자연주의적 탐구조사(Naturalistic Inquiry)

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Using Multivariate Statistics

Basics of qualitative research: Grounded theory procedures and techniques

Principles and Practice of Structural Equation Modeling (2nd ed.)

Obese individuals are highly stigmatized and face multiple forms of prejudice and discrimination because of their weight (1,2). The prevalence of weight discrimination in the United States has increased by 66% over the past decade (3), and is comparable to rates of racial discrimination, especially among women (4). Weight bias translates into inequities in employment settings, health-care facilities, and educational institutions, often due to widespread negative stereotypes that overweight and obese persons are lazy, unmotivated, lacking in selfdiscipline, less competent, noncompliant, and sloppy (2,5–7). These stereotypes are prevalent and are rarely challenged in Western society, leaving overweight and obese persons vulnerable to social injustice, unfair treatment, and impaired quality of life as a result of substantial disadvantages and stigma. In 2001, Puhl and Brownell published the first comprehensive review of several decades of research documenting bias and stigma toward overweight and obese persons (2). This review summarized weight stigma in domains of employment, health care, and education, demonstrating the vulnerability of obese persons to many forms of unfair treatment. Despite evidence of weight bias in important areas of living, the authors noted many gaps in research regarding the nature and extent of weight stigma in various settings, the lack of science on emotional and physical health consequences of weight bias, and the paucity of interventions to reduce negative stigma. In recent years, attention to weight bias has increased, with a growing recognition of the pervasiveness of weight bias and stigma, and its potential harmful consequences for obese persons. The aim of this article is to provide an update of scientific evidence on weight bias toward overweight and obese adults through a systematic review of published literature since the 2001 article by Puhl and Brownell. This review expands upon previous findings of weight bias in major domains of living, documents new areas where weight bias has been studied, and highlights ongoing research questions that need to be addressed to advance this field of study. A systematic literature search of studies published between January 2000 and May 2008 was undertaken on computerized psychological, medical, social science, sport, and education databases including PsycINFO, PubMed, SCOPUS, ERIC, and SPORTDiscus. The following keyword combinations were used: weight, obese, obesity, overweight, BMI, fat, fatness, size, heavy, large, appearance, big, heavyweight, bias, biased, discrimination, discriminatory, discriminate, stigma, stigmatized, stigmatization, prejudice, prejudicial, stereotype(s), stereotypical, stereotyping, victimization, victimize(d), blame(d), blaming, shame(d), shaming, teasing, tease(d), unfair, bully, bullying, harassment, assumptions, attributions, education, health, health care, sales, employment, wages, promotion, adoption, jury, customer service, housing, media, television. Reference lists of retrieved articles and books were also reviewed, and manual searches were conducted in the databases and journals for authors who had published in this field. Most studies retrieved for this review were published in the United States. Any articles published internationally are noted with their country of origin. Research on weight stigma in adolescents and children was excluded from this review, as this literature was recently reviewed elsewhere (8). Unpublished manuscripts and dissertations were also excluded. In addition, issues pertaining to measurement of weight stigmatization, and demographic variables affecting vulnerability to weight bias such as gender, age, race, and body weight are not addressed in this review. This article instead primarily reviews the evidence of specific areas where weight bias occurs toward adults and its consequences for those affected. This article is organized similarly to the first review published by Puhl and Brownell (2), with sections on weight bias in settings of employment, health care, and education. New sections have been added including weight bias in interpersonal relationships and the media, as well as psychological and physical health consequences of weight bias, and the status of stigma-reduction research. As with the 2001 article, this review also provides an update on legal initiatives to combat weight discrimination, and outlines specific questions for future research.

https://www.sochob.cl/pdf/obesidad_adulto/The%20Stigma%20of%20Obesity%20%20A%20Review%20and%20Update.pdf

The stigma of obesity: a review and update.

This study was designed to examine if mental skills and strategies such as high confidence, commitment, and the use of cooperative routines, as well as previously unexamined physical, social, and environmental factors affect Olympic performance. Athletes and coaches from 8 Atlanta US Olympic teams were interviewed. Four teams met/exceeded performance expectations and 4 teams failed to perform up to performance predictions. Focus group interviews were conducted with 2 to 4 athletes from each team. Individual interviews were conducted with 1 or 2 coaches from each team. Each interview was recorded, transcribed, and analyzed by three trained investigators using hierarchical content analyses. Differences existed between teams that met/exceeded performance expectations and teams that failed. Teams that met/exceeded expectations participated in resident training programs, experienced crowd and family or friend support, utilized mental preparation, and were highly focused and committed. Teams that failed to meet...

Factors affecting Olympic performance: Perceptions of athletes and coaches from more and less successful teams.

Adolescence represents a pivotal stage in the development of positive or negative body image. Many influences exist during the teen years including transitions (eg, puberty) that affect one's body shape, weight status, and appearance. Weight status exists along a spectrum between being obese (ie, where one's body weight is in the 95th percentile for age and gender) to being underweight. Salient influences on body image include the media, which can target adolescents, and peers who help shape beliefs about the perceived body ideal. Internalization of and pressures to conform to these socially prescribed body ideals help to explain associations between weight status and body image. The concepts of fat talk and weight-related bullying during adolescence greatly contribute to an overemphasis on body weight and appearance as well as the development of negative body perceptions and dissatisfaction surrounding specific body parts. This article provides an overview of the significance of adolescent development in shaping body image, the relationship between body image and adolescent weight status, and the consequences of having a negative body image during adolescence (ie, disordered eating, eating disorders, and dysfunctional exercise). Practical implications for promoting a healthy weight status and positive body image among adolescents will be discussed.

/pdf/weight-status-and-body-image-perceptions-in-adolescents-205uhia6oa.pdf

Weight status and body image perceptions in adolescents: current perspectives

To gain a better understanding of factors perceived to have positively and/or negatively influenced Olympic athlete performance and to examine differences in performance factors cited by athletes who met or exceeded performance expectations and athletes who failed to meet expectations, 8 Atlanta and 7 Nagano Olympians were interviewed. Interviews were conducted via telephone, tape recorded, transcribed, and content analyzed by three investigators. Major factors perceived to have positively influenced performance included mental skills and preparation, attitude towards the Olympics, support services and support facilitation, multifaceted preparation, physical preparation, and coaching. Major factors perceived to have negatively influenced performance included departing from normal routine, media distractions, coach issues, overtraining, and injury. The two groups, those who met or exceeded expectations and those who did not meet expectations, differed on only a few positive performance factors, including a...

Factors influencing Olympic performance: interviews with Atlanta and Nagano U.S. Olympians.

Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88 years (SD = 16.68 years) and on their college team for 2.10 years (SD = 1.03 years). Methods: Participants completed a demographic and weight background questionnaire, Questionnaire for Eating Disorder Diagnoses, and the Bulimia Test-Revised. Results: The authors classified participants as eating disordered (n = 4, 2.0%), symptomatic (n = 52, 25.5%), and asymptomatic (n = 148, 72.5%). Few participants engaged in binge eating; most used exercise, as opposed to vomiting, dieting, laxatives, or diuretics, to control their weight. Conclusions: Female athletes suffer from eating disorders, and most experience symptom levels that are subclinical but problematic.

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

This article discusses research on variables perceived to have influenced athlete performances and coach effectiveness.

/pdf/a-survey-of-u-s-olympic-coaches-variables-perceived-to-have-65jy8z6tn0.pdf

Christy Greenleaf

Papers

Factors affecting Olympic performance: Perceptions of athletes and coaches from more and less successful teams.

Weight status and body image perceptions in adolescents: current perspectives

Factors influencing Olympic performance: interviews with Atlanta and Nagano U.S. Olympians.

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

A Survey of U.S. Olympic Coaches: Variables Perceived to Have Influenced Athlete Performances and Coach Effectiveness