Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)

Abstract Background Weight stigma is pervasive, and it has a significant impact on the social, physical, and psychological health of an individual. Weight stigma is observed from several different sources. Therefore, the present study developed and validated a new instrument, the Weight Stigma Expos...

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Main Authors: Kamolthip Ruckwongpatr, I-Hua Chen, Iqbal Pramukti, Po-Ching Huang, Janet D. Latner, Kerry S. O’Brien, Xuelian Wang, Jung-Sheng Chen, Servet Üztemur, Chien-Chin Lin, Yen-Ling Chang, Wei-Leng Chin, Mark D. Griffiths, Chung-Ying Lin
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Eating Disorders
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Online Access:https://doi.org/10.1186/s40337-024-01168-9
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author Kamolthip Ruckwongpatr
I-Hua Chen
Iqbal Pramukti
Po-Ching Huang
Janet D. Latner
Kerry S. O’Brien
Xuelian Wang
Jung-Sheng Chen
Servet Üztemur
Chien-Chin Lin
Yen-Ling Chang
Wei-Leng Chin
Mark D. Griffiths
Chung-Ying Lin
author_facet Kamolthip Ruckwongpatr
I-Hua Chen
Iqbal Pramukti
Po-Ching Huang
Janet D. Latner
Kerry S. O’Brien
Xuelian Wang
Jung-Sheng Chen
Servet Üztemur
Chien-Chin Lin
Yen-Ling Chang
Wei-Leng Chin
Mark D. Griffiths
Chung-Ying Lin
author_sort Kamolthip Ruckwongpatr
collection DOAJ
description Abstract Background Weight stigma is pervasive, and it has a significant impact on the social, physical, and psychological health of an individual. Weight stigma is observed from several different sources. Therefore, the present study developed and validated a new instrument, the Weight Stigma Exposure Inventory (WeSEI), to assess different sources of observed weight stigma across interpersonal and non-interpersonal sources. Methods The participants (n = 15,991) comprised Taiwanese young adults, Chinese adolescents, and Chinese young adults who completed paper-and-pencil and online surveys between September 2023 and December 2023. All participants provided demographic information, and completed the WeSEI, Weight Self-Stigma Questionnaire (WSSQ), and Perceived Weight Stigmatization Scale (PWSS). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the factor structure of the WeSEI. Results EFA and CFA results confirmed a seven-factor structure (television sources, traditional media sources, social media sources, parent sources, stranger sources, significant other sources, and friends sources) across 35 items of the WeSEI. Moreover, the WeSEI was supported by measurement invariance across subgroups (i.e., subsamples, gender, and weight status). Moreover, there were positive correlations between all seven factors of the WeSEI and the WSSQ and PWSS. Conclusion The WeSEI appears to assess observed weight stigma from different sources, and had good reliability, validity, and invariance across various subsamples. The WeSEI may be useful in clinical practice and research for assessing exposure to weight stigma from different sources.
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publishDate 2025-01-01
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series Journal of Eating Disorders
spelling doaj-art-38d9bbab3d0e4e9199b316ce9b2d735e2025-01-12T12:04:36ZengBMCJournal of Eating Disorders2050-29742025-01-0113111710.1186/s40337-024-01168-9Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)Kamolthip Ruckwongpatr0I-Hua Chen1Iqbal Pramukti2Po-Ching Huang3Janet D. Latner4Kerry S. O’Brien5Xuelian Wang6Jung-Sheng Chen7Servet Üztemur8Chien-Chin Lin9Yen-Ling Chang10Wei-Leng Chin11Mark D. Griffiths12Chung-Ying Lin13Institute of Allied Health Sciences, College of Medicine, National Cheng Kung UniversityQufu Normal University, Chinese Academy of Education Big DataFaculty of Nursing, Universitas PadjadjaranSchool of Physical Therapy, Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung UniversityDepartment of Psychology, University of Hawaii at ManoaFaculty of Arts, School of Social Sciences, Monash UniversityYancheng Mechatronic Branch of Jiangsu Union Technical InstituteDepartment of Medical Research, E-Da Hospital, I-Shou UniversityDepartment of Turkish and Social Sciences Education, Faculty of Education, Anadolu UniversityDepartment of Laboratory Medicine, National Taiwan University HospitalDepartment of Family Medicine, Cardinal Tien HospitalDepartment of Family Medicine, E-Da Hospital, I-Shou UniversityInternational Gaming Research Unit, Psychology Department, Nottingham Trent UniversityInstitute of Allied Health Sciences, College of Medicine, National Cheng Kung UniversityAbstract Background Weight stigma is pervasive, and it has a significant impact on the social, physical, and psychological health of an individual. Weight stigma is observed from several different sources. Therefore, the present study developed and validated a new instrument, the Weight Stigma Exposure Inventory (WeSEI), to assess different sources of observed weight stigma across interpersonal and non-interpersonal sources. Methods The participants (n = 15,991) comprised Taiwanese young adults, Chinese adolescents, and Chinese young adults who completed paper-and-pencil and online surveys between September 2023 and December 2023. All participants provided demographic information, and completed the WeSEI, Weight Self-Stigma Questionnaire (WSSQ), and Perceived Weight Stigmatization Scale (PWSS). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the factor structure of the WeSEI. Results EFA and CFA results confirmed a seven-factor structure (television sources, traditional media sources, social media sources, parent sources, stranger sources, significant other sources, and friends sources) across 35 items of the WeSEI. Moreover, the WeSEI was supported by measurement invariance across subgroups (i.e., subsamples, gender, and weight status). Moreover, there were positive correlations between all seven factors of the WeSEI and the WSSQ and PWSS. Conclusion The WeSEI appears to assess observed weight stigma from different sources, and had good reliability, validity, and invariance across various subsamples. The WeSEI may be useful in clinical practice and research for assessing exposure to weight stigma from different sources.https://doi.org/10.1186/s40337-024-01168-9AdolescentsYoung adultsInterpersonal sourcesMedia sourcesWeight stigma sources
spellingShingle Kamolthip Ruckwongpatr
I-Hua Chen
Iqbal Pramukti
Po-Ching Huang
Janet D. Latner
Kerry S. O’Brien
Xuelian Wang
Jung-Sheng Chen
Servet Üztemur
Chien-Chin Lin
Yen-Ling Chang
Wei-Leng Chin
Mark D. Griffiths
Chung-Ying Lin
Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
Journal of Eating Disorders
Adolescents
Young adults
Interpersonal sources
Media sources
Weight stigma sources
title Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
title_full Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
title_fullStr Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
title_full_unstemmed Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
title_short Assessing exposure to weight stigma: development and initial validation of the Weight Stigma Exposure Inventory (WeSEI)
title_sort assessing exposure to weight stigma development and initial validation of the weight stigma exposure inventory wesei
topic Adolescents
Young adults
Interpersonal sources
Media sources
Weight stigma sources
url https://doi.org/10.1186/s40337-024-01168-9
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