Department of Public Health, College of Health Sciences, QU Health, Qatar University, PO Box 2713, Doha, Qatar.
Department of Public Health, College of Health Sciences, QU Health, Qatar University, Qatar.
Body Image. 2021 Jun;37:225-237. doi: 10.1016/j.bodyim.2021.02.006. Epub 2021 Mar 18.
Weight-based oppression, including negative attitudes about body weight, and harassment, stigma, and discrimination based on body weight, is a widespread phenomenon that leads to considerable distress and poor health and wellbeing outcomes. Conversely, body positivity is a multi-faceted concept that encompasses body acceptance, body appreciation, and body love, and adaptive approaches protective of health and wellbeing. The aim of this study was to evaluate the impact of a brief health promotion activity informed by Health at Every Size® and critical health promotion principles on body positivity and internalized weight-based oppression in female students at Qatar University. A quasi-experimental mixed methods pre-post evaluation design was used, with quantitative assessment of body positivity and internalized weight-based oppression before the activity, immediately afterwards, and 10 weeks later, and qualitative assessment at the 10-week follow up. Measures used were the Body Appreciation Scale 2, Modified Weight Bias Internalization Scale, Fat Attitudes Assessment Toolkit Size Acceptance and Self Reflection on Body Acceptance subscales, and an open-ended questionnaire. Body acceptance and appreciation increased significantly after the activity. Qualitative results suggest that these improvements were sustained at follow up. Brief Health at Every Size® informed health promotion activities show potential to improve health and wellbeing.
基于体重的压迫，包括对体重的负面态度、基于体重的骚扰、污名化和歧视，是一种普遍存在的现象，会导致相当大的痛苦和不良的健康和幸福结果。相反，身体积极性是一个多方面的概念，包括身体接受、身体欣赏和身体爱，以及保护健康和幸福的适应性方法。本研究的目的是评估基于健康体型的原则和批判性健康促进原则的简短健康促进活动对卡塔尔大学女学生身体积极性和内化体重压迫的影响。使用了准实验混合方法的前后评估设计，在活动前、活动后立即和 10 周后对身体积极性和内化体重压迫进行定量评估，并在 10 周随访时进行定性评估。使用的测量工具包括身体欣赏量表 2、修正体重偏见内化量表、肥胖态度评估工具包大小接受和身体接受自我反思分量表，以及一个开放式问卷。活动后身体接受和欣赏显著增加。定性结果表明，这些改善在随访中得到了维持。简短的基于健康体型的信息健康促进活动显示出改善健康和幸福感的潜力。
