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http://dx.doi.org/10.12799/jkachn.2021.32.2.140

Factors Associated with the Weight Bias Internalization of the Girls in Early Adolescence  

Ra, Jin Suk (College of Nursing, Chungnam National University)
Kim, Soon Ok (College of Nursing, Chungnam National University)
Publication Information
Research in Community and Public Health Nursing / v.32, no.2, 2021 , pp. 140-149 More about this Journal
Abstract
Purpose: This study aimed to identify factors (biological, psychological, interpersonal, and contextual factors) associated with the weight bias internalization of the Korean girls in early adolescence. Methods: This study used a cross-sectional design. Data was collected from 233 girls aged 12~14 years with a self-reported questionnaire. With multiple regression analysis, the factors associated with the weight bias internalization of the girls in early adolescence were analyzed. Results: Of psychosocial factors, fear to fat (anti-fat attitude) (β=.43, p<.001) was associated with the weight bias internalization of the girls in early adolescence. In addition, attachment with teachers (β=-.11, p=.029) of an interpersonal factor and perceived socio-cultural pressure regarding weight control (β=.34, p<.001) of a contextual factor were associated with the weight bias internalization of the girls in early adolescence. Conclusion: For releasing the weight bias internalization of the girls in early adolescence, decreasing anti-fat attitude and socio-cultural pressure regarding weight control should be primarily required through social efforts including community and school based interventions.
Keywords
Weight prejudice; Women; Adolescent;
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1 Joeng EH, Lee IS. Multilevel analysis of factors associated with subjective weight perception among normal body weight adolescents based on the 2017 Korean Youth's Risk Behavior Survey (KYRBS). Journal of Korean Academy of Community Health Nursing. 2018;29(4):476-487. https://doi.org/10.12799/jkachn.2018.29.4.476   DOI
2 Purton T, Mond J, Cicero D, Wagner A, Stefano E, Rand-Giovannetti D, et al. Body dissatisfaction, internalized weight bias and quality of life in young men and women. Quality of Life Research. 2019;28(7):1825-1833. https://doi.org/10.1007/s11136-019-02140-w   DOI
3 Huang YS, Asghar A. Science education reform in Confucian learning cultures: Teacher's perspectives on policy and practice in Taiwan. Cultural Studies of Science Education. 2018;13 (1):101-131. https://doi.org/10.1007/s11422-016-9762-4   DOI
4 Lehman BJ, David DM, Gruber JA. Rethinking the biopsychosocial model of health: Understanding health as a dynamic system. Social and Personality Psychology Compass. 2017;11 (8):1-17. https://doi.org/10.1111/spc3.12328   DOI
5 Piran N. Prevention series. Eating Disorders: The Journal of Treatment & Prevention. 2004;12(1):1-9. https://doi.org/10.1080/10640260490267724   DOI
6 Lin CY, Imani V, Brostrom A, Huus K, Bjork M, Hodges EA, et al. Psychological distress and quality of life in Iranian adolescents with overweight/obesity: Mediating roles of weight bias internalization and insomnia. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020;25(6):1583-1592. https://doi.org/10.1007/s40519-019-00795-5   DOI
7 Kim JB, Kim NH. Validation of student-teacher attachment relationship scale (STARS) as a basis for evaluating teacher's educational competencies. The Korean Society of Educational Psychology. 2009;23(4):697-714.
8 Stice E, Bearman SK. Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Developmental Psychology. 2001;37(5):597-607. https://doi.org/10.1037/0012-1649.37.5.597   DOI
9 Potzsch A, Rudolph A, Schmidt R, Hilbert A. Two sides of weight bias in adolescent binge-eating disorder: Adolescent's perceptions and maternal attitudes. International Journal of Eating Disorders. 2018;51(12):1339-1345. https://doi.org/10.1002/eat.22982   DOI
10 Bennett BL, Wagner AF, Obleada KT, Latner JD. Appearance-focused media use as a moderator of the relationship between fear of fat and weight bias: An exploratory study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2020;25(3):643-648. https://doi.org/10.1007/s40519-019-00666-z   DOI
11 Ra JS, Kim HS, Ryu JL. Gender differences in the effects of weight, weight perception, and weight satisfaction on depression in adolescents. Journal of Korean Academy of Community Health Nursing. 2017;28(4):359-365. https://doi.org/10.12799/jkachn.2017.28.4.359   DOI
12 Zuba A, Warschburger P. The role of weight teasing and weight bias internalization in psychological functioning: A prospective study among school-aged children. European Child and Adolescent Psychiatry. 2017;26(10):1245-1255. https://doi.org/10.1007/s00787-017-0982-2   DOI
13 Rodgers RF, Paxton SJ, McLean SA. A biopsychosocial model of body image concerns and disordered eating in early adolescent girls. Journal of Youth and Adolescence. 2014;43(5): 814-823. https://doi.org/10.1007/s10964-013-0013-7   DOI
14 Pearl RL, Puhl RM. Weight bias internalization and health: A systematic review. Obesity Reviews. 2018;19(8):1141-1163. https://doi.org/10.1111/obr.12701   DOI
15 Lee SR, Park HW. Parents', peers' and teachers' influence on the self-concept of Korean-Chinese and Korean children and adolescents. Family and Environment Research. 2005;43(50): 163-181.
16 Byeon HW. The relationship between BMI, weight perception and depression-like symptoms in Korean middle school students. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(12):6317-6323. https://doi.org/10.5762/KAIS.2013.14.12.6317   DOI
17 Magallares A, Morales JF. Gender differences in antifat attitudes. International Journal of Social Psychology. 2013;28(1):113-119. https://doi.org/10.1174/021347413804756014   DOI
18 Pearl RL, Himmelstein MS, Puhl RM, Wadden TA, Wojtanowski AC, Foster GD. Weight bias internalization in a commercial weight management sample: Prevalence and correlates. Obesity Science and Practice. 2019;5(4):342-353. https://doi.org/10.1002/osp4.354   DOI
19 Lee MS, Gonzalez BD, Small BJ, Thompson JK. Internalized weight bias and psychological wellbeing: An exploratory investigation of a preliminary model. Plos One. 2019;14(5): e0216324. https://doi.org/10.1371/journal.pone.0216324   DOI
20 Korea Centers for Disease Control and Prevention. Development of the 2017 Korean National Growth Charts for children and adolescents [Internet]. Osong: Korea Centers for Disease Control and Prevention; 2017 [cited 2018 June 21]. Available form: https://knhanes.cdc.go.kr/knhanes/sub08/sub08_01.do
21 Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence. 1987;16(5):427-454. https://doi.org/10.1007/bf02202939   DOI
22 Gullone E, Robinson K. The inventory of parent and peer attachment-revised (IPPA-R) for children: A psychometric investigation. Clinical Psychology & Psychotherapy. 2005;12(1): 67-79. https://doi.org/10.1002/cpp.433   DOI
23 Crandall CS. Prejudice against fat people: Ideology and selfinterest. Journal of Personality and Social Psychology. 1994;66 (5):882-894. https://doi.org/10.1037//0022-3514.66.5.882   DOI
24 Durso LE, Latner JD. Understanding self-directed stigma: Development of the weight bias internalization Scale. Obesity. 2008;16(S2):S80-S86. https://doi.org/10.1038/oby.2008.448   DOI
25 Pearl RL, White MA, Grilo CM. Overvaluation of shape and weight as a mediator between self-esteem and weight bias internalization among patients with binge eating disorder. Eating Behaviors. 2014;15(2):259-261. https://doi.org/10.1016/j.eatbeh.2014.03.005   DOI
26 Song MS, Yoo YK, Choi CH, Kim NC. The study of self image according to body mass index in middle school students. Journal of Korean Biological Nursing Science. 2012;14(2):77-83 https://doi.org/10.7586/jkbns.2012.14.2.77   DOI
27 Hilbert A, Braehler E, Haeuser W, Zenger M. Weight bias internalization, core self-evaluation, and health in overweight and obese persons. Obesity. 2014;22(1):79-85. https://doi.org/10.1002/oby.20561   DOI
28 Golaszewski NM, Pasch KE, Fernandez A, Poulos NS, Batanova M, Loukas A. Perceived weight discrimination and school connectedness among youth: Does teacher support play a protective role? Journal of School Health. 2018;88(10):754-761. https://doi.org/10.1111/josh.12682   DOI
29 Beck E, Bo S, Jorgensen MS, Gondan M, Poulsen S, Storebo OJ, et al. Mentalization-based treatment in groups for adolescents with borderline personality disorder: A randomized controlled trial. Journal of Child Psychology and Psychiatry. 2020;61(5): 594-604. https://doi.org/10.1111/jcpp.13152   DOI
30 Fields LC, Brown C, Skelton, JA, Cain KS, Cohen GM. Internalized weight bias, teasing, and self-esteem in children with overweight or obesity. Childhood Obesity. 2021;17(1):43-50. https://doi.org/10.1089/chi.2020.0150   DOI