Department of General, Visceral and Transplant Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany.
Department of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Trauma Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Strasse 13, 67071, Ludwigshafen on the Rhine, Germany.
Obes Surg. 2020 Dec;30(12):4926-4934. doi: 10.1007/s11695-020-04895-5. Epub 2020 Aug 9.
Stigmatization and discrimination of people with obesity due to their weight are a common problem that may lead to additional weight gain. This study evaluated the influence of different parameters on the stigmatization of obesity.
Participants of six groups (general population, patients with obesity, medical students, physicians, nurses in training and nurses; n = 490) answered the short-form fat phobia scale (FPS) between August 2016 and July 2017. The influence of body mass index (BMI), gender and other factors on total scores and single adjective pairs was analyzed.
A total of 490 participants were evaluated. The total mean FPS rating was 3.5 ± 0.6. FPS was significantly lower (more positive) in participants with obesity (3.2 ± 0.7) compared with participants without obesity (3.5 ± 0.5, p < 0.001). Individuals with obesity and diabetes rated the FPS significantly lower (more positive), whereas age and gender did not have a significant influence. Participants with obesity linked obesity more often with good self-control (p < 0.001), being shapely (p = 0.002), industrious (p < 0.001), attractive (p < 0.001), active (p < 0.001), self-sacrificing (p < 0.001) and having more willpower (p < 0.001) than the participants without obesity. Females rated more positive in shapely versus shapeless (p = 0.038) and attractive versus non-attractive (p < 0.001) than males.
The present study shows that stigmatization of obesity is present in medical professionals as well as the general population. People affected by obesity characterized other people with obesity more positively (e.g. attractive or active), whereas people without obesity linked negative characteristics with obesity. Gender had an influence only on single items of FPS but did not affect overall stigmatization of obesity.
由于体重原因而对肥胖人群的污名化和歧视是一个普遍存在的问题，这可能导致体重进一步增加。本研究评估了不同参数对肥胖污名化的影响。
2016 年 8 月至 2017 年 7 月期间，六组参与者（普通人群、肥胖患者、医学生、医生、实习护士和护士；n=490）回答了简短肥胖恐惧症量表（FPS）。分析了体重指数（BMI）、性别和其他因素对总分和单项形容词对的影响。
共评估了 490 名参与者。FPS 的总平均评分为 3.5±0.6。与非肥胖参与者（3.5±0.5，p<0.001）相比，肥胖参与者（3.2±0.7）的 FPS 评分显著更低（更积极）。患有肥胖症和糖尿病的个体对 FPS 的评分显著更低（更积极），而年龄和性别没有显著影响。肥胖参与者更常将肥胖与良好的自我控制（p<0.001）、匀称（p=0.002）、勤劳（p<0.001）、有吸引力（p<0.001）、活跃（p<0.001）、自我牺牲（p<0.001）和更有意志力（p<0.001）联系在一起，而不是与非肥胖参与者。与男性相比，女性对匀称（p=0.038）和有吸引力（p<0.001）的评价更为积极，而非匀称和非有吸引力。
本研究表明，肥胖的污名化不仅存在于医疗专业人员中，也存在于普通人群中。肥胖患者对肥胖患者的特征描述更为积极（例如有吸引力或活跃），而非肥胖患者则将消极特征与肥胖联系在一起。性别仅对 FPS 的单项条目有影响，但不会影响肥胖污名化的整体情况。
