Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala
Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala
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DOI：
10.1016/j.socscimed.2016.05.032
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发表时间：
2016-07-01
影响因子：
5.4
通讯作者：
Brewis, Alexandra A.
中科院分区：
文献类型：
--
作者：
Hackman, Joseph;Maupin, Jonathan;Brewis, Alexandra A.
在高收入国家，与体重有关的耻辱感被确定为一个主要的心理社会压力源，并与肥胖症患者的抑郁症相关。反肥胖的信念正在迅速全球化。这项研究的目的是：（1）研究与体重有关的耻辱感（被称为戏弄）在低收入国家的妇女中是如何明显存在的;（2）测试这种与体重有关的耻辱感是否会导致抑郁症状。2008-2009年危地马拉全国母婴健康调查收集了12，074名育龄妇女的建模数据，我们证明了与体重相关的戏弄（1）体重过轻和超重的人都经历过，（2）一个重要的心理压力源。其影响与已知影响低收入国家妇女抑郁风险的其他因素相当，例如生活贫困，经历粮食不安全或遭受性/家庭暴力。在危地马拉这样的环境中，妇女无论是超重还是体重不足，都无法达到当地的身体标准，这是造成心理困扰的一个重要原因，在这种环境中，家庭和社区两级的营养过剩和营养不足问题都很严重，这一点尤其令人关切。目前以肥胖为中心的体重相关耻辱模型是从高收入国家的研究中发展起来的，没有认识到体重不足可能会在低收入国家造成类似形式的心理社会困扰。(C)2016爱思唯尔有限公司版权所有
Weight-related stigma is established as a major psychosocial stressor and correlate of depression among people living with obesity in high-income countries. Anti-fat beliefs are rapidly globalizing. The goal of the study is to (1) examine how weight-related stigma, enacted as teasing, is evident among women from a lower-income country and (2) test if such weight-related stigma contributes to depressive symptoms. Modeling data for 12,074 reproductive-age women collected in the 2008-2009 Guatemala National Maternal-Infant Health Survey, we demonstrate that weight-related teasing is (1) experienced by those both underweight and overweight, and (2) a significant psychosocial stressor. Effects are comparable to other factors known to influence women's depressive risk in lower-income countries, such as living in poverty, experiencing food insecurity, or suffering sexual/domestic violence. That women's failure to meet local body norms whether they are overweight or underweight serves as such a strong source of psychological distress is particularly concerning in settings like Guatemala where high levels of over- and under-nutrition intersect at the household and community level. Current obesity-centric models of weight-related stigma, developed from studies in high-income countries, fail to recognize that being underweight may create similar forms of psychosocial distress in low-income countries. (C) 2016 Elsevier Ltd. All rights reserved.