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The Association Between Weight Stigma and Gastrointestinal Symptoms and Irritable Bowel Syndrome
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DOI：10.1037/sah0000637.png)
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Abstract
En 中文
Both experiences of weight stigma (EWS) and the internalization of weight bias (IWB) have been linked to negative health outcomes. The relationship between weight stigma (EWS and IWB) and gastrointestinal (GI) symptoms, however, has not yet been explored. The aim of the present study was to assess the associations between weight stigma (EWS and IWB) and general GI symptoms and irritable bowel syndrome (IBS). Participants (N = 406) were recruited through a Qualtrics research panel, approximating the body mass index distribution across adults in the United States. Five general GI symptom clusters (i.e., epigastric pain, diarrhea and discomfort, reflux, nausea and vomiting, constipation) were assessed, along with total GI symptom burden and symptoms consistent with IBS. In hierarchical regression analyses, EWS and IWB showed significant positive associations with each GI symptom cluster (epigastric pain, diarrhea and discomfort, reflux, nausea and vomiting, constipation) and total symptom burden. Binary logistic regression was also conducted to assess the association between IWB, EWS, and IBS. Both IWB and EWS were significantly associated with IBS in separate regressions. Results suggest that both EWS and IWB may be linked to experiences of GI symptoms, including IBS. Future research should explore the existence of these relationships, determine the stability of the associations, and identify any causal pathways.
Keywords:
internalized weight bias
experienced weight stigma
gastrointestinal symptoms
irritable bowel syndrome
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