Department of Pediatrics, Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, Minnesota, USA.
Department of Human Development and Family Sciences, University of Connecticut, Storrs, Connecticut, USA.
Obesity (Silver Spring). 2023 Jun;31(6):1666-1677. doi: 10.1002/oby.23748. Epub 2023 May 12.
Family-based weight stigma can be expressed as criticism, judgment, teasing, and mistreatment by family members because of an individual's body weight. The current study compared the prevalence and psychosocial correlates of family-based weight stigma among adult members of a weight-management program living in Australia, Canada, France, Germany, the UK, and the US.
Participants (N = 8100 adults who reported having ever experienced weight stigma; 95% female; 94% White) completed an identical online survey in their country's dominant language that assessed their experiences of weight stigma from 16 different family member sources, as well as internalized weight bias, body image, eating behaviors, perceived stress, and self-rated health.
Family-based weight stigma, especially from mothers (49%-62%), spouses/romantic partners (40%-57%), and fathers (35%-48%), was highly prevalent across countries. Weight stigma from one's immediate family members was associated with indices of poorer psychosocial health across the six countries (β coefficients = |0.08-0.13|).
Findings highlight the need for weight stigma-reduction efforts to help family members distinguish between supportive, encouraging discourse and potentially weight-stigmatizing communication. Future research should examine the prevalence and correlates of family-based weight stigma in more diverse community samples, including among racially/ethnically and gender diverse adults, and in non-Western countries.
基于家庭的体重歧视表现为家庭成员因个体的体重而对其进行批评、评判、嘲笑和虐待。本研究比较了澳大利亚、加拿大、法国、德国、英国和美国的减肥管理项目的成年成员中，基于家庭的体重歧视的流行程度和心理社会相关性。
参与者（N=8100 名曾经历过体重歧视的成年人；95%为女性；94%为白人）用他们国家的主要语言完成了一份完全相同的在线调查，该调查评估了他们从 16 个不同的家庭成员来源经历的体重歧视，以及内化的体重偏见、身体形象、饮食行为、感知压力和自我评估的健康状况。
家庭体重歧视，尤其是来自母亲（49%-62%）、配偶/浪漫伴侣（40%-57%）和父亲（35%-48%）的体重歧视在各国都很普遍。来自直系亲属的体重歧视与六个国家的较差心理社会健康指标相关（β系数=|0.08-0.13|）。
研究结果强调了需要采取减少体重歧视的措施，帮助家庭成员区分支持性、鼓励性的话语和潜在的体重歧视性交流。未来的研究应该在更多样化的社区样本中，包括在不同种族/族裔和性别多样化的成年人中，以及在非西方国家中，研究家庭体重歧视的流行程度和相关性。
