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Obesity Science & Practice
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Obesity Science & Practice
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Obesity Science & Practice
Article . 2019
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Weight bias internalization in a commercial weight management sample: prevalence and correlates

Authors: R. L. Pearl; M. S. Himmelstein; R. M. Puhl; T. A. Wadden; A. C. Wojtanowski; G. D. Foster;

Weight bias internalization in a commercial weight management sample: prevalence and correlates

Abstract

SummaryObjectiveWeight bias internalization (WBI) is associated with poor weight‐related health. The purpose of this study was to identify the prevalence and correlates of WBI in a large sample of adults in a commercial weight management programme.MethodsWW (the new Weight Watchers) members participated in an online survey. Participants (N = 18,769) completed the 10‐item Weight Bias Internalization Scale – Modified (WBIS‐M) and the Weight Self‐Stigma Questionnaire (WSSQ). Participants reported details about weight‐stigmatizing experiences, including the onset, frequency and distress, and interpersonal sources of weight stigma. Participants self‐reported their demographics, weight history, and height and weight (to compute body mass index [BMI]).ResultsWeight bias internalization was relatively high compared with the general population (mean WBIS‐M score = 4.3 ± 1.4; mean WSSQ total score = 35.2 ± 9.7). WBI was higher among participants who were female, younger and had higher BMIs (p < 0.001) and lower among those who were Black and were widowed or had a romantic partner (p < 0.001). Onset of weight stigma in childhood and young adulthood, and recent distress due to weight stigma, predicted higher WBI. Extended family and school sources of weight stigma had weaker associations with WBI than did other interpersonal sources.ConclusionsWeight bias was internalized by a significant proportion of adults enrolled in a commercial weight management programme. A phenotype of WBI includes demographic characteristics and the timing and sources of weight stigma.

Keywords

stigma, Original Articles, weight management programme, Internal medicine, RC31-1245, Psychosocial variables

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
52
Top 1%
Top 10%
Top 10%
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