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Weight Stigma Model on Quality of Life Among Children in Hong Kong: A Cross-Sectional Modeling Study
Department of Occupational Therapy, AdventHealth University, Orlando, FL, United States.
National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Statistics and Data Science, University of Central Florida, Orlando, FL, United States.
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
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2021 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 12, article id 629786Article in journal (Refereed) Published
Abstract [en]

We proposed a model to examine the relationship among different types of weight-related stigmas and their relationship to quality of life (QoL). We recruited 430 dyads of elementary school children [mean age = 10.07 years; nboy = 241 (56.0%); noverweight = 138 (32.1%)] and their parents. Parents completed QoL instruments about their children assessing generic QoL and weight-related QoL. Children completed QoL instruments assessing generic QoL and weight-related QoL and stigma scales assessing experienced weight stigma, weight-related self-stigma, and perceived weight stigma. Experienced weight stigma was significantly associated with perceived weight stigma, and in turn, perceived weight stigma was significantly associated with weight-related self-stigma. However, experienced weight stigma was not directly associated with weight-related self-stigma. In addition, experienced stigma was negatively associated with both child-rated and parent-rated QoL. Perceived weight stigma was associated only with parent-rated weight-related QoL but not child-rated QoL. Self-stigma was associated with child-rated QoL but not parent-rated QoL. Moreover, perceived weight stigma and weight-related self-stigma were significant mediators in the association between body weight and children's QoL; experienced weight stigma was not a significant mediator. The study findings can be used to inform healthcare providers about the relationship among different types of stigmas and their influence on child-rated and parent-rated QoL and help them develop interventions to address the global trend of overweight/obesity in youth and pediatric populations.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021. Vol. 12, article id 629786
Keywords [en]
Asia, children, quality of life, structural equating modeling, weight-related stigma
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-52516DOI: 10.3389/fpsyg.2021.629786ISI: 000647446200001PubMedID: 33967895Scopus ID: 2-s2.0-85105459433Local ID: GOA;intsam;743158OAI: oai:DiVA.org:hj-52516DiVA, id: diva2:1556696
Available from: 2021-05-24 Created: 2021-05-24 Last updated: 2022-06-23Bibliographically approved

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Pakpour, Amir H.

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