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被忽视和研究不足:男性体重歧视的健康后果。

Overlooked and Understudied: Health Consequences of Weight Stigma in Men.

机构信息

Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford, Connecticut, USA.

Department of Psychological Sciences, Kent State University, Kent, Ohio, USA.

出版信息

Obesity (Silver Spring). 2019 Oct;27(10):1598-1605. doi: 10.1002/oby.22599. Epub 2019 Jul 31.

Abstract

OBJECTIVE

A substantial amount of literature has suggested that weight stigma impairs health. Evidence on gender differences in weight stigma has been mixed, but studies of weight stigma within men have been primarily absent from the literature.

METHODS

In two samples of men recruited nationally from across the United States (N = 1,753), participants completed self-report measures assessing their height, weight, demographics, weight stigma (experienced and internalized), psychological well-being (depression), health behaviors (sleep, alcohol, smoking, binge eating, dieting, physical activity), and self-rated health.

RESULTS

Regression analyses showed that, independent of race, socioeconomic status, and BMI, experienced weight stigma and weight bias internalization among men were associated with poor health, including greater depressive symptoms, increased dieting, lower self-reported health, and increased odds of binge eating. Neither internalized nor experienced weight stigma was consistently associated with physical activity, smoking, drinking, or trouble sleeping.

CONCLUSIONS

These findings suggest that both experienced and internalized weight stigma are associated with several indices of poor health in men. It may be informative for future work to examine how men cope with weight stigma, particularly if certain coping responses to stigma involve behaviors that contribute to poorer health.

摘要

目的

大量文献表明体重歧视会损害健康。关于体重歧视的性别差异的证据不一,但关于男性体重歧视的研究在文献中主要缺失。

方法

在美国全国范围内招募的两个男性样本(N=1753)中,参与者完成了自我报告的测量,评估他们的身高、体重、人口统计学特征、体重歧视(经历和内化)、心理健康(抑郁)、健康行为(睡眠、酒精、吸烟、暴食、节食、体育活动)和自我评估的健康状况。

结果

回归分析表明,独立于种族、社会经济地位和 BMI,男性经历的体重歧视和内化的体重偏见与健康状况不佳有关,包括更多的抑郁症状、增加节食、自我报告的健康状况较差以及暴食的几率增加。内化和经历的体重歧视都与体力活动、吸烟、饮酒或睡眠困难没有一致的关联。

结论

这些发现表明,经历和内化的体重歧视都与男性的几个健康指标不佳有关。未来的研究可能会考察男性如何应对体重歧视,特别是如果某些应对歧视的反应涉及到导致健康状况更差的行为。

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