Internalizing Weight Stigma: Prevalence and Sociodemographic Considerations in US Adults
Internalizing Weight Stigma: Prevalence and Sociodemographic Considerations in US Adults
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DOI：
10.1002/oby.22029
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发表时间：
2018-01-01
期刊：
影响因子：
6.9
通讯作者：
Quinn, Diane M.
中科院分区：
文献类型：
--
作者：
Puhl, Rebecca M.;Himmelstein, Mary S.;Quinn, Diane M.
目的本研究旨在对美国成年人的三个不同样本中体重偏见内化 (WBI) 的存在、严重程度和社会人口统计学相关性进行全面评估。方法比较了 (1) 肥胖和体重耻辱风险较高的成年人样本 (N=456)、(2) 在线社区样本 (N=519) 和 (3) 全国在线小组 (N=2,529) 的 WBI 水平。样本 2 和 3 包括患有和不患有肥胖症的成年人。参与者完成了相同的自我报告测量，包括人口统计变量和体重相关因素，以确定他们与低、平均和高水平 WBI 的关系。结果样本中至少 44% 的成年人认可 WBI 平均水平（根据样本 3 确定）。一般人群样本中大约有五分之一的成年人认可 WBI 的最高水平，而肥胖成人样本中则有 52% 的人认可 WBI 的最高水平。 WBI 最高的个体是白人，受教育程度和收入较低，目前正在尝试减肥，并且具有较高的 BMI、较高的自我认知体重以及以前的体重耻辱经历（尤其是嘲笑）。 结论 内在体重偏见在女性和男性以及各种体重类别中普遍存在。研究结果为更好地了解有体重偏见内在风险的个体的特征奠定了基础。
ObjectiveThis study aimed to conduct a comprehensive assessment of the presence, severity, and sociodemographic correlates of weight bias internalization (WBI) across three distinct samples of US adults.MethodsLevels of WBI were compared in (1) a sample of adults with obesity and heightened risk of weight stigma (N=456), (2) an online community sample (N=519), and (3) a national online panel (N=2,529). Samples 2 and 3 comprised adults with and without obesity. Participants completed identical self-report measures, including demographic variables and weight-related factors, to determine their relationship with low, mean, and high levels of WBI.ResultsAt least 44% of adults across samples endorsed mean levels of WBI (as determined by sample 3). The highest levels of WBI were endorsed by approximately one in five adults in the general population samples and by 52% in the sample of adults with obesity. Individuals with the highest WBI were white, had less education and income, were currently trying to lose weight, and had higher BMIs, higher self-perceived weight, and previous experiences of weight stigma (especially teasing).ConclusionsInternalized weight bias is prevalent among women and men and across body weight categories. Findings provide a foundation to better understand characteristics of individuals who are at risk for internalizing weight bias.