PDF(Pubmed)
Abstract：
OBJECTIVE: Weight stigma has negative consequences for both physiological and psychological health. Studies on weight stigma in adolescence, particularly from general populations, are scarce in the Mediterranean area. The main aim of this study is to describe the prevalence of experienced and internalized weight stigma among a representative sample of adolescents from the Spanish city of Terrassa, and to determine its association with sociodemographic variables and weight status.
METHODS: Drawing on data from the initial assessment of a longitudinally funded project on weight stigma in adolescents, a cross-sectional survey-based study was conducted using random multistage cluster sampling. Weight stigma experiences, their frequency and sources, and weight bias internalization with the Modified Weight Bias Internalization Scale (WBISM) were assessed in a sample of 1016 adolescents. Adjusted odds ratios (AOR) between sociodemographic variables, weight status and having experienced weight stigma, and having reported high scores of WBISM (WBISM ≥ 4) were estimated by multiple logistic regression models.
RESULTS: The prevalence of weight-related stigma experiences was 43.2% in the sample (81.8 in adolescents with obesity) and the prevalence of high levels of weight bias internalization was 19.4% (50.7 in adolescents with obesity). Other kids and school were the most prevalent sources of weight stigma, with society and family being other significant sources of stigma reported by girls. A significantly higher risk of having experienced weight stigma was observed in girls (AOR = 2.6) and in older adolescents (AOR = 1.9). Compared to normal weight adolescents, all weight statuses showed higher risk, being 3.4 times higher in adolescents with underweight and reaching 11.4 times higher risk in those with obesity. Regarding high levels of weight bias internalization, girls had a risk 6.6 times higher than boys. Once again, a \"J-shaped\" pattern was observed, with a higher risk at the lowest and highest weight statuses. The risk was 6.3 times higher in adolescents with underweight, and 13.1 times higher in adolescents with obesity compared to those with normal weight.
CONCLUSIONS: Considering the high prevalence of experienced and internalized weight stigma among adolescents in Spain, especially in adolescents with obesity and girls, it seems important to implement preventive strategies in different settings and address all sources of stigma.
METHODS: Drawing on data from the initial assessment of a longitudinally funded project on weight stigma in adolescents, a cross-sectional survey-based study was conducted using random multistage cluster sampling. Weight stigma experiences, their frequency and sources, and weight bias internalization with the Modified Weight Bias Internalization Scale (WBISM) were assessed in a sample of 1016 adolescents. Adjusted odds ratios (AOR) between sociodemographic variables, weight status and having experienced weight stigma, and having reported high scores of WBISM (WBISM ≥ 4) were estimated by multiple logistic regression models.
RESULTS: The prevalence of weight-related stigma experiences was 43.2% in the sample (81.8 in adolescents with obesity) and the prevalence of high levels of weight bias internalization was 19.4% (50.7 in adolescents with obesity). Other kids and school were the most prevalent sources of weight stigma, with society and family being other significant sources of stigma reported by girls. A significantly higher risk of having experienced weight stigma was observed in girls (AOR = 2.6) and in older adolescents (AOR = 1.9). Compared to normal weight adolescents, all weight statuses showed higher risk, being 3.4 times higher in adolescents with underweight and reaching 11.4 times higher risk in those with obesity. Regarding high levels of weight bias internalization, girls had a risk 6.6 times higher than boys. Once again, a \"J-shaped\" pattern was observed, with a higher risk at the lowest and highest weight statuses. The risk was 6.3 times higher in adolescents with underweight, and 13.1 times higher in adolescents with obesity compared to those with normal weight.
CONCLUSIONS: Considering the high prevalence of experienced and internalized weight stigma among adolescents in Spain, especially in adolescents with obesity and girls, it seems important to implement preventive strategies in different settings and address all sources of stigma.
摘要：
目的：体重污名对生理和心理健康都有负面影响。关于青春期体重污名的研究，特别是来自普通人群，在地中海地区很稀少.这项研究的主要目的是描述西班牙城市Terrassa的代表性青少年样本中经历和内化的体重污名的患病率，并确定其与社会人口统计学变量和体重状况的关联。
方法：利用纵向资助的青少年体重耻辱项目的初步评估数据，我们使用随机多阶段整群抽样进行了一项基于横断面调查的研究.体重耻辱的经历，它们的频率和来源，在1016名青少年的样本中评估了使用改良体重偏差内部化量表（WBISM）进行的体重偏差内部化。社会人口统计学变量之间的调整后赔率比(AOR)，体重状况和经历过体重耻辱，通过多元逻辑回归模型估计WBISM得分高(WBISM≥4).
结果：样本中体重相关的病耻感的患病率为43.2％（肥胖青少年为81.8），高体重偏倚内化的患病率为19.4％（肥胖青少年为50.7）。其他孩子和学校是最普遍的体重耻辱来源，社会和家庭是女孩报告的其他主要污名来源。在女孩（AOR=2.6）和年龄较大的青少年（AOR=1.9）中观察到明显更高的体重耻辱风险。与正常体重的青少年相比，所有体重状态都显示出更高的风险，体重过轻的青少年的风险要高3.4倍，肥胖的青少年的风险要高11.4倍。关于高水平的权重偏差内化，女孩的风险是男孩的6.6倍。再一次,观察到一个“J形”图案，在最低和最高体重状态下风险较高。体重不足的青少年的风险高出6.3倍，与体重正常的青少年相比，肥胖的青少年高出13.1倍。
结论：考虑到西班牙青少年中经验丰富和内在的体重污名的高患病率，尤其是肥胖青少年和女孩，在不同的环境中实施预防策略并解决所有污名来源似乎很重要.
方法：利用纵向资助的青少年体重耻辱项目的初步评估数据，我们使用随机多阶段整群抽样进行了一项基于横断面调查的研究.体重耻辱的经历，它们的频率和来源，在1016名青少年的样本中评估了使用改良体重偏差内部化量表（WBISM）进行的体重偏差内部化。社会人口统计学变量之间的调整后赔率比(AOR)，体重状况和经历过体重耻辱，通过多元逻辑回归模型估计WBISM得分高(WBISM≥4).
结果：样本中体重相关的病耻感的患病率为43.2％（肥胖青少年为81.8），高体重偏倚内化的患病率为19.4％（肥胖青少年为50.7）。其他孩子和学校是最普遍的体重耻辱来源，社会和家庭是女孩报告的其他主要污名来源。在女孩（AOR=2.6）和年龄较大的青少年（AOR=1.9）中观察到明显更高的体重耻辱风险。与正常体重的青少年相比，所有体重状态都显示出更高的风险，体重过轻的青少年的风险要高3.4倍，肥胖的青少年的风险要高11.4倍。关于高水平的权重偏差内化，女孩的风险是男孩的6.6倍。再一次,观察到一个“J形”图案，在最低和最高体重状态下风险较高。体重不足的青少年的风险高出6.3倍，与体重正常的青少年相比，肥胖的青少年高出13.1倍。
结论：考虑到西班牙青少年中经验丰富和内在的体重污名的高患病率，尤其是肥胖青少年和女孩，在不同的环境中实施预防策略并解决所有污名来源似乎很重要.
