The association between weight stigma and mental health: A meta-analysis
The association between weight stigma and mental health: A meta-analysis
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DOI：
10.1111/obr.12935
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发表时间：
2019-09-10
期刊：
影响因子：
8.9
通讯作者：
Mata, Jutta
中科院分区：
文献类型：
--
作者：
Emmer, Christine;Bosnjak, Michael;Mata, Jutta
近年来，关于体重污名与心理健康的关系已有大量的研究，但迄今为止还没有定量的经验证据。这项荟萃分析（105项研究，59172名参与者和497个效应量）通过量化体重耻辱与心理健康之间的关联填补了这一空白。年龄、性别和假定发挥保护作用的因素（即，适应性应对策略和感知的社会支持）作为潜在的调节因素进行了测试。在随机效应假设下估计的三水平荟萃分析模型显示，体重耻辱与心理健康之间存在中等至大的负相关（r = -0.35）。当控制出版年份、教育程度和体重时，整体关联仍然显着。研究间（I-2 = 43%）和研究内（I-2 = 56%）的效应量存在显著异质性。令人惊讶的是，所有的调节假设都被拒绝了。体重是一个重要的调节因素，表明体重耻辱和心理健康下降与体重指数增加之间有更强的关联。未来的研究可能会集中在解释结果的异质性和测试因果关系以及潜在的潜在机制。
In recent years, there has been considerable research on the relation between weight stigma and mental health, but no quantitative synthesis of the empirical evidence is available to date. This meta-analysis (105 studies, 59 172 participants, and 497 effect sizes) fills this gap by quantifying the association between weight stigma and mental health. Age, gender, and factors presumed to exert a protective role (i.e., adaptive coping strategies and perceived social support) were tested as potential moderators. The three-level meta-analytic model estimated under a random effects assumption revealed a medium to large negative association between weight stigma and mental health (r = -0.35). The overall association remained significant when controlling for publication year, education, and body weight. There was substantial heterogeneity in effect sizes between studies (I-2 = 43%) and within studies (I-2 = 56%). Surprisingly, all moderator hypotheses had to be rejected. Body weight was a significant moderator, indicating a stronger association between weight stigma and diminished mental health with increasing body mass index. Future research might focus on explaining the heterogeneity of findings and on testing causality as well as potential underlying mechanisms.