Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine, New York, New York, USA.
Obesity (Silver Spring). 2012 Dec;20(12):2367-76. doi: 10.1038/oby.2012.144. Epub 2012 Jun 7.
Advances in genomic technologies are rapidly leading to new understandings of the roles that genetic variations play in obesity. Increasing public dissemination of information regarding the role of genetics in obesity could have beneficial, harmful, or neutral effects on the stigmatization of obese individuals. This study used an online survey and experimental design to examine the impact of genetic versus non-genetic information on obesity stigma among self-perceived non-overweight individuals. Participants (n = 396) were randomly assigned to read either genetic, non-genetic (environment), or gene-environment interaction obesity causal information. A total of 48% of participants were female; mean age was 42.7 years (range = 18-86 years); 75% were white; 45.2% had an annual household income of less than $40,000; mean BMI was 23.4 kg/m(2). Obesity stigma was measured using the Fat Phobia Scale - short form (FPS-S). After reading the experimental information, participants in the genetic and gene-environment conditions were more likely to believe that genetics increase obesity risk than participants in the non-genetic condition (both P < 0.05), but did not differ on obesity stigma. Obesity stigma was higher among whites and Asians than Hispanics and African Americans (P = 0.029), and associated with low self-esteem (P = 0.036). Obesity stigma was also negatively associated with holding 'germ or virus' (P = 0.033) and 'overwork' (P = 0.016) causal beliefs about obesity, and positively associated with 'diet or eating habits' (P = 0.001) and 'lack of exercise' (P = 0.004) causal beliefs. Dissemination of brief information about the role of genetics in obesity may have neither a beneficial nor a harmful impact on obesity stigmatization compared with non-genetic information among self-perceived non-overweight individuals.
基因组技术的进步正在迅速使人们深入了解遗传变异在肥胖中的作用。越来越多的公众了解到遗传因素在肥胖中的作用,这可能对肥胖者的污名化产生有益、有害或中性的影响。本研究采用在线调查和实验设计,研究了遗传信息与非遗传信息对自我感知非超重个体肥胖污名的影响。参与者(n=396)被随机分配阅读遗传、非遗传(环境)或基因-环境相互作用肥胖因果信息。参与者中,48%为女性;平均年龄为 42.7 岁(范围 18-86 岁);75%为白人;45.2%的人年收入低于 40000 美元;平均 BMI 为 23.4kg/m²。肥胖污名使用肥胖恐惧症量表-短版(FPS-S)进行测量。阅读实验信息后,遗传和基因-环境条件下的参与者比非遗传条件下的参与者更相信遗传会增加肥胖风险(均 P < 0.05),但肥胖污名没有差异。白人和亚洲人的肥胖污名高于西班牙裔和非裔美国人(P = 0.029),与低自尊相关(P = 0.036)。肥胖污名与持有“细菌或病毒”(P = 0.033)和“过度劳累”(P = 0.016)的肥胖因果信念呈负相关,与“饮食或饮食习惯”(P = 0.001)和“缺乏运动”(P = 0.004)的肥胖因果信念呈正相关。与非遗传信息相比,向自我感知非超重个体传播关于遗传在肥胖中的作用的简短信息,既不会对肥胖污名化产生有益影响,也不会产生有害影响。