Mechanisms underlying weight status and healthcare avoidance in women: A study of weight stigma, body-related shame and guilt, and healthcare stress

被引：140
|
作者：
Mensinger, Janell L. [1 ,3 ]
Tylka, Tracy L. [2 ]
Calamari, Margaret E. [1 ]
机构：
[1] Drexel Univ, Coll Nursing & Hlth Profess, Dept Hlth Sci, 1601 Cherry St,MS 9503,3 Pkwy Bldg,9th Floor, Philadelphia, PA 19102 USA
[2] Ohio State Univ, Dept Psychol, 225 Psychol Bldg, Columbus, OH 43210 USA
[3] Drexel Univ, Dornsife Sch Publ Hlth, Dept Epidemiol & Biostat, 3215 Market St,5th Floor, Philadelphia, PA USA
来源：
BODY IMAGE | 2018年 / 25卷
关键词：
Weight stigma; Weight bias internalization; Body shame; Treatment delay; Healthcare avoidance; Body mass index; MASS INDEX; BIAS INTERNALIZATION; OBESITY PREVENTION; EATING BEHAVIOR; BREAST-CANCER; OVERWEIGHT; DISCRIMINATION; SELF; RISK; ATTITUDES;
D O I：
10.1016/j.bodyim.2018.03.001
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Studies show that women with high BMI are less likely than thinner women to seek healthcare. We aimed to determine the mechanisms linking women's weight status to their healthcare avoidance. Women (N = 313) were surveyed from a U.S. health-panel database. We tested a theory-driven model containing multiple stigma and body-related constructs linking BMI to healthcare avoidance. The model had a good fit to the data. Higher BMI was related to greater experienced and internalized weight stigma, which were linked to greater body-related shame. Internalized weight stigma was also related to greater body-related guilt, which was associated with higher body-related shame. Body-related shame was associated with healthcare stress which ultimately contributed to healthcare avoidance. We discuss recommendations for a Weight Inclusive Approach to healthcare and the importance of enhancing education for health professionals in weight bias in order to increase appropriate use of preventive healthcare in higher weight women. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码：139 / 147
页数：9
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