An exploratory examination of internalized weight stigma in a sample living with food insecurity.

An exploratory examination of internalized weight stigma in a sample living with food insecurity.
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DOI:
10.1016/j.bodyim.2021.03.006
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发表时间:
2021-06
期刊:
影响因子:
5.2
通讯作者:
Kilpela LS
Kilpela LS
中科院分区:
心理学1区
文献类型:
--
作者:
Becker CB;Middlemas K;Gomez F;Kilpela LS

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内化的体重耻辱(IWS)与各种健康问题有关,无论身体大小。现有的IWS研究的一个弱点是,它在很大程度上缺乏多样化的研究人群。然而,最近的一个例外是,在一个低收入、多数为拉丁裔的样本中,IWS的增加与更高水平的粮食不安全(FI)有关。使用相同的样本(N = 530),本研究进一步探索了与记录的(主要是白色/欧洲)样本相比的IWS水平;我们还研究了IWS与三种二分饮食障碍(艾德)结局的关系(例如,任何/无呕吐)。最后,基于先前关于最严重FI中饮食限制的定性研究结果,我们探讨了饮食限制和IWS对艾德病理学横截面风险的独立贡献。结果表明,个人生活与FI经验IWS在有关水平。此外,无论FI的严重程度如何,IWS在艾德病理学的横断面风险中发挥了小而重要的作用,而饮食限制仅在最严重的FI患者中对独立风险有贡献。研究结果表明,IWS在这一边缘化人群中普遍存在,与艾德病理学相关,饮食限制对艾德病理学风险的影响似乎是对严重FI患者的独特影响。
Internalized weight stigma (IWS) is associated with various health concerns, regardless of body size. One weakness of existing IWS research is that it largely lacks diverse study populations. One recent exception, however, found increasing IWS was associated with higher levels of food insecurity (FI) in a low-income, majority Latinx sample. Using the same sample (N = 530), the present study further explored levels of IWS as compared to documented (mostly White/European) samples; we also investigated IWS in relation to three dichotomous eating disorder (ED) outcomes (e.g., any/no vomiting). Finally, based on previous qualitative findings regarding dietary restraint in the most severe level of FI, we explored the independent contribution of dietary restraint and IWS to cross-sectional risk of ED pathology. Results indicated that individuals living with FI experience IWS at concerning levels. Additionally, IWS played a small yet significant role in cross-sectional risk for ED pathology regardless of FI severity, while dietary restraint contributed to independent risk only in those with the most severe FI. Findings suggest that IWS is prevalent in this marginalized population, associated with ED pathology, and that the effect of dietary restraint on risk for ED pathology appears to uniquely impact those living with severe FI.
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