ArticleBMC public health2024
Experienced and internalized weight stigma among Spanish adolescents.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Exploring the impact of adult obesity in Spain: Insights from a systematic literature review.Obesity pillars · 2026Review
- Weight Bias Internalisation and Health-Related Quality of Life in Adolescents: What Role Do Family Meals Play?European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Adolescents' perspectives on socio-cultural influences on overweight and obesity in African countries: a systematic scoping review of qualitative studies.Current obesity reports · 2026Article
- Effectiveness of a school-based obesity control program among adolescents in Makkah: A pretest-posttest intervention study.Journal of Taibah University Medical Sciences · 2026Article
- Stigmatizing attitudes and misconceptions about obesity among Spanish healthcare professionals.PloS one · 2026Article
- Integrating Obesity Care into Chronic Disease Management in Catalonia: Progress and Challenges in Health System Approaches.Current obesity reports · 2025Review
- Weight discrimination and eating disorder symptoms in early adolescence: a prospective cohort study.Journal of eating disorders · 2025Article
- Family-based weight stigma and psychological well-being of adolescents: a longitudinal analysis of recent vs. cumulative exposure.Frontiers in psychiatry · 2025Article
- Sex differences in the association of BMI and weight perception with depression and suicidality among Korean adolescents.PloS one · 2025Article
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6 authors.
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Abstract
BACKGROUND AND
objectiveWeight stigma has negative consequences for both physiological and psychological health. Studies on weight stigma in adolescence, particularly from general populations, are scarce in the Mediterranean area. The main aim of this study is to describe the prevalence of experienced and internalized weight stigma among a representative sample of adolescents from the Spanish city of Terrassa, and to determine its association with sociodemographic variables and weight status.
methodsDrawing on data from the initial assessment of a longitudinally funded project on weight stigma in adolescents, a cross-sectional survey-based study was conducted using random multistage cluster sampling. Weight stigma experiences, their frequency and sources, and weight bias internalization with the Modified Weight Bias Internalization Scale (WBISM) were assessed in a sample of 1016 adolescents. Adjusted odds ratios (AOR) between sociodemographic variables, weight status and having experienced weight stigma, and having reported high scores of WBISM (WBISM ≥ 4) were estimated by multiple logistic regression models.
resultsThe prevalence of weight-related stigma experiences was 43.2% in the sample (81.8 in adolescents with obesity) and the prevalence of high levels of weight bias internalization was 19.4% (50.7 in adolescents with obesity). Other kids and school were the most prevalent sources of weight stigma, with society and family being other significant sources of stigma reported by girls. A significantly higher risk of having experienced weight stigma was observed in girls (AOR = 2.6) and in older adolescents (AOR = 1.9). Compared to normal weight adolescents, all weight statuses showed higher risk, being 3.4 times higher in adolescents with underweight and reaching 11.4 times higher risk in those with obesity. Regarding high levels of weight bias internalization, girls had a risk 6.6 times higher than boys. Once again, a "J-shaped" pattern was observed, with a higher risk at the lowest and highest weight statuses. The risk was 6.3 times higher in adolescents with underweight, and 13.1 times higher in adolescents with obesity compared to those with normal weight.
conclusionsConsidering the high prevalence of experienced and internalized weight stigma among adolescents in Spain, especially in adolescents with obesity and girls, it seems important to implement preventive strategies in different settings and address all sources of stigma.
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