Ali Abdullah A, Aqeel Abdulrahman A, Shami Mohammed O, Khodari Bayan H, Alqassim Ahmad Y, Alessa Abdulrahman M, Alhazm Feras I, Alhazmi Yahya Alhasan, Sumayli Abdulrrahman Y, Arishi Fatimah H, Muaddi Mohammed A, Alharbi Abdullah A, Almaghrabi Hatim A, Alhazmi Abdulaziz H
Family and Community Medicine Department, Faculty of Medicine, Jazan University, Jazan, SAU.
Family Medicine Department, Ministry of Health, Jazan, SAU.
Cureus. 2024 Feb 13;16(2):e54125. doi: 10.7759/cureus.54125. eCollection 2024 Feb.
Background and objectives Many research studies show that self-stigma related to weight can exacerbate mental health issues. There is also evidence suggesting that depression, anxiety, and stress could be predictors of weight stigma. However, these connections have not been thoroughly investigated among young people in Saudi Arabia, where there is a high prevalence of obesity. This study aimed to explore the relationships between depression, anxiety, stress, and weight self-stigma in Saudi Arabian adolescents and young adults. Materials and methods This cross-sectional study was conducted between January and March 2022 and utilized online surveys, including the Weight Self-Stigma Questionnaire (WSSQ) and Depression, Anxiety, and Stress Scale 21 (DASS-21). We conducted descriptive analysis, independent samples t-tests, analysis of variance (ANOVA), and linear regression for the statistical analysis using SPSS version 25 (IBM Corp., Armonk, NY). Results A total of 1624 participants were enrolled in this survey. Most participants (889, 54.7%) were females. The mean age was 20.73 years (SD: 2.63). Males were more likely to report self-stigma compared to females (p = 0.018). Weight self-stigma demonstrated significant positive associations with body mass index (BMI) (p = 0.0001) and depression, anxiety, and stress (p = 0.0001) scores. Further analysis revealed weight self-stigma was positively correlated with psychological distress levels in the study population (p = 0.0001). The results demonstrated a statistically significant difference between different regions of Saudi Arabia with weight self-stigma being more prevalent in the Al-Baha region and least prevalent in the Al-Madinah region. Conclusions The results of this study indicate robust positive correlations between weight self-stigma scores and depression, anxiety, and stress scale scores among adolescents and young adults in Saudi Arabia. Further epidemiological and clinical studies on the national level are warranted.
背景与目的 许多研究表明，与体重相关的自我污名会加剧心理健康问题。也有证据表明，抑郁、焦虑和压力可能是体重污名的预测因素。然而，在沙特阿拉伯肥胖率较高的年轻人中，这些联系尚未得到充分研究。本研究旨在探讨沙特阿拉伯青少年和青年中抑郁、焦虑、压力与体重自我污名之间的关系。
材料与方法 本横断面研究于2022年1月至3月进行，采用在线调查，包括体重自我污名问卷（WSSQ）和抑郁、焦虑和压力量表21（DASS-21）。我们使用SPSS 25版（IBM公司，纽约州阿蒙克）进行描述性分析、独立样本t检验、方差分析（ANOVA）和线性回归进行统计分析。
结果 共有1624名参与者参加了本次调查。大多数参与者（889名，54.7%）为女性。平均年龄为20.73岁（标准差：2.63）。与女性相比，男性更有可能报告自我污名（p = 0.018）。体重自我污名与体重指数（BMI）（p = 0.0001）以及抑郁、焦虑和压力（p = 0.0001）得分呈显著正相关。进一步分析显示，体重自我污名与研究人群的心理困扰水平呈正相关（p = 0.0001）。结果表明，沙特阿拉伯不同地区之间存在统计学上的显著差异，体重自我污名在巴哈地区最为普遍，在麦地那地区最不普遍。
结论 本研究结果表明，沙特阿拉伯青少年和青年中体重自我污名得分与抑郁、焦虑和压力量表得分之间存在强烈的正相关。有必要在国家层面开展进一步的流行病学和临床研究。
