Developing a Measure of Parent-Directed Stigma Due to Child Obesity

项目摘要 人们普遍认为，儿童肥胖是由于疏忽和无能的父母。因为这些 刻板印象，肥胖儿童的父母被他们的家庭羞辱，并被医疗保健解雇 提供商这种待遇是一种被称为“连带污名化”的污名化形式。我们假设耻辱感 协会，以及父母对这种耻辱的内化，损害了父母的健康，干扰了家庭 关系，并影响儿童的健康。然而，不可能理解这种形式的影响。 污名化，因为这一概念没有既定的衡量标准。R21的目标是开发和 通过儿童肥胖和父母对肥胖的认知， 这种耻辱感的内在化。为了实现这一目标，我们将完成以下具体目标：目标1.发展 儿童肥胖相关污名（SACO）量表，一种定量衡量父母肥胖经历的方法， 由协会和耻辱内化由于儿童肥胖，目标2。测试心理测量 中美合作所的财产。我们还将研究中美合作所评分和生物心理社会之间的关联 父母健康、亲子关系以及儿童健康和医疗保健利用的措施（探索性 Aim）。该项目福尔斯NICHD的探索/发展赠款（R21）计划的范围， 促进新的科学工具的发展，以推进行为和临床研究，以改善 儿童和家庭的健康。该项目在概念上具有创新性，其重点是针对 尽管我们越来越认识到肥胖的危害， 体重耻辱。中美合作所的发展意义重大，因为它将允许严格评估 这种形式的耻辱在不同人群中的流行程度以及病因学研究的进展， 确定其对家庭的影响。最终，中美合作所可以用来了解如何干预战略和 沟通方法影响父母的耻辱感，并确定家庭的优势和资产 that promote促进resilience弹性against反对this stagma耻辱.这些知识对于发展健康促进至关重要 最大限度地减少父母导致的耻辱感，支持父母和儿童的健康和福祉。

PROJECT SUMMARY It is commonly believed that childhood obesity is caused by neglectful and inept parenting. Because of these stereotypes, parents of children with obesity are shamed by their families and dismissed by healthcare providers. This treatment is a form of stigma termed “stigma by association.” We hypothesize that stigma by association, and parents’ internalization of this stigma, harms parents' health, interferes with family relationships, and impacts children’s health. However, it is not possible to understand the effects of this form of stigma because there are no established measures of this concept. The objective of this R21 is to develop and validate a measure of parents’ experiences of stigma by association due to child obesity and parents’ internalization of this stigma. To accomplish this, we will complete the following specific aims: Aim 1. Develop the Stigma by Association due to Child Obesity (SACO) scale, a quantitative measure of parents’ experience of stigma by association and stigma internalization due to child obesity, and Aim 2. Test the psychometric properties of the SACO. We will also examine associations between the SACO scores and biopsychosocial measures of parent health, the parent-child relationship, and child health and healthcare utilization (Exploratory Aim). This project falls within the scope of NICHD’s Exploratory/Developmental Grant (R21) program, which fosters the development of novel scientific tools to advance behavioral and clinical research to improve the health of children and families. This project is conceptually innovative in its focus on stigma directed toward parents of children with obesity, which has received little attention despite our growing recognition of the harms of weight stigma. The development of the SACO is significant because it will allow for rigorous assessment of the prevalence of this form of stigma across diverse populations and the advancement of etiologic research to identify its impact on families. Ultimately, the SACO can be used to understand how intervention strategies and communication approaches affect parents' experiences of stigma and to identify family strengths and assets that promote resilience against this stigma. This knowledge is essential to develop health promotion approaches that minimize parent-directed stigma and support health and well-being for parents and children.