Sutin Angelina R, Stephan Yannick, Terracciano Antonio
Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine
Dynamics of Human Abilities and Health Behaviors Laboratory, University of Montpellier.
Psychol Sci. 2015 Nov;26(11):1803-11. doi: 10.1177/0956797615601103. Epub 2015 Sep 29.
Discrimination based on weight is a stressful social experience linked to declines in physical and mental health. We examined whether this harmful association extends to risk of mortality. Participants in the Health and Retirement Study (HRS; N = 13,692) and the Midlife in the United States Study (MIDUS; N = 5,079) reported on perceived discriminatory experiences and attributed those experiences to a number of personal characteristics, including weight. Weight discrimination was associated with an increase in mortality risk of nearly 60% in both HRS participants (hazard ratio = 1.57, 95% confidence interval = [1.34, 1.84]) and MIDUS participants (hazard ratio = 1.59, 95% confidence interval = [1.09, 2.31]). This increased risk was not accounted for by common physical and psychological risk factors. The association between mortality and weight discrimination was generally stronger than that between mortality and other attributions for discrimination. In addition to its association with poor health outcomes, weight discrimination may shorten life expectancy.
基于体重的歧视是一种有压力的社会经历，与身心健康下降有关。我们研究了这种有害关联是否会延伸至死亡风险。健康与退休研究（HRS；N = 13692）和美国中年研究（MIDUS；N = 5079）的参与者报告了他们所感知到的歧视经历，并将这些经历归因于包括体重在内的一些个人特征。在HRS参与者（风险比 = 1.57，95%置信区间 = [1.34, 1.84]）和MIDUS参与者（风险比 = 1.59，95%置信区间 = [1.09, 2.31]）中，体重歧视都与死亡风险增加近60%相关。这种增加的风险不能用常见的生理和心理风险因素来解释。死亡与体重歧视之间的关联通常比死亡与其他歧视归因之间的关联更强。除了与不良健康结果有关外，体重歧视可能会缩短预期寿命。
