Tendency to Avoid Physical Activity and Sport:Associations with Weight Stigma,and Psychological Distress in a Two-Wave Longitudinal Study  

作　　者：Saffari Mohsen Yi-Ching Lin Po-Ching Huang Yu-Ting Huang Ru-Yi Huang Chi Hsien Huang Jung-Sheng Chen Wai Chuen Poon Mark D.Griffiths Chung-Ying Lin 

机构地区：[1]Health Research Center,Life Style Institute,Baqiyatallah University of Medical Sciences,Tehran,1435916471,Iran [2]Health Education Department,Faculty of Health,Baqiyatallah University of Medical Sciences,Tehran,1435916471,Iran [3]Department of Early Childhood and Family Education,National Taipei University of Education,Taipei,106,Taiwan,China [4]School of Physical Therapy,Graduate Institute of Rehabilitation Science,College of Medicine,Chang Gung University,Taoyuan,333,Taiwan,China [5]Institute of Allied Health Sciences,College of Medicine,National Cheng Kung University,Tainan,701,Taiwan,China [6]Division of Family Medicine,Taipei Tzu Chi Hospital,Buddhist Tzu Chi Medical Foundation,and School of Medicine,Tzu Chi University,Hualien,Taiwan,China [7]Data Science Degree Program,National Taiwan University and Academia Sinica,Taipei,Taiwan,China [8]Department of Family Medicine and Community Medicine,E-Da Hospital,I-Shou University,Kaohsiung,824,Taiwan,China [9]College of Medicine,I-Shou University,Kaohsiung,840,Taiwan [10]Department of Medical Research,E-Da Hospital,I-Shou University,Kaohsiung,840,Taiwan,China [11]Sunway Business School,Sunway University,Selangor,47500,Malaysia [12]International Gaming Research Unit,Psychology Department,Nottingham Trent University,Nottingham,NG14BU,UK [13]Department of Public Health,College of Medicine,National Cheng Kung University,Tainan,701,Taiwan,China [14]Biostatistics Consulting Center,National Cheng Kung University Hospital,College of Medicine,National Cheng Kung University,Tainan,704,Taiwan,China [15]Department of Occupational Therapy,College of Medicine,National Cheng Kung University,Tainan,701,Taiwan,China

出　　处：《International Journal of Mental Health Promotion》2024年第8期633-641,共9页国际心理健康促进杂志（英文）

基　　金：funded by the Ministry of Science and Technology,Taiwan(MOST 110-2410-H-006-115,MOST 111-2410-H-006-100,NSTC 112-2410-H-006-089-SS2);E-Da Hospital(EDAHS112032,EDAHS113021 and EDAHS113036);the Higher Education Sprout Project,Ministry of Education to the Headquarters of University Advancement at National Cheng Kung University(NCKU).

摘　　要：Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health problems.One major issue for physical inactivity is weight stigma(WS),especially perceived WS,which could lead to a tendency to avoid physical activity(PA).To better understand the association between perceived WS and PA,knowledge of the likely mediators in this association such as weight bias internalization(WBI)and psychological distress were investigated in the present study.Methods:Using a two-wave longitudinal study and convenient sampling,388 Taiwan residents participants(55%females;mean age=29.7 years[SD±6.3])completed two surveys six months apart.Body mass index(BMI),Perceived Weight Stigma Scale(PWSS),Weight Bias Internalization Scale(WBIS),Depression,Anxiety,Stress Scale(DASS-21),and Tendency to Avoid Physical Activity and Sport Scale(TAPAS)were assessed.Results:A mediation model controlling for age,gender,and BMI with 5000 bootstrapping resamples was performed.Perceived WS exerted significant direct effects on WBI(β=0.25;p<0.001),psychological distress(β=0.15;p=0.003),and tendency to avoid PA(β=0.10;p=0.027);WBI exerted a significant direct effect on tendency to avoid PA(β=0.47;p<0.001).Standardized indirect effects of WBI and psychological distress on the association between perceived WS and tendency to avoid PA were 0.12 and 0.01,respectively.Conclusion:Given the direct association of perceived WS on the tendency to avoid PA and the mediating role of WBI in this association,interventions addressing perceived WS and WBI may contribute to promoting PA.Therefore,health interventionists(both when planning and executing PA programs)need to consider weight stigmawhen encouraging physical activity.

关 键 词：Mediation model physical activity psychological distress weight stigma young adults 

分 类 号：B84[哲学宗教—心理学]