耻辱）还完成了评估经历和内化体重耻辱的自我报告措施。大多数参与者高度重视所有减少耻辱感的策略，以学校为基础的方法和医疗保健方法获得了最高的评价。在现有的反骚扰工作场所培训中增加体重污名被评为最具影响力和可行性的策略。家庭环境被视为一个重要的干预目标，无论参与者经历或内化的耻辱。这些发现强调了将具有污名化身份的人纳入污名化研究的重要性;他们的见解提供了必要和宝贵的贡献，可以为减少基于体重的不平等和优先考虑这些努力提供信息。
Pervasive weight stigma and discrimination have led to ongoing calls for efforts to reduce this bias. Despite increasing research on stigma‐reduction strategies, perspectives of individuals who have experienced weight stigma have rarely been included to inform this research. The present study conducted a systematic examination of women with high body weight to assess their perspectives about a broad range of strategies to reduce weight‐based stigma. Women with overweight or obesity (N = 461) completed an online survey in which they evaluated the importance, feasibility and potential impact of 35 stigma‐reduction strategies in diverse settings. Participants (91.5% who reported experiencing weight stigma) also completed self‐report measures assessing experienced and internalized weight stigma. Most participants assigned high importance to all stigma‐reduction strategies, with school‐based and healthcare approaches accruing the highest ratings. Adding weight stigma to existing anti‐harassment workplace training was rated as the most impactful and feasible strategy. The family environment was viewed as an important intervention target, regardless of participants' experienced or internalized stigma. These findings underscore the importance of including people with stigmatized identities in stigma‐reduction research; their insights provide a necessary and valuable contribution that can inform ways to reduce weight‐based inequities and prioritize such efforts.