Weight stigma, welfare stigma, and political values: Evidence from a representative British survey.

Weight stigma, welfare stigma, and political values: Evidence from a representative British survey.
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DOI:
10.1016/j.socscimed.2023.116172
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发表时间:
2023-10
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
McArthur D
McArthur D
中科院分区:
其他
文献类型:
--
作者:
Hughes AM;McArthur D

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与肥胖相关的耻辱越来越被认为是一个公共健康问题,对有肥胖症和没有肥胖症的人的心理和身体健康都有影响。然而,人们对肥胖污名化观点的个体差异以及这些观点在人群中的分布情况知之甚少。如果对肥胖的看法不是独立于一个人更广泛的信仰和价值观,那么必须理解这一点,以便有效地解决肥胖污名问题。在一个18-97岁的英国成年人(N=2186)的代表性样本中,我们探索了体重污名化态度的预测因素。我们考虑人口统计学、社会经济地位、与自身体重和健康相关的因素,以及对肥胖原因和后果的看法。我们探讨了核心政治价值观的作用,这些价值观预测了人们对其他受歧视群体的看法,以及对福利接受者的看法,这些人在公共和政治话语中经常与肥胖联系在一起。最后,我们评估了个体体重指数(BMI)、态度和信念在多大程度上解释了体重污名态度的人口统计学差异。与之前的研究一致,女性比男性更不容易受到体重的羞辱。与年轻人或老年人相比,中年后期的人对体重的羞辱较少。经年龄和性别调整后,体重污名化观点指数与收入呈正相关,在中等教育类别和职业社会阶层中最高。体重污名化的态度与更多的右翼价值观、更多的威权主义价值观和更多对福利接受者的污名化观点有关。包括自己的BMI、对肥胖原因的看法、福利污名化态度和威权价值观等因素都是造成社会经济差异的原因。贬低体重的态度显示出人口统计群体之间的明显差异,但也因更广泛的社会态度、信仰和一个人的核心政治价值观而有所不同。如果他们认识到这些联系,减少体重污名和其他类型的污名的努力可能会更有效。
Obesity-related stigma is increasingly recognised as a public health issue, with implications for the mental and physical health of people with and without obesity. However, very little is known about what drives inter-individual differences in obesity-stigmatizing views, and how they are distributed in the population. If views about obesity are not independent of a person’s wider beliefs and values, this must be understood so that obesity stigma can be effectively tackled. In a representative sample of British adults aged 18-97 (N=2186), we explore predictors of weight-stigmatizing attitudes. We consider demographics, socioeconomic position, factors related to one’s own weight and health, and beliefs about the causes and consequences of obesity. We explore the role of core political values which predict views about other stigmatized groups, and views about welfare recipients, who are frequently linked with obesity in public and political discourse. Finally, we assess to what extent demographic differences in weight-stigmatizing attitudes are explained by individual body mass index (BMI), attitudes, and beliefs. Consistent with previous studies, women were less weight-stigmatizing than men. People in late middle-age were less weight-stigmatizing than younger or older adults. Adjusted for age and gender, an index of weight-stigmatizing views was positively associated with income, and highest in intermediate categories of education and occupational social class. Weight-stigmatizing attitudes were associated with more right-wing values, more authoritarian values, and more stigmatizing views about welfare recipients. Factors including own BMI, beliefs about causes of obesity, welfare-stigmatizing attitudes and authoritarian values contributed to socioeconomic differences. Weight-stigmatizing attitudes show clear differences between demographic groups, but also vary according to wider social attitudes, beliefs, and a person’s core political values. Efforts to reduce weight stigma, and other kinds of stigma, may be more effective if they recognise these links.
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