Rudd Center for Food Policy and Obesity, Yale University, New Haven, Connecticut.
Rudd Center for Food Policy and Obesity, Yale University, New Haven, Connecticut.
Am J Prev Med. 2013 Jul;45(1):36-48. doi: 10.1016/j.amepre.2013.02.010.
Despite numerous obesity-related health campaigns throughout the U.S., public perceptions of these campaigns have not been formally assessed. In addition, several recent publicized campaigns have come under criticism in the popular media for reinforcing stigmatization of obese people. Thus, research in this area is warranted.
To systematically assess public perceptions of recent obesity-related public health campaigns in the U.S.
RCT.
SETTING/PARTICIPANTS: The data were collected online in summer 2012 from a nationally representative sample of American adults (N=1085).
Participants were randomly assigned to view 10 obesity-related health campaigns that were pretested and publicly criticized as being stigmatizing of obese people, or 10 campaigns that contained more-neutral content.
Participants provided evaluations of each of the campaigns regarding the extent to which campaigns were rated to be stigmatizing of obese people, motivating for improving lifestyle behaviors, and promoting of self-efficacy for healthy behavior change. Participants additionally evaluated the appropriateness of the visual content depicted in each campaign. Analysis was completed in 2012.
Stigmatizing campaigns were no more likely to instill motivation for improving lifestyle behaviors among participants than campaigns that were more neutral (OR=1.095, 95% CI=0.736, 1.630). Stigmatizing campaigns were also rated as inducing less self-efficacy (adjusted mean difference = -0.171 SD, 95% CI= -0.266, -0.076) and having less-appropriate visual content compared to less stigmatizing campaigns (adjusted difference in probability = -0.092, 95% CI= -0.124, -0.059). These findings remained consistent regardless of participants' body weight, and were generally consistent across sociodemographic predictors.
This study highlights the need for careful selection of language and visual content used in obesity-related health campaigns, and provides support for efforts to portray obese people in a nonstigmatizing manner.
尽管美国开展了众多与肥胖相关的健康运动，但公众对这些运动的看法尚未得到正式评估。此外，最近一些广为人知的运动受到了大众媒体的批评，因为它们强化了对肥胖者的污名化。因此，这方面的研究是有必要的。
系统评估美国近期与肥胖相关的公共卫生运动的公众看法。
RCT。
地点/参与者：数据于 2012 年夏季通过全美成年人群体的代表性在线样本（N=1085）收集。
参与者被随机分配观看 10 个与肥胖相关的健康运动，这些运动经过预先测试并被公开批评为对肥胖者具有污名化。或者，参与者也可以观看包含更为中性内容的 10 个运动。
参与者对每个运动的评价包括运动被评定为对肥胖者具有污名化的程度、对改善生活方式行为的激励程度，以及对健康行为改变的自我效能的促进程度。参与者还评估了每个运动中所描绘的视觉内容的适当性。分析于 2012 年完成。
污名化的运动并没有比更中性的运动更能激发参与者改善生活方式行为的动机（OR=1.095，95%CI=0.736，1.630）。污名化的运动也被评为降低自我效能（调整后的平均差异=-0.171 SD，95%CI=-0.266，-0.076），并且与不太污名化的运动相比，视觉内容的适当性较低（调整后的概率差异=-0.092，95%CI=-0.124，-0.059）。这些发现无论参与者的体重如何都保持一致，并且在社会人口统计学预测因素方面基本一致。
这项研究强调了在与肥胖相关的健康运动中，需要谨慎选择语言和视觉内容，并且为以非污名化的方式描绘肥胖者的努力提供了支持。
