medigraphic.com
SPANISH

Revista Mexicana de Trastornos Alimentarios

ISSN 2007-1523 (Electronic)
Revista Mexicana de Trastornos Alimentarios
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 1

<< Back

Revista Mexicana de Trastornos Alimentarios 2025; 15 (1)

A vision of fatness in Mexico: Validation of a set of scales to evaluate weight stigma and anti-obesity attitudes

Villanueva-Bustamante M, Rivera-Aragón S
Full text How to cite this article

Language: Spanish
References: 62
Page: 104-116
PDF size: 460.98 Kb.


Key words:

Overweight, Obesity, Body Mass Index, Social Stigma, Attitudes.

ABSTRACT

The social stigma that a person experience based on their weight and body image when they are perceived as larger than normal is known as Weight Stigma. On the other hand, Anti-Obesity Attitudes are the negative evaluations and perceptions that a person has towards overweight or obese people. Both phenomena have negative consequences on health, so it is necessary to determine how these phenomena are related and how they influence the development of overweight or obesity. However, in Mexico, there are still no instruments to evaluate these constructs. Thus, the objective of the present study was to validate the Stigmatizing Situations Inventory (SSI-M) and the Anti-Obesity Attitudes Scale (AFA-M) for the Mexican population. A culturally relevant validation process was carried out, which consisted of the translation-retranslation and adaptation of the items in another language, subsequently, these were subjected to an inter-judge agreement process to ensure that the adaptation was appropriate for the culture, finally, it was applied exploratory factor analysis to determine the factor structure and psychometric properties of both scales. Based on this process, two abbreviated scales with adequate psychometric properties were obtained (SSI-M, ω = .948; AFA-M, ω = 796). Likewise, the factors obtained present significant and positive correlations, providing evidence of convergent validity, and significant positive correlations with the Body Mass Index, providing the scales with evidence of criterion validity.


REFERENCES

  1. Ashmore, J. A., Friedman, K. E., Reichmann, S. K., & Musante,G. J. (2008). Weight-based stigmatization, psychologicaldistress & binge eating behavior among obese treatment-seeking adults. Eating Behaviors, 9(2), 203–209.https://doi.org/10.1016/j.eatbeh.2007.09.006

  2. Brochu, P. M. (2020). Weight stigma as a risk factor for suicidality.International Journal of Obesity, 44(10), 1979–1980.https://doi.org/10.1038/s41366-020-0632-5

  3. Consejo para Prevenir y Eliminar la Discriminación de la Ciudadde México (COPRED). (2017). Encuesta sobre discriminaciónen la Ciudad de México 2017. http://www.sideso.cdmx.gob.mx/documentos/publicaciones/2018/discriminacion/

  4. 4 edis 2017.pdf4. Crandall, C. S. (1994). Prejudice Against Fat People: Ideology andSelf-Interest. Journal of Personality and Social Psychology,66(5), 882–894. https://doi.org/10.1037/0022-3514.66.5.882

  5. Diamantopoulos, A., Sarstedt, M., Fuchs, C., Wilczynski, P., &Kaiser, S. (2012). Guidelines for choosing between multiitemand single-item scales for construct measurement: Apredictive validity perspective. Journal of the Academy ofMarketing Science, 40(3), 434–449. https://doi.org/10.1007/s11747-011-0300-3

  6. Dinno, A. (2009). Implementing horn’s parallel analysis for principalcomponent analysis and factor analysis. Stata Journal,9(2), 291–298. https://doi.org/10.1177/1536867x0900900207

  7. Emmer, C., Bosnjak, M., & Mata, J. (2020). The association betweenweight stigma and mental health: A meta ‐ analysis.Obesity Reviews, June 2019, 1–13. https://doi.org/10.1111/obr.12935

  8. Flint, S. (2015). Obesity stigma: Prevalence and impact in healthcare.British Journal of Obesity, 1(APRIL), 14–18. http://www.researchgate.net/publication/276918977

  9. Flora, D. B., LaBrish, C., & Chalmers, R. P. (2012). Old andnew ideas for data screening and assumption testing forexploratory and confirmatory factor analysis. Frontiersin Psychology, 3(MAR), 1–21. https://doi.org/10.3389/fpsyg.2012.00055

  10. Forero, C. G., Maydeu-Olivares, A., & Gallardo-Pujol, D. (2009).Factor Analysis with Ordinal Indicators: A Monte CarloStudy Comparing DWLS and ULS Estimation. StructuralEquation Modeling: A Multidisciplinary Journal, 16(4),625–641. https://doi.org/10.1080/10705510903203573

  11. Galán, I., Gandarillas, A., Febrel, C., & Meseguer, C. M. (2001).Validación del peso y la talla autodeclarados en poblaciónadolescente. Gaceta Sanitaria, 15(6), 490–497. https://doi.org/10.1016/S0213-9111(01)71611-1

  12. Godoy-Izquierdo, D., González-Hernández, J., Rodríguez-Tadeo,A., Lara, R., Ogallar, A., Navarrón, E., Ramírez, M. J.,López-Mora, C., & Arbinaga, F. (2020). Body satisfaction,weight stigma, positivity, and happiness among spanishadults with overweight and obesity. International Journalof Environmental Research and Public Health, 17(12), 1–12.https://doi.org/10.3390/ijerph17124186

  13. Golberstein, E., Eisenberg, D., & Gollust, S. E. (2008). PerceivedStigma and Mental Health Care Seeking. PsychiatricServices, 59(4), 392–399. https://doi.org/10.1176/appi.ps.59.4.392

  14. Gómez-Pérez, D., Cancino, V., Moreno, P. I., & Ortiz, M. S.(2020). Weight Stigma, Chronic Stress, Unhealthy Diet,and Obesity in Chilean Adults. International Journal ofBehavioral Medicine, 28, 292-298. https://doi.org/10.1007/s12529-020-09917-1

  15. Gómez-Pérez, D., & Ortiz, M. S. (2019). Estigma de obesidad,cortisol e ingesta alimentaria: un estudio experimental conmujeres. Revista Médica de Chile, 147(3), 314–321. https://doi.org/10.4067/s0034-98872019000300314

  16. Gómez-Pérez, D., Ortiz, M. S., & Saiz, J. L. (2017). Estigmade obesidad, su impacto en las víctimas y en losequipos de salud: Una revisión de la literatura. Revista Medicade Chile, 145(9), 1160–1164. https://doi.org/10.4067/s0034-98872017000901160

  17. Hernández Sampieri, R., Fernández Collado, C., & Baptista Lucio,M. P. (2014). Metodología de la investigación (6th ed.).McGrawHill.

  18. Himmelstein, M. S., Puhl, R. M., & Quinn, D. M. (2019). Overlookedand understudied: health consequences of weightstigma in men. Obesity, 27(10), 1598–1605. https://doi.org/10.1002/oby.22599

  19. Himmelstein, M., & Tomiyama, A. J. (2015). It’s not you, it’s me:Self-perceptions, antifat attitudes, and stereotyping of obeseindividuals. Social Psychological and Personality Science,6(7), 749–757. https://doi.org/10.1177/1948550615585831

  20. Hoffmann Freiberg, A., Stover, J. B., de la Iglesia, G., & FernándezLiporace, M. (2013). Correlaciones policóricas y tetracóricasen estudios factoriales exploratorios y confirmatorios.Ciencias Psicológicas, 7(2), 151–164.

  21. Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes incovariance structure analysis: Conventional criteria versusnew alternatives. Structural Equation Modeling, 6(1), 1–55.https://doi.org/10.1080/10705519909540118

  22. Koball, A. M., & Carels, R. A. (2011). Coping responses as mediatorsin the relationship between perceived weight stigmaand depression. Eating and Weight Disorders, 16(1). https://doi.org/10.1007/bf03327516

  23. Lewis, R. J., Cash, T. F., & Bubb-Lewis, C. (1997). PrejudiceToward Fat People: The Development and validation ofthe antifat attitudes Test. Obesity Research, 5(4), 297–307.https://doi.org/10.1002/j.1550-8528.1997.tb00555.x

  24. Leys, C., Klein, O., Dominicy, Y., & Ley, C. (2018). Detectingmultivariate outliers: Use a robust variant of theMahalanobis distance. Journal of Experimental Social Psychology,74(March 2017), 150–156. https://doi.org/10.1016/j.jesp.2017.09.011

  25. Lloret-Segura, S., Ferreres-Traver, A., Hernández-Baeza, A., &Tomás-Marco, I. (2014). El análisis factorial exploratorio delos ítems: Una guía práctica , revisada y actualizada. AnalesDe Psicología, 30(3), 1151–1169.

  26. Macho, S., Andrés, A., & Saldaña, C. (2022). Anti-fat attitudesamong Spanish general population: Psychometric propertiesof the anti-fat attitudes scale. Clinical Obesity, 12(6),1–10. https://doi.org/10.1111/cob.12543

  27. Magallares, A., & Morales, J. F. (2014). Adaptación al castellanode la Escala de Actitud Antiobesos. Revista de PsicologiaSocial, 29(3), 563–588. https://doi.org/10.1080/02134748.2014.972707

  28. Major, B., Hunger, J. M., Bunyan, D. P., & Miller, C. T. (2014).The ironic effects of weight stigma. Journal of ExperimentalSocial Psychology, 51, 74–80. https://doi.org/10.1016/j.jesp.2013.11.009

  29. Malkewitz, C. P., Schwall, P., Meesters, C., & Hardt, J. (2023).Estimating reliability: A comparison of Cronbach’s α,McDonald’s ωt and the greatest lower bound. Social Sciencesand Humanities Open, 7(1). https://doi.org/10.1016/j.ssaho.2022.100368

  30. Marsh, H. W., Hau, K. T., & Wen, Z. (2004). In search of goldenrules: Comment on hypothesis-testing approaches tosetting cutoff values for fit indexes and dangers in overgeneralizingHu and Bentler’s (1999) findings. StructuralEquation Modeling, 11(3), 320–341. https://doi.org/10.1207/s15328007sem1103_2

  31. Myers, A., & Rosen, J. C. (1999). Obesity stigmatization and coping:Relation to mental health symptoms, body image, andself-esteem. International Journal of Obesity, 23(3), 221–230.http://www.stockton-press.co.uk/ijo

  32. Nunnally, J. C. (2013). Teoría psicométrica (1st ed.). Trillas.

  33. O’Brien, K. S., Hunter, J. A., Halberstadt, J., & Anderson, J. (2007).Body image and explicit and implicit anti-fat attitudes:The mediating role of physical appearance comparisons.Body Image, 4(3), 249–256. https://doi.org/10.1016/j.bodyim.2007.06.001

  34. Ogden, J., & Flanagan, Z. (2008). Beliefs about the causes andsolutions to obesity: A comparison of GPs and lay people.Patient Education and Counseling, 71(1), 72–78. https://doi.org/10.1016/j.pec.2007.11.022

  35. Oliva-Peña, Y., Ordóñez-Luna, M., Santana-Carvajal, A., Marín-Cárdenas, A. D., Andueza-Pech, G., & Gómez-Castillo,I. A. (2016). Concordancia del IMC y la percepción de laimagen corporal en adolescentes de una localidad suburbanade Yucatán. Revista Biomédica, 27(2), 49–60. https://doi.org/10.32776/revbiomed.v27i2.24

  36. OMS. (2021). Obesidad y sobrepeso. Organización Mundial deLa Salud. https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight

  37. Ortiz, M. S., & Gómez-Pérez, D. (2018). Psychometric propertiesof a brief Spanish version of Stigmatizing Situations Inventory.Revista Mexicana de Trasntornos Alimentarios, 10(1),1–9. http://jurnals.iztacala.unam.mx

  38. Parling, T., Cernvall, M., Stewart, I., Barnes-Holmes, D., & Ghaderi,A. (2012). Using the Implicit Relational AssessmentProcedure to Compare Implicit Pro-Thin/Anti-Fat Attitudesof Patients With Anorexia Nervosa and Non-ClinicalControls. Eating Disorders, 20(2), 127–143. https://doi.org/10.1080/10640266.2012.654056

  39. Pearl, R. L., & Puhl, R. M. (2018). Weight bias internalizationand health: a systematic review. Obesity Reviews, 19(8),1141–1163. https://doi.org/10.1111/obr.12701

  40. Prunty, A., Clark, M. K., Hahn, A., Edmonds, S., & O’Shea, A. (2020).Enacted weight stigma and weight self stigma prevalenceamong 3821 adults. Obesity Research and Clinical Practice,14, 421–427. https://doi.org/10.1016/j.orcp.2020.09.003

  41. Puhl, R. M., Latner, J. D., O’Brien, K., Luedicke, J., Danielsdottir,S., & Forhan, M. (2015). A multinational examinationof weight bias: Predictors of anti-fat attitudes across fourcountries. International Journal of Obesity, 39(7), 1166–1173. https://doi.org/10.1038/ijo.2015.32

  42. Puhl, R. M., & Brownell, K. D. (2006). Confronting and copingwith weight stigma: An investigation of overweightand obese adults. Obesity, 14(10), 1802–1815. https://doi.org/10.1038/oby.2006.208

  43. Puhl, R. M., Himmelstein, M. S., & Pearl, R. L. (2020). Weightstigma as a psychosocial contributor to obesity. The AmericanPsychologist, 75(2), 274–289. https://doi.org/10.1037/amp0000538

  44. Puhl, R. M., & Lessard, L. M. (2020). Weight Stigma in Youth:Prevalence, Consequences, and Considerations for ClinicalPractice. Current Obesity Reports, 9(4), 402–411. https://doi.org/10.1007/s13679-020-00408-8

  45. Ravinder, E. B., & Saraswathi, A. B. (2020). Literature ReviewOf Cronbach alpha coefficient (α) and Mcdonald ’ sOmega Coefficient (ω). European Journal of Molecular &Clinical Medicine, 7(6), 2943–2949. https://doi.org/10.13140/RG.2.2.35489.53603

  46. Reyes-Lagunes, I., & García & Barragán, L. F. (2008). Proocedimientode validación psicométrica culturalmenterelevante: Un ejemplo. In Rivera-Aragón, S., Díaz-Loving,R., Reyes-Lagunes I. (Eds.), La psicología social en México.Vol XII (pp. 625–644). Ampeso.

  47. Robles Pastor, B. F. (2018). Índice de validez de contenido: coeficienteV de Aiken. Pueblo Continente, 29(1), 193–197. http://journal.upao.edu.pe/PuebloContinente/article/view/991

  48. Shi, D., & Maydeu-Olivares, A. (2020). The effect of estimationmethods on sem fit indices. Educational andPsychological Measurement, 80 (3), 421–445. https://doi.org/10.1177/0013164419885164

  49. Schmid, K., Hewstone, M., Tausch, N., Cairns, E., &Hughes, J. (2009). Antecedents and consequences ofSocial identity complexity: Intergroup contact, distinctivenessthreat, and outgroup attitudes. Personality andSocial Psychology Bulletin, 35(8), 1085–1098. https://doi.org/10.1177/0146167209337037

  50. Schvey, N. A., Puhl, R. M., & Brownell, K. D. (2014). The stressof stigma: Exploring the effect of weight stigma on cortisolreactivity. Psychosomatic Medicine, 76(2), 156–162. https://doi.org/10.1097/PSY.0000000000000031

  51. Sikorski, C., Spahlholz, J., Hartlev, M., & Riedel-Heller, S. G.(2016). Weight-based discrimination: An ubiquitary phenomenon?International Journal of Obesity, 40(2), 333–337.https://doi.org/10.1038/ijo.2015.165

  52. Sikorski, C., Luppa, M., Luck, T., & Riedel-Heller, S. G. (2015).Weight stigma “gets under the skin” – Evidence for anadapted psychological mediation framework – A systematicreview. Obesity, 23(2), 266–276. https://doi.org/10.1002/oby.20952

  53. Solbes, I., & Enesco, I. (2010). Explicit and implicit anti-fat attitudesin children and their relationships with theirbody images. Obesity Facts, 3(1), 23–32. https://doi.org/10.1159/000280417

  54. Soto, L., Armendariz-Anguiano, A. L., Bacardí-Gascón, M., &Cruz, A. J. (2014). Creencias, actitudes y fobias hacia laobesidad entre estudiantes mexicanos de las carreras demedicina y psicología. Nutricion Hospitalaria, 30(1), 37–41.https://doi.org/10.3305/nh.2014.30.1.7512

  55. Tomiyama, A. J. (2014). Weight stigma is stressful. A reviewof evidence for the cyclic Obesity/weight-based stigmamodel. Appetite, 82, 8–15. https://doi.org/10.1016/j.appet.2014.06.108

  56. Tomiyama, A. J. (2019). Stress and Obesity. Annual Review ofPsychology, 70(June 2018), 703–718. https://doi.org/10.1146/annurev-psych-010418-102936

  57. Tomiyama, A. J., Finch, L. E., Belsky, A. C. I., Buss, J., Finley, C.,Schwartz, M. B., & Daubenmier, J. (2015). Weight bias in2001 versus 2013: Contradictory attitudes among obesityresearchers and health professionals. Obesity, 23(1), 46–53.https://doi.org/10.1002/oby.20910

  58. van der Valk, E. S., Savas, M., & van Rossum, E. F. C. (2018). Stressand Obesity: Are There More Susceptible Individuals? CurrentObesity Reports, 7(2), 193–203. https://doi.org/10.1007/s13679-018-0306-y

  59. Vartanian, L. R. (2015). Development and validation of a briefversion of the Stigmatizing Situations Inventory. ObesityScience & Practice, 1(2), 119–125. https://doi.org/10.1002/osp4.11

  60. Vartanian, L. R., & Novak, S. A. (2011). Internalized societal attitudesmoderate the impact of weight stigma on avoidanceof exercise. Obesity, 19(4), 757–762. https://doi.org/10.1038/oby.2010.234

  61. von dem Knesebeck, O., Lüdecke, D., Luck-Sikorski, C., & Kim,T. J. (2019). Public beliefs about causes of obesity in the USAand in Germany. International Journal of Public Health,64(8), 1139–1146. https://doi.org/10.1007/s00038-019-01295-0

  62. Wang, Z., Dang, J., Zhang, X., Moore, J. B., & Li, R. (2021). Assessingthe relationship between weight stigma, stress,depression, and sleep in Chinese adolescents. Qualityof Life Research, 30(1), 229–238. https://doi.org/10.1007/s11136-020-02620-4




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Mexicana de Trastornos Alimentarios. 2025;15