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Attitudes toward and beliefs about obese persons across Hong Kong and Taiwan: wording effects and measurement invariance
Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Psychology, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Department of Early Childhood and Family Education, College of Education, National Taipei University of Education, Taipei, Taiwan.
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2019 (English)In: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 17, no 1, article id 134Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The psychosocial consequences of obesity are important but often underrated. The Attitudes Toward Obese Persons (ATOP) and Beliefs About Obese Persons (BAOP) scales used to measure weight-related bias have little psychometric information, especially in East Asian contexts. The objective of this study was to use rigorous statistical methods to demonstrate the psychometric properties of these two instruments in Hong Kong and Taiwanese college students.

METHODS: A convenience sample of 707 students was recruited from the universities in Hong Kong and Taiwan. Several competing confirmatory factor analyses (CFAs) were conducted to confirm the factorial structure of the ATOP and BAOP. The best fit models for the ATOP and BAOP were chosen for the examination of the measurement invariance across subcultures. We then compared configurable models with or without loading and/or intercept constrained before correlating the latent constructs between the best models for the ATOP and BAOP.

RESULTS: The comparison in multiple CFAs found that the model with one factor and two correlated-wording-method factors outperformed the other models for both the ATOP and BOAP. However, the internal consistency was suboptimal (ATOP: α = .56 to .80; BTOP: α = .57 to .65) and the measurement invariance was somewhat unsupported among the Hong Kong and Taiwan samples. Moreover, after controlling wording effects, the latent construct of the ATOP was moderately associated with that of BAOP (r = .356; p < .001).

CONCLUSION: Chinese versions of the ATOP and BAOP can be treated as a unidimensional factor for use in Hong Kong and Taiwan university students. However, further refinements of both instruments may be needed before using them to capture the social attitudes and beliefs toward obesity individuals, which is expected to advance our understanding of weight-related bias in East Asian contexts.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 17, no 1, article id 134
Keywords [en]
Cross-culture, Psychometrics, Weight bias, Weight stigma, Young adults
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Nursing
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URN: urn:nbn:se:hj:diva-45567DOI: 10.1186/s12955-019-1198-6ISI: 000477963600002PubMedID: 31362763Scopus ID: 2-s2.0-85070822922Local ID: GOA HHJ 2019;HHJÖvrigtISOAI: oai:DiVA.org:hj-45567DiVA, id: diva2:1342967
Available from: 2019-08-15 Created: 2019-08-15 Last updated: 2019-09-30Bibliographically approved

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Pakpour, Amir H.

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