PDF(Pubmed)
Abstract：
Introduction Weight stigma (WS), characterized by discrimination and stereotyping based on a person\'s weight, remains understudied in Saudi Arabia despite the country\'s high obesity rates. Particularly, limited research has been conducted on WS in Madinah. Understanding the factors contributing to WS in this region is crucial for developing targeted interventions to effectively address it. Hence, this study aimed to explore the effects of sociodemographic characteristics and body mass index (BMI) on WS among adults with obesity in Madinah. Methods Individuals with obesity who were seeking care at primary healthcare centers were included in this study. This research was an analytical cross-sectional study; Madinah City was divided into four areas. One primary health center from each area was randomly selected. Subsequently, a consecutive sampling technique was used to collect questionnaires from participants during the period of December 2023 to March 2024. The participants completed a self-administered electronic questionnaire, which included the Arabic-translated and validated version of the Weight Self-Stigma Questionnaire (WSSQ). Data analysis included descriptive, simple logistic regression and multiple logistic regression with forward stepwise analysis. Results A total of 383 participants completed the questionnaire, of which 225 (58.7%) were men and 158 (41.3%) were women. The analysis showed that individuals without a family history of obesity experienced higher WS levels than those with a family history [adjusted odds ratio (AOR) = 1.853, 95% confidence interval (CI): 1.010-2.844]. Moreover, individuals with obesity demonstrated the lowest WS levels than those without obesity (AOR = 0.027, 95% CI: 0.009-0.08). These findings provide insights into the association among sociodemographic factors, BMI, and WS in adults with obesity residing in Madinah, Saudi Arabia. Conclusion This study provides evidence that WS is a complex issue that is not solely determined by an individual\'s obesity status; rather, it is influenced by a lack of family history of obesity, which establishes the impact of social factors on WS. Therefore, comprehending the role of family dynamics and societal norms in shaping an individual\'s weight status is crucial in managing WS.
摘要：
介绍体重柱头（WS），以基于一个人的体重的歧视和刻板印象为特征，尽管沙特阿拉伯的肥胖率很高，但仍未得到充分研究。特别是,在麦地那对WS进行了有限的研究。了解导致该地区WS的因素对于制定有针对性的干预措施以有效解决该问题至关重要。因此，本研究旨在探讨麦地那肥胖成年人的社会人口学特征和体重指数(BMI)对WS的影响.方法本研究包括在初级保健中心寻求护理的肥胖患者。这项研究是一项分析性的横断面研究；麦地那市分为四个区域。每个地区随机选择一个初级保健中心。随后，在2023年12月至2024年3月期间,采用连续抽样技术从参与者中收集问卷.参与者完成了一份自我管理的电子问卷，其中包括阿拉伯语翻译和验证版本的体重自我污名问卷（WSSQ）。数据分析包括描述性，简单逻辑回归和多元逻辑回归与正向逐步分析。结果共有383名参与者完成问卷,其中男性225人(58.7%)，女性158人(41.3%)。分析显示，没有家族肥胖病史的个体的WS水平高于有家族病史的个体[调整比值比（AOR）=1.853，95％置信区间（CI）：1.010-2.844]。此外，肥胖个体的WS水平低于无肥胖个体(AOR=0.027,95%CI:0.009~0.08).这些发现提供了对社会人口因素之间关联的见解，BMI,和居住在麦地那的肥胖成年人的WS，沙特阿拉伯。结论本研究提供的证据表明，WS是一个复杂的问题，不仅由个体的肥胖状况决定；它受到缺乏肥胖家族史的影响，确立了社会因素对WS的影响。因此,理解家庭动态和社会规范在塑造个体体重状况中的作用对于管理WS至关重要。
