Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents
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Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents Zhanxia Wang1 · Jiajia Dang2 · Xinge Zhang1 · Justin B. Moore3 · Rui Li1 Accepted: 19 August 2020 © Springer Nature Switzerland AG 2020
Abstract Introduction Weight stigma is defined as the social devaluation of people with overweight or obesity, and its negative effects on the health of adolescents from western countries are well documented, but little is known about the relationships with health behaviors and outcomes in Asian youth. The prevalence of obesity among Chinese adolescents continues to increase, potentially causing negative evaluations of youth with obesity, and potentially reduced quality of life. The health effects of these negative evaluations of Chinese youth with obesity have received little attention. Purpose The purpose of this study was to examine relationships between weight stigma, stress, depression, and sleep in Chinese adolescents. Methods We utilized a cross-sectional study conducted in Wuhan, China. Sociodemographic, weight stigma, stress, depression, and sleep data were collected through a self-reported questionnaire. Descriptive statistics, t test, correlations, and mediation analyses were performed. A total of 1626 adolescents between 14 and 19 years of age were included in the analysis. Results The data showed that adolescents with weight stigma presented significantly higher level of stress and depression, lower global sleep quality, longer sleep latency, and shorter sleep duration than those without weight stigma (p 1 and obesity as a BMI z-score > 2. Normal weight was defined as a BMI z-score ≤ 1 and ≥ − 2. Underweight was defined as a BMI z-score
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