Lin Kuan Pin, Lee Mei Li
Department of Nursing, HungKuang University, Taichung, Taiwan.
College of Nursing, Taipei Medical University, Taipei, Taiwan.
Int J Nurs Pract. 2017 Aug;23(4). doi: 10.1111/ijn.12537. Epub 2017 Mar 16.
Although weight-based stigmatization is pervasive in everyday life, a suitable measure of weight self-stigma is currently unavailable for the obese Chinese population.
The purpose of this study was to translate and test the psychometric properties of the Weight Self-stigma Questionnaire into Chinese (C-WSSQ) for use with obese Chinese people.
A cross-sectional study was conducted on 156 overweight or obese adults. The data were collected from September to December 2015. Data on the body mass index, C-WSSQ, and Multidimensional Body Self-relation Questionnaire were used.
The reproducibility and Cronbach a of the C-WSSQ were .892 and .880, respectively, indicating acceptable reliability. The exploratory factor analysis revealed that 2 extracted factors identified to the domain structures of the C-WSSQ, as explained by the 67.05% total variance. The C-WSSQ also demonstrated that the 2-factor model, self-devaluation, and fear of enacted stigma fit the data on the basis of confirmatory factor analysis. Meanwhile, the C-WSSQ was correlated with body mass index and Multidimensional Body Self-relation Questionnaire, indicating an acceptable criterion-related validity.
The C-WSSQ shows adequate reliability and validity. The health professionals can use the C-WSSQ to assess weight self-stigma of obese Chinese adults before and after intervention of a weight-loss program.
尽管基于体重的污名化在日常生活中普遍存在，但目前尚无适用于中国肥胖人群的体重自我污名化测量方法。
本研究旨在翻译并测试《体重自我污名问卷》中文版（C-WSSQ）的心理测量特性，以供中国肥胖人群使用。
对156名超重或肥胖成年人进行了一项横断面研究。数据收集于2015年9月至12月。使用了体重指数、C-WSSQ和多维身体自我关系问卷的数据。
C-WSSQ的重测信度和Cronbach's α系数分别为0.892和0.880，表明具有可接受的信度。探索性因素分析显示，提取的2个因素确定了C-WSSQ的领域结构，总方差解释率为67.05%。C-WSSQ还表明，基于验证性因素分析，二因素模型、自我贬低和对实际污名的恐惧与数据拟合良好。同时，C-WSSQ与体重指数和多维身体自我关系问卷相关，表明具有可接受的效标关联效度。
C-WSSQ具有足够的信度和效度。健康专业人员可以使用C-WSSQ在减肥计划干预前后评估中国肥胖成年人的体重自我污名化情况。
