Pudney Ellen V, Puhl Rebecca M, Halgunseth Linda C, Schwartz Marlene B
Department of Pediatrics, Division of Community Health & Research, Eastern Virginia Medical School, Norfolk (Dr Pudney); Department of Human Development & Family Sciences, University of Connecticut, Storrs, and Rudd Center for Food Policy & Health, University of Connecticut, Hartford (Drs Puhl and Schwartz); and Department of Human Development & Family Studies, Michigan State University, East Lansing (Dr Halgunseth).
Fam Community Health. 2024;47(1):1-15. doi: 10.1097/FCH.0000000000000384. Epub 2023 Sep 1.
Parental communication about body weight can influence children's emotional well-being and eating behaviors. However, little is known about the role of parental self-stigma concerning weight and social position variables (ie, race/ethnicity, income, and gender) in weight communication. This study examined how parents' self-stigmatization for their own weight (ie, weight bias internalization) and self-stigmatization for their child's weight (ie, affiliate stigma) relates to weight talk frequency with their children, and whether these associations vary across parental race/ethnicity, income, and gender. Parents (n = 408) completed a cross-sectional, online survey about their weight communication and self-stigmatization. Linear regression was used to examine the relationships among these variables, including interactions between the stigma variables and social position variables in predicting weight talk. Higher levels of weight bias internalization and affiliate stigma were strongly associated with increased parental weight talk frequency; parents who endorsed higher levels of internalized bias about their own weight expressed greater affiliate stigma for their child's weight, regardless of demographic characteristics or weight status. Associations between the stigma variables and weight talk outcomes were stronger among fathers and parents of higher income. Findings highlight the importance of considering weight stigma variables in parental weight communication research.
父母关于体重的交流可能会影响孩子的情绪健康和饮食行为。然而,关于父母对体重的自我污名以及社会地位变量(即种族/民族、收入和性别)在体重交流中的作用,我们所知甚少。本研究考察了父母对自身体重的自我污名化(即体重偏见内化)和对孩子体重的自我污名化(即附属污名)如何与他们与孩子谈论体重的频率相关,以及这些关联在不同种族/民族、收入和性别的父母中是否存在差异。408名父母完成了一项关于他们体重交流和自我污名化的横断面在线调查。使用线性回归来检验这些变量之间的关系,包括在预测体重交流时污名变量和社会地位变量之间的相互作用。更高水平的体重偏见内化和附属污名与父母谈论体重的频率增加密切相关;无论人口统计学特征或体重状况如何,那些对自己体重认同更高水平内化偏见的父母对孩子的体重表现出更大的附属污名。在父亲和高收入父母中,污名变量与体重交流结果之间的关联更强。研究结果凸显了在父母体重交流研究中考虑体重污名变量的重要性。