Center for Weight and Eating Disorders, Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Obes Facts. 2018;11(2):157-164. doi: 10.1159/000488534. Epub 2018 Apr 14.
BACKGROUND/AIMS: Sociocultural and familial factors associated with weight bias internalization (WBI) are currently unknown. The present study explored the relationship between interpersonal sources of weight stigma, family weight history, and WBI.
Participants with obesity (N = 178, 87.6% female, 71.3% black) completed questionnaires that assessed the frequency with which they experienced weight stigma from various interpersonal sources. Participants also reported the weight status of their family members and completed measures of WBI, depression, and demographics. Participant height and weight were measured to calculate body mass index (BMI).
Linear regression results (controlling for demographics, BMI, and depression) showed that stigmatizing experiences from family and work predicted greater WBI. Experiencing weight stigma at work was associated with WBI above and beyond the effects of other sources of stigma. Participants who reported higher BMIs for their mothers had lower levels of WBI.
Experiencing weight stigma from family and at work may heighten WBI, while having a mother with a higher BMI may be a protective factor against WBI. Prospective research is needed to understand WBI's developmental course and identify mechanisms that increase or mitigate its risk.
背景/目的：与体重偏见内化（WBI）相关的社会文化和家庭因素目前尚不清楚。本研究探讨了人际体重污名的来源、家庭体重史与 WBI 之间的关系。
肥胖参与者（N=178，女性占 87.6%，黑人占 71.3%）完成了问卷，评估了他们从各种人际来源经历体重污名的频率。参与者还报告了家庭成员的体重状况，并完成了 WBI、抑郁和人口统计学的测量。测量参与者的身高和体重以计算体重指数（BMI）。
线性回归结果（控制了人口统计学、BMI 和抑郁）表明，来自家庭和工作的污名化经历预测了更高的 WBI。在其他污名化来源的影响之外，工作中的体重污名与 WBI 相关。报告母亲 BMI 较高的参与者的 WBI 水平较低。
来自家庭和工作的体重污名化经历可能会加剧 WBI，而母亲 BMI 较高可能是 WBI 的保护因素。需要前瞻性研究来了解 WBI 的发展过程，并确定增加或减轻其风险的机制。
