台灣南部成年人體重歧視經驗程度與狂食程度之探討-以身體質量指數大於等於24者為例

Explore weight stigmatizing experience level and binge eating level in southern Taiwan adults with body mass index greater than or equal to 24

吳雅歌(Ya-Ke Wu)

指導教授 ： 劉怡

高雄醫學大學/護理學院/護理學系研究所/碩士(2012年)

https://doi.org/10.6832/KMU.2012.00064

摘要

本研究探討身體質量指數大於等於24 kg/m2台灣南部成年人體重歧視經驗程度與狂食程度及其相關因子。研究方法採橫斷、描述性研究，以結構式問卷、方便取樣收案，共收集有效樣本141位。
研究結果顯示有體重歧視經驗的受試者佔97.9％，受試者平均一生中有過一次體重歧視經驗，主要的體重歧視來源是父母、親戚及醫師。BMI值越高、年齡越輕、沒有收入、未婚但有男/女朋友（包括同居）及有節食經驗者的體重歧視經驗程度顯著較高，BMI、年齡及有節食經驗三者為體重歧視經驗程度解釋因子。而有狂食的受試者佔19.9％，狂食程度平均得分偏低，受試者為女性、BMI值越高、曾有過節食經驗、來自體重管理中心減重班、曾嘗試除了節食以外減重措施、無業(學生、待業中)及沒有收入者狂食程度較嚴重，月收入為狂食程度的解釋因子。而體重歧視經驗程度越高，狂食程度越嚴重，體重歧視經驗程度為狂食程度主要解釋因子。
本研究說明台灣南部體重過重及肥胖者體重歧視經驗程度、狂食程度及其相關因子，建議從政府立法及教育體制方面著手，矯正及預防歧視者的體重歧視態度，協助被歧視者面對體重歧視經驗，並進一步避免狂食發生。

關鍵字

台灣南部 ； 體重過重及肥胖 ； 體重歧視經驗 ； 狂食

並列摘要

The purpose of this study was to investigate the relationship between the level of weight-related stigmatizing experience and binge eating in adults with body mass index (BMI) greater than or equal to 24 kg/m2 in southern Taiwan, and related factors. This study design was a cross-sectional, questionnaire survey study with a convenient sampling method. A total of 141 returned questionnaires was valid.
The study result showed that 97.9 % participants had once weight-related stigmatizing experience in their life time. The main sources of weight-related stigmatization were parents, relatives and doctors. Among different groups of BMI, age, income, marriage status and diet experience, the level of weight-related stigmatizing experience was significantly different. BMI, age and dieting experience were significant predictors for weight-related stigmatizing experience. Furthermore, about 19.9 % participants had experienced binge eating . The mean score of binge eating was low. Among different groups of gender ,BMI, dieting experience , weight loss programs , occupation and income, the level of binge eating was significantly different.The monthly income and weight-related stigmatizing were significant predictors of binge eating .
The finding showed that there is a need to correct and to prevent people’s weight-related stigmatizing attitudes, as well as to help the stigmatized people cope with weight-related stigmatizing experience and binge eating through legislations and education.

並列關鍵字

southern Taiwan ； overweight and obese ； weight-related stigmatizing experience ； binge eating

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