Sexual Minority Women Report Higher Weight Stigma Levels Than Heterosexual Women in the National Weight Control Registry.

IF 3.6 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Emily Panza, KayLoni Olson, Kayla Sall, Alyssa Norris, Jason Lillis, John Graham Thomas, Shira Dunsiger, Halle Fowler, Hannah Parent, Rena R Wing
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Abstract

Background: Little is known about weight stigma in sexual minority women, and even less is known about weight stigma in those who have attained substantial weight loss and maintenance.

Purpose: This study examined weight stigma experiences and internalization in sexual minority women from the National Weight Control Registry (NWCR) who had lost ≥30 pounds and maintained this weight loss for ≥1 year, and compared weight stigma levels between sexual minority women versus heterosexual women in the NWCR.

Methods: NWCR participants completed an electronic survey. Women who identified as a sexual minority (n = 64; 98% White; MBMI = 29 ± 8; Mage = 47 ± 13) and heterosexual women matched on body mass index (BMI), age, and race (n = 64; 98% White; MBMI = 28 ± 7; Mage = 51 ± 13) were included. Participants completed assessments of experienced and internalized weight stigma.

Results: Generalized linear models showed that a significantly larger proportion of sexual minority women in the NWCR reported experiencing weight stigma in the past year (24.2%) compared with heterosexual women (4.7%; p < .05). Furthermore, sexual minority (vs. heterosexual) women reported significantly higher levels of internalized weight stigma (p < .001), and a greater proportion of sexual minority women (35%) reported clinically significant internalized weight stigma relative to heterosexual women (2%; p < .001).

Conclusions: Sexual minority women are at greater risk for experienced and internalized weight stigma than their heterosexual counterparts among women who have attained significant long-term weight loss. It is critical to expand research on weight stigma in sexual minority women.

在全国体重控制登记册中,少数性取向女性对体重的污名化程度高于异性恋女性。
背景:目的:本研究调查了国家体重控制登记处(NWCR)中体重减轻≥30 磅并保持体重减轻≥1 年的性少数群体女性的体重污名化经历和内化情况,并比较了 NWCR 中性少数群体女性与异性恋女性的体重污名化水平:NWCR 参与者完成了一项电子调查。调查对象包括性少数群体女性(n = 64;98% 为白人;MBMI = 29 ± 8;Mage = 47 ± 13)和在体重指数(BMI)、年龄和种族方面匹配的异性恋女性(n = 64;98% 为白人;MBMI = 28 ± 7;Mage = 51 ± 13)。参与者完成了对体重成见的体验和内化的评估:广义线性模型显示,与异性恋女性(4.7%;P < .05)相比,西北地区研究中报告在过去一年中经历过体重鄙视的性少数群体女性比例明显更高(24.2%)。此外,性少数群体妇女(与异性恋妇女相比)报告的内化体重鄙视程度明显更高(p < .001),与异性恋妇女(2%;p < .001)相比,性少数群体妇女(35%)报告的临床显著内化体重鄙视的比例更高:结论:与异性恋妇女相比,长期体重明显下降的性少数群体妇女更容易遭受体重污名化和内化体重污名化。扩大对性少数群体女性体重成见的研究至关重要。
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来源期刊
Annals of Behavioral Medicine
Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
7.00
自引率
5.30%
发文量
65
期刊介绍: Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .
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