Adolescent preferences for weight terminology used by health care providers
Adolescent preferences for weight terminology used by health care providers
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DOI：
10.1111/ijpo.12275
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发表时间：
2018-09-01
影响因子：
3.8
通讯作者：
Himmelstein, M. S.
中科院分区：
文献类型：
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作者：
Puhl, R. M.;Himmelstein, M. S.
背景鉴于青少年中肥胖率和体重耻辱的高比率，美国儿科学会建议儿科保健专业人员在与青少年沟通体重问题时使用适当、敏感和非污名化的语言。为了使这些努力有效，有必要在超重和肥胖的年轻人中确定基于体重的语言偏好，因为这一领域的研究很少。目的本研究系统地评估了年轻人对提供者使用的基于体重的语言的看法。方法对参加全国减肥夏令营的青少年(13-18岁；N=148)进行了调查，了解他们对医疗服务提供者用来指代自己体重的词汇的偏好。青少年完成了一项在线调查，回答了描述超重的16个词，以及评估人口统计学、身体质量指数、经历和内在化体重污名的问题。结果青少年对肥胖、大块头、肥胖和极度肥胖等词的评分较低，这表明他们不希望提供者在讨论他们的体重时使用这些词。相比之下，“体重问题”、“体重指数”和“大码”等词被评为提供商最喜欢使用的词之一。词汇偏好因性别、体重指数和内在化体重标签程度的不同而不同。结论这些发现强调了承认年轻人不同的词汇偏好的重要性，并避免假设年轻人在讨论自己的体重时最舒服地使用什么词汇。
BackgroundIn light of high rates of obesity and weight stigma in youth, the American Academy of Paediatrics recommends that paediatric health care professionals use appropriate, sensitive and non-stigmatizing language in communication about weight with youth. For these efforts to be effective, there is a need to identify weight-based language preferences among youth with overweight and obesity, as research in this area is scarce.ObjectivesThe present study provides a systematic assessment of youth perspectives of weight-based language used by providers.MethodsAdolescents (ages 13-18years; N=148) enrolled in a national weight loss camp were surveyed about their preferences for words that health providers use to refer to their body weight. Adolescents completed an online survey and responded to a list of 16 words describing excess body weight, as well as questions assessing demographics, body mass index, and experienced as well as internalized weight stigma.ResultsAdolescents assigned low ratings to words like fat', large', obese' and extremely obese', indicating that they would not want providers to use these words when discussing their body weight. In contrast, words like weight problem', BMI' and plus size' were rated among the most preferred words for providers to use. Word preferences varied across gender, body mass index and extent of internalized weight stigma.ConclusionsThese findings underscore the importance of acknowledging different word preferences among youth, and to avoid making assumptions about what words youth will feel most comfortable using in discussions about their body weight.