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

项目总结 人们普遍认为，儿童肥胖是由于疏忽和不称职的父母教育造成的。正因为如此 刻板印象，肥胖儿童的父母被家人羞辱，被医疗保健抛弃 供应商。这种治疗是一种被称为“联想污名”的污名。我们假设耻辱是通过 协会和父母对这种耻辱的内化，损害了父母的健康，干扰了家庭 儿童与儿童之间的关系，影响儿童的健康。然而，不可能理解这种形式的 耻辱，因为这一概念没有既定的衡量标准。这款R21的目标是开发和 验证父母因儿童肥胖和父母因肥胖而遭受耻辱的经历 这种耻辱的内在化。为此，我们将完成以下具体目标：目标1.发展 因儿童肥胖而导致的耻辱(中美合作所)量表，一种量化测量父母经历的儿童肥胖 儿童肥胖引起的联想耻辱和耻辱内化，以及目标2.测试心理测量学 中美合作所的特性。我们还将检查中美合作所分数和生物心理社会之间的联系。 父母健康、亲子关系以及儿童健康和医疗保健利用的测量(探索性 目标)。该项目属于NICHD探索/发展赠款(R21)方案的范围，该方案 促进开发新的科学工具，以推进行为和临床研究，以改善 儿童和家庭的健康。该项目在概念上是创新的，其重点是针对以下方面的耻辱 肥胖儿童的父母，尽管我们越来越多地认识到肥胖的危害，但很少受到关注 体重污名。中美合作所的发展意义重大，因为它将允许对 这种形式的耻辱在不同人群中的流行以及病因学研究的进展 确定其对家庭的影响。最终，中美合作所可以被用来理解干预战略和 沟通方式影响父母遭受耻辱的经历，并确定家庭的优势和资产 促进了对这种耻辱的适应能力。这些知识对于开展健康促进工作是必不可少的 最大限度地减少父母的耻辱，并支持父母和儿童的健康和福祉的方法。

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.