The Psychosocial Factors Related to Obesity: A Study Among Overweight, Obese, and Morbidly Obese Women in India.
The Psychosocial Factors Related to Obesity: A Study Among Overweight, Obese, and Morbidly Obese Women in India.
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DOI：
10.1080/03630242.2015.1039180
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发表时间：
2015
期刊：
影响因子：
1.6
通讯作者：
Agrawal S
中科院分区：
文献类型：
--
作者：
Agrawal P;Gupta K;Mishra V;Agrawal S
对印度德里超重、肥胖和病态肥胖女性的心理社会因素进行了调查。对325名20-54岁的已婚女性进行了跟踪调查，这些女性是从1998-99年全国家庭健康调查样本中系统选取的，4年后于2003年再次进行访谈。收集了有关日常问题、身体形象不满、性不满、耻辱和歧视的信息，并对女性进行了人体测量，以计算她们当前的体重指数。四分之三的超重女性（BMI 在 25 至 29.9 kg/m2 之间）对自己的身体形象不满意，而五分之四的肥胖女性（BMI 为 30 kg/m2 或更高）以及几乎所有（95%）病态肥胖女性（BMI 为 35 kg/m2 或更高）（p < .0001）。结果发现，病态肥胖和肥胖女性报告日常问题的可能性分别是五倍（调整后比值比 [aOR] 5.29，95% 置信区间 [CI] 2.02–13.81，p < .001）和两倍（aOR 2.30，95% CI 1.20–4.42，p < .001）；分别报告对身体形象不满意的可能性为十二倍（aOR 11.88，95% CI 2.62–53.87，p < .001）和三倍（aOR 2.92，95% CI 1.45–5.88，p = .001）；报告称超重女性遭受耻辱和歧视的可能性分别是其九倍（aOR 9.41，95% CI 2.96–29.94，p < .001）和三倍（aOR 2.93，95% CI 1.03–8.37，p = .001）。
Psychosocial factors among overweight, obese, and morbidly obese women in Delhi, India were examined. A follow-up survey was conducted of 325 ever-married women aged 20–54 years, systematically selected from 1998–99 National Family Health Survey samples, who were re-interviewed after 4 years in 2003. Information on day-to-day problems, body image dissatisfaction, sexual dissatisfaction, and stigma and discrimination were collected and anthropometric measurements were obtained from women to compute their current body mass index. Three out of four overweight women (BMI between 25 and 29.9 kg/m2) were not happy with their body image, compared to four out of five obese women (BMI of 30 kg/m2 or greater), and almost all (95 percent) morbidly obese women (BMI of 35 kg/m2 or greater) (p < .0001). It was found that morbidly obese and obese women were five times (adjusted odds ratio [aOR] 5.29, 95% confidence interval [CI] 2.02–13.81, p < .001) and two times (aOR 2.30, 95% CI 1.20–4.42, p < .001), respectively, as likely to report day-to-day problems; twelve times (aOR 11.88, 95% CI 2.62–53.87, p < .001) and three times, respectively, as likely (aOR 2.92, 95% CI 1.45–5.88, p = .001) to report dissatisfaction with body image; and nine times (aOR 9.41, 95% CI 2.96–29.94, p < .001) and three times (aOR 2.93, 95% CI 1.03–8.37, p = .001), respectively, as likely to report stigma and discrimination as overweight women.