Psychological & Cognitive Sciences, Department of Social Science & Policy Studies, Worcester Polytechnic Institute, Worcester, Massachusetts, USA.
Department of Kinesiology, Faculty of Applied Health Sciences, Brock University, St. Catharines, Ontario, Canada.
Obes Rev. 2021 Dec;22(12):e13322. doi: 10.1111/obr.13322. Epub 2021 Jul 21.
As the growing weight stigma literature has developed, one critically relevant and vulnerable population has received little consideration-pregnant and postpartum women. Because weight fluctuations are inherent to this life phase, and rates of prepregnancy overweight and obesity are already high, this gap is problematic. More recently, however, there has been a rising interest in pregnancy-related weight stigma and its consequences. This paper therefore sought to (a) review the emerging research on pregnancy-related weight stigma phenomenology and (b) integrate this existing evidence to present a novel theoretical framework for studying pregnancy-related weight stigma. The Weight gain, Obesity, Maternal-child Biobehavioral pathways, and Stigma (WOMBS) Framework proposes psychophysiological mechanisms linking pregnancy-related weight stigmatization to increased risk of weight gain and, in turn, downstream childhood obesity risk. This WOMBS Framework highlights pregnant and postpartum women as a theoretically unique at-risk population for whom this social stigma engages maternal physiology and transfers obesity risk to the child via social and physiological mechanisms. The WOMBS Framework provides a novel and useful tool to guide the emerging pregnancy-related weight stigma research and, ultimately, support stigma-reduction efforts in this critical context.
随着体重污名化文献的不断增加，一个非常相关且脆弱的群体却很少受到关注，那就是孕妇和产后妇女。由于体重波动是这个生命阶段所固有的，而且孕前超重和肥胖的比例已经很高，因此这种差距是有问题的。然而，最近人们对与怀孕相关的体重污名化及其后果越来越感兴趣。因此，本文旨在：(a) 综述与怀孕相关的体重污名化现象学的新兴研究；(b) 整合这些现有证据，提出一个研究与怀孕相关的体重污名化的新理论框架。体重增加、肥胖、母婴生物行为途径和污名（WOMBS）框架提出了将怀孕相关的体重污名化与体重增加风险增加联系起来的心理生理学机制，进而增加了儿童肥胖的风险。WOMBS 框架强调孕妇和产后妇女是一个理论上独特的高危人群，这种社会污名将使产妇的生理机能受到影响，并通过社会和生理机制将肥胖风险传递给孩子。WOMBS 框架为新兴的与怀孕相关的体重污名化研究提供了一个新颖而有用的工具，并最终在这一关键背景下支持减少污名化的努力。
