Weight stigma is associated with body mass index among college students in Taiwan: the mediated role of internalized weight stigma

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作者
Yi-Ching Lin
Chung-Ying Lin
Mohsen Saffari
Meng-Che Tsai
Yun-Hsuan Chang
Carol Strong
Ji-Kang Chen
Yi-Ping Hsieh
Yung-Ning Yang
Janet D. Latner
机构
[1] National Taipei University of Education,Department of Early Childhood and Family Education
[2] National Cheng Kung University,Institute of Allied Health Sciences, College of Medicine
[3] University of Religions and Denominations,Department of Public Health, College of Medicine
[4] National Cheng Kung University,Biostatistics Consulting Center, National Cheng Kung University Hospital
[5] College of Medicine,Health Research Center, Life Style Institute
[6] National Cheng Kung University,Health Education Department, Faculty of Health
[7] Baqiyatallah University of Medical Sciences,Department of Pediatrics, College of Medicine
[8] Baqiyatallah University of Medical Sciences,Department of Medical Humanities and Social Medicine, College of Medicine
[9] National Cheng Kung University Hospital,Institute of Gerontology, College of Medicine
[10] National Cheng Kung University, Department of Psychology
[11] National Cheng Kung University,Department of Social Work
[12] National Cheng Kung University,Department of Social Work, College of Nursing and Professional Disciplines
[13] National Cheng Kung University,Department of Pediatrics, E
[14] Chinese University of Hong Kong,DA Hospital
[15] University of North Dakota,School of Medicine
[16] I-Shou University,Department of Psychology
[17] I-Shou University,undefined
[18] University of Hawaii at Manoa,undefined
来源
关键词
Perceived weight stigma; Internalized weight stigma; Changes in BMI; Psychological distress; College students; Obesity;
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摘要
Weight stigma is commonly studied in Western countries rather than in Asian ones. To further explore how internalized weight stigma mediates the relationship between perceived weight stigma and the changes in body mass index (BMI), the study collected data through a longitudinal online survey with two phases by applying the Perceived Weight Stigma Scale (PWSS), Weight Self-Stigma Questionnaire (WSSQ) and Depression, Anxiety, Stress Scale − 21 (DASS-21) to assess perceived weight stigma, internalized weight stigma, and psychological distress. The changes in perceived and internalized weight stigma were significantly and positively associated with changes in BMI. There were significantly positive associations between perceived weight stigma, internalized weight stigma, and psychological distress over time. Based on the findings, treatment strategies to alleviate self-stigma may enhance the results of weight-reduction programs and should be considered for inclusion in weight-loss interventions.
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