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Weight self-stigma and associated factors among primary school students in Linhai, China: a cross-sectional study
Huilan Wu1, Yao Huang1, Hongping Lu1
1Department of Pediatrics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai 317000, Zhejiang Province, China.
Objective:
This study assessed weight self-stigma (WSS) levels and associated factors among primary school students.
Methods:
A cross-sectional survey was conducted in five Linhai primary schools (May-July 2023). Among 2678 students (76.6% response rate), WSS was measured using the weight self-stigma questionnaire (WSSQ), with high/low groups divided by median score. Totally, 2619 (97.8%) valid questionnaires was included in the analysis.
Results:
Mean WSSQ score was 21.5 ± 9.2, varying significantly by weight status: underweight (19.8 ± 8.3), normal (19.9 ± 8.3), overweight (25.5 ± 9.1), obesity (23.6 ± 10.7) (p < 0.001). Logistic regression showed higher odds of high WSS for overweight (OR = 3.00, 95%CI: 2.36-3.80), obesity (OR = 1.68, 95%CI: 1.35, 2.09), rural schooling (OR = 1.22, 95%CI: 1.01, 1.48), lower family socioeconomic status (OR = 1.30, 95% CI: 1.04, 1.61), insufficient sleep (7-8 h vs. 10 h: OR = 1.51, 95% CI: 1.17-1.97; 9 h vs. 10 h: OR = 1.23, 95% CI: 1.03-1.47), and older age (10 yrs. vs. 7-9 yrs.: OR = 1.37, 95% CI: 1.03-1.82).
Conclusions:
High WSS levels were prevalent among primary school students with overweight/obesity. Insufficient sleep, lower family socioeconomic status, rural schooling, and older age emerged as associated factors.
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