内化体重偏见及体重可控信念对减重女性饮食行为的影响

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关键词：超重/肥胖；内化体重偏见；体重可控信念；归因；进食 中图分类号：R749 文献标识码：A 文章编号：1000-503X（2025）05-0822-08 DOI：10.3881/j.issn.1000-503X.16286

ABSTRACT： ObjectiveTo investigate the internalized weight bias and weight control beliefs regarding the current status，influencing factors，and impacts on eating behaviors of women losing weight.MethodsA convenient sampling method was used to select the females who underwent physical examination in the Peking Union Medical Collge Hospital from August to December 2O23.The general information questionnaire，Weight Bias Internalization Scale，Weight Control Belief Questionnaire，and Chinese version of Three-Factor Eating Questionnaire wereutilized for investigation.Latent class analysis was conducted to explore the potentialcategories based onthe characteristics of internalized weight biasand weightcontrol beliefs.Univariate analysis and multiplefactor linear regresionanalysis were performedto explore influencingfactors of potential categories andtheir ffcts oneating behaviors.ResultsAtotalof 518subjectswere includedinthisstudy.Theinternalized weight biasand weight control beliefs could be classified into three potential categories：low weight bias tolerance type （53.7% ）， medium weight bias persistence type （ 29.5% ），and high weight bias overcritical type（ 16.8% ）. Logistic regressionanalysis showed that body mass index，unmarriage，and divorce were the influencing factors of the high weight bias overcritical type.The scores of non-controleatingand emotional eating in medium weight bias persistence type and high weight bias overcritical type were higher than those in low weight bias tolerance type （all P< 0.001）.ConclusionsThe atitudes of Chinese women towards body weight can be categorized into low weight bias tolerance type，medium weight bias persistence type，and high weight bias overcritical type.The high weight bias overcritical type is characterized by high weight biasand high personal responsibility atribution，and itis closelyassociated with negative eating behaviors.Ahigh body massindex，unmariage，and divorce are high-risk factors for developing the high weight bias overcritical type.

Key Words：overweight/obesity；internalized weight bias；weight control beliefs；atributions；eating

尽管体重受遗传、生物和环境等多因素影响，并非完全个体可控[1]，但公众仍习惯性将超重及肥胖归结于个人因素，产生社会贬低性、侮辱性的负面刻板标签，如懒惰、无能、缺乏自律和意志力等[2]。（剩余12754字）