Obesity stigma as a globalizing health challenge.
Obesity stigma as a globalizing health challenge.
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DOI：
10.1186/s12992-018-0337-x
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发表时间：
2018-02-13
影响因子：
10.8
通讯作者：
Wutich A
中科院分区：
文献类型：
--
作者：
Brewis A;SturtzSreetharan C;Wutich A
根据在全球北方进行的研究，有充分证据表明，那些因超重/肥胖而感到耻辱的人可能会遭受极端的情绪困扰，受到（通常是法律的和社会可接受的）歧视，并调整饮食和锻炼行为。这些会导致严重的负面健康影响，包括抑郁和进一步的体重增加。到目前为止，体重相关的耻辱已经被概念化为一个问题，特别是最高收入，工业化，历史上瘦价值的社会，如美国，澳大拉西亚和西欧。有有限但高度暗示性的证据表明，肥胖污名是一种影响全球南部人口的新现象。紧急证据包括：隐性和显性测量显示，中低收入国家的体重耻辱感非常高，复杂的人种学证据表明，即使在脂肪积极性持续存在的情况下，反脂肪信仰也很普遍，新形式的“脂肪谈话”全球化，以及即使在严重营养不良仍然是一个重大挑战的情况下，与体重有关的拒绝或虐待造成的情感和物质损害。认识到体重耻辱是一个全球性的健康问题，对于公共卫生如何构思和实施适当的应对措施，以应对中低收入环境中日益增长的“肥胖流行病”具有重要意义。
Based on studies conducted in the global north, it is well documented that those who feel stigmatized by overweight/obesity can suffer extreme emotional distress, be subject to (often legal and socially-acceptable) discrimination, and adjust diet and exercise behaviors. These lead to significant negative health impacts, including depression and further weight gain. To date, weight-related stigma has been conceptualized as a problem particular to the highest income, industrialized, historically thin-valorizing societies like the US, Australasia, and Western Europe. There is limited but highly suggestive evidence that obesity stigma is an emergent phenomenon that affects populations across the global south. Emergent evidence includes: implicit and explicit measures showing very high levels of weight stigma in middle and low-income countries, complex ethnographic evidence of widespread anti-fat beliefs even where fat-positivity endures, the globalization of new forms of “fat talk,” and evidence of the emotional and material damage of weight-related rejection or mistreatment even where severe undernutrition is still a major challenge. Recognizing weight stigma as a global health problem has significant implications for how public health conceives and implements appropriate responses to the growing “obesity epidemic” in middle and lower income settings.
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影响因子：
3.7
作者：
Marini M;Sriram N;Schnabel K;Maliszewski N;Devos T;Ekehammar B;Wiers R;HuaJian C;Somogyi M;Shiomura K;Schnall S;Neto F;Bar-Anan Y;Vianello M;Ayala A;Dorantes G;Park J;Kesebir S;Pereira A;Tulbure B;Ortner T;Stepanikova I;Greenwald AG;Nosek BA
通讯作者：
Nosek BA
影响因子：
3.7
作者：
Kuebler M;Yom-Tov E;Pelleg D;Puhl RM;Muennig P
通讯作者：
Muennig P
影响因子：
0.7
作者：
Brewis, Alexandra A.;Wutich, Amber
通讯作者：
Wutich, Amber
影响因子：
5.4
作者：
Hackman, Joseph;Maupin, Jonathan;Brewis, Alexandra A.
通讯作者：
Brewis, Alexandra A.
影响因子：
8.8
作者：
Puhl, Rebecca;Suh, Young
通讯作者：
Suh, Young