PDF(Pubmed)
Abstract：
UNASSIGNED: Obesity is highly stigmatized, with negative obesity-related stereotypes widespread across society. Internalized weight stigma (IWS) is linked to negative outcomes including poor mental health and disordered eating. Previous evidence examining population groups at higher risk of experiencing IWS comes from small, nonrepresentative samples. Here, we re-assess previously reported associations of IWS with demographic, socioeconomic, and wider social factors in a large general population birth cohort study for the first time.
UNASSIGNED: In the Avon Longitudinal Study of Parents and Children (ALSPAC), we explored differences in IWS at age 31 years by sex, ethnicity, socioeconomic factors, sexual orientation, and family and wider social influences, using confounder-adjusted multivariable regression.
UNASSIGNED: In models adjusted for potential confounders and BMI in childhood, adolescence, and adulthood (N = 4060), IWS was higher for females (standardized beta: 0.56, 95% CI: 0.50, 0.61), sexual minorities (0.17 S.D. higher, 95% CI: 0.09, 0.24), and less socioeconomically advantaged individuals (e.g., 0.16 S.D. higher (95% CI: 0.08, 0.24) for participants whose mothers had minimum or no qualifications, compared to a university degree). The social environment during adolescence and young adulthood was important: IWS was higher for people who at age 13 years felt pressure to lose weight from family (by 0.13 S.D., 95% CI: 0.03, 0.23), and the media (by 0.17, 95% CI: 0.10, 0.25), or had experienced bullying (e.g., 0.25 S.D., 95% CI: 0.17, 0.33 for bullying at age 23 years).
UNASSIGNED: Internalized weight stigma differs substantially between demographic groups. Risk is elevated for females, sexual minorities, and socioeconomically disadvantaged adults, and this is not explained by differences in BMI. Pressure to lose weight from family and the media in adolescence may have long-lasting effects on IWS.
UNASSIGNED: The ESRC, MRC, NIHR, and Wellcome Trust.
UNASSIGNED: In the Avon Longitudinal Study of Parents and Children (ALSPAC), we explored differences in IWS at age 31 years by sex, ethnicity, socioeconomic factors, sexual orientation, and family and wider social influences, using confounder-adjusted multivariable regression.
UNASSIGNED: In models adjusted for potential confounders and BMI in childhood, adolescence, and adulthood (N = 4060), IWS was higher for females (standardized beta: 0.56, 95% CI: 0.50, 0.61), sexual minorities (0.17 S.D. higher, 95% CI: 0.09, 0.24), and less socioeconomically advantaged individuals (e.g., 0.16 S.D. higher (95% CI: 0.08, 0.24) for participants whose mothers had minimum or no qualifications, compared to a university degree). The social environment during adolescence and young adulthood was important: IWS was higher for people who at age 13 years felt pressure to lose weight from family (by 0.13 S.D., 95% CI: 0.03, 0.23), and the media (by 0.17, 95% CI: 0.10, 0.25), or had experienced bullying (e.g., 0.25 S.D., 95% CI: 0.17, 0.33 for bullying at age 23 years).
UNASSIGNED: Internalized weight stigma differs substantially between demographic groups. Risk is elevated for females, sexual minorities, and socioeconomically disadvantaged adults, and this is not explained by differences in BMI. Pressure to lose weight from family and the media in adolescence may have long-lasting effects on IWS.
UNASSIGNED: The ESRC, MRC, NIHR, and Wellcome Trust.
摘要：
■肥胖受到高度污名化，与肥胖相关的负面刻板印象在整个社会普遍存在。内部化的体重污名（IWS）与负面结果有关，包括不良的心理健康和饮食失调。以前检查经历IWS风险较高的人群的证据来自小，不具有代表性的样本。这里,我们重新评估以前报道的IWS与人口统计学的关联，社会经济,和更广泛的社会因素在一项大型普通人群出生队列研究中的首次。
■在雅芳父母与子女纵向研究（ALSPAC）中，我们探讨了31岁时IWS的性别差异，种族,社会经济因素,性取向,家庭和更广泛的社会影响，使用混杂因素调整多变量回归。
■在调整了儿童时期潜在混杂因素和BMI的模型中，青春期,和成年期（N=4060），女性的IWS较高（标准化β：0.56，95％CI：0.50，0.61），性少数群体(高0.17S.D.，95%CI：0.09，0.24），和较少的社会经济优势个人(例如，0.16S.D.较高（95％CI：0.08，0.24）的参与者的母亲有最低或没有资格，与大学学位相比)。青春期和成年期的社会环境很重要：对于13岁时感到家庭减肥压力的人，IWS较高（由0.13S.D.，95%CI：0.03，0.23），和媒体(按0.17，95%CI：0.10，0.25)，或经历过欺凌(例如，0.25S.D.,95%CI：23岁时的欺凌行为为0.17，0.33）。
■内部化的体重污名在人口统计学组之间有很大差异。女性的风险更高，性少数群体,和社会经济上处于不利地位的成年人，这不能用BMI的差异来解释。青春期来自家庭和媒体的减肥压力可能会对IWS产生长期影响。
■ESRC，MRC,NIHR,惠康信托基金。
■在雅芳父母与子女纵向研究（ALSPAC）中，我们探讨了31岁时IWS的性别差异，种族,社会经济因素,性取向,家庭和更广泛的社会影响，使用混杂因素调整多变量回归。
■在调整了儿童时期潜在混杂因素和BMI的模型中，青春期,和成年期（N=4060），女性的IWS较高（标准化β：0.56，95％CI：0.50，0.61），性少数群体(高0.17S.D.，95%CI：0.09，0.24），和较少的社会经济优势个人(例如，0.16S.D.较高（95％CI：0.08，0.24）的参与者的母亲有最低或没有资格，与大学学位相比)。青春期和成年期的社会环境很重要：对于13岁时感到家庭减肥压力的人，IWS较高（由0.13S.D.，95%CI：0.03，0.23），和媒体(按0.17，95%CI：0.10，0.25)，或经历过欺凌(例如，0.25S.D.,95%CI：23岁时的欺凌行为为0.17，0.33）。
■内部化的体重污名在人口统计学组之间有很大差异。女性的风险更高，性少数群体,和社会经济上处于不利地位的成年人，这不能用BMI的差异来解释。青春期来自家庭和媒体的减肥压力可能会对IWS产生长期影响。
■ESRC，MRC,NIHR,惠康信托基金。
