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青少年体重歧视:流行率、后果及临床实践中的注意事项。

Weight Stigma in Youth: Prevalence, Consequences, and Considerations for Clinical Practice.

机构信息

Department of Human Development & Family Sciences, University of Connecticut, Storrs, CT, USA.

Rudd Center for Food Policy and Obesity, University of Connecticut, One Constitution Plaza, Suite 600, Hartford, CT, 0610, USA.

出版信息

Curr Obes Rep. 2020 Dec;9(4):402-411. doi: 10.1007/s13679-020-00408-8. Epub 2020 Oct 20.

Abstract

PURPOSE OF REVIEW

This review summarizes recent evidence on weight stigma experienced by youth with overweight or obesity. We examine the prevalence and sources of weight-based victimization targeting youth, consequences of these stigmatizing experiences for their psychological and physical health, and considerations for addressing weight stigma in clinical practice and pediatric care.

RECENT FINDINGS

Weight stigma is highly prevalent among youth with high body weight, who are targets of weight-based victimization from peers, parents, and teachers. These experiences place youth at risk for psychological distress (primarily depressive symptoms, low self-esteem, and suicidal ideation), worse social and academic outcomes, and adverse physical health consequences including maladaptive eating behaviors, lower physical activity, substance use, and weight gain. Healthcare professionals and clinicians have important roles to play in efforts to help reduce weight stigma and support youth with obesity. Fundamental to these efforts is the use of supportive, compassionate, and non-stigmatizing communication with youth and their families.

摘要

目的综述

本文总结了超重或肥胖青少年所经历的体重歧视的最新证据。我们考察了针对青少年的基于体重的伤害的流行程度和来源,这些污名化体验对他们的心理和身体健康的后果,以及在临床实践和儿科护理中解决体重歧视问题的注意事项。

最近的发现

体重歧视在体重较高的青少年中非常普遍,他们是同龄人、父母和老师基于体重的伤害的目标。这些经历使青少年面临心理困扰(主要是抑郁症状、低自尊和自杀意念)、更糟糕的社会和学业成绩,以及不良的身体健康后果,包括不良的饮食行为、较低的身体活动、物质使用和体重增加。医疗保健专业人员和临床医生在努力减少体重歧视和支持肥胖青少年方面发挥着重要作用。这些努力的基础是与青少年及其家人进行支持性、富有同情心和非污名化的沟通。

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