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公众健康培训生中的体重偏见。

Weight bias among public health trainees.

机构信息

Department of Nutritional Sciences, University of Michigan School of Public Health, 3855 SPH I, 1415 Washington Heights, Ann Arbor, MI48109-2029, USA.

出版信息

Public Health Nutr. 2021 Apr;24(6):1566-1569. doi: 10.1017/S1368980020004097. Epub 2020 Nov 10.

Abstract

OBJECTIVE

To explore explicit beliefs about the controllability of obesity and the internalisation of negative weight-related stereotypes among public health trainees.

DESIGN

Cross-sectional online survey assessing explicit beliefs about the controllability of obesity using the Beliefs About Obese Persons Scale (BAOP) and internalisation of weight bias using the Modified Weight Bias Internalization Scale (WBIS-M). Bivariate associations between BAOP and WBIS-M scores and demographic characteristics were examined using t tests or ANOVA with post hoc Tukey's tests.

SETTING

School of Public Health at a large, Midwestern University.

PARTICIPANTS

Public health students (n 322).

RESULTS

Relative to students who identified as male, those who identified as female had a stronger belief that obesity is not within the control of the individual (P = 0·03), yet had more internalisation of weight bias (P < 0·01). Greater weight bias internalisation was also seen among students who perceived themselves to be of a higher weight status (P < 0·001) and those who were at risk for food insecurity (P < 0·01).

CONCLUSIONS

Public health trainees may be more attuned to the complexities of weight relative to trainees in other health-related fields, but are still susceptible to internalisation of negative weight-related stereotypes.

摘要

目的

探索公共卫生培训生对肥胖可控制性的明确信念和对负面与体重相关的刻板印象的内化。

设计

横断面在线调查,使用肥胖者信念量表(BAOP)评估对肥胖可控制性的明确信念,使用修正的体重偏见内化量表(WBIS-M)评估体重偏见的内化。使用 t 检验或方差分析(事后 Tukey 检验),考察 BAOP 和 WBIS-M 评分与人口统计学特征之间的双变量关联。

地点

中西部一所大型大学的公共卫生学院。

参与者

公共卫生专业的学生(n 322)。

结果

与男性认同者相比,女性认同者更坚信肥胖是个人无法控制的(P = 0·03),但对体重偏见的内化程度更高(P < 0·01)。自我感知体重较高(P < 0·001)和面临食物不安全风险的学生(P < 0·01)中,体重偏见内化程度也更高。

结论

与其他健康相关领域的培训生相比,公共卫生培训生可能更能理解体重的复杂性,但仍易受到负面与体重相关的刻板印象的内化影响。

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