Perceived weight-related stigma, loneliness, and mental wellbeing during COVID-19 in people with obesity: A cross-sectional study from ten European countries View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-09-14

AUTHORS

Rebecca A. Jones, Paul Christiansen, Niamh G. Maloney, Jay J. Duckworth, Siobhan Hugh-Jones, Amy L. Ahern, Rebecca Richards, Adrian Brown, Stuart W. Flint, Eric Robinson, Sheree Bryant, Jason C. G. Halford, Charlotte A. Hardman

ABSTRACT

BackgroundIncreased weight-related stigma during the COVID-19 pandemic has amplified the need to minimise the impacts on mental wellbeing. We investigated the relationship between the perceived changes in the representation of obesity in the media and mental wellbeing during the pandemic in a sample of people with obesity across 10 European countries. We also investigated the potential moderating effect of loneliness.MethodsBetween September to December 2020 during the COVID-19 pandemic, participants reported data on demographics, mental wellbeing (measured by World Health Organisation Five Wellbeing Index and Patient Health Questionaire-4), loneliness (measured by De Jong Gierveld short scale), and perceived change in the representation of obesity in media (measured by a study-specific question) using the online, cross-sectional EURopean Obesity PatiEnt pANdemic Survey (EUROPEANS). Data were analysed using linear mixed-effects models, controlling for age, gender, body mass index, and shielding status, with random incept for country.ResultsThe survey was completed by 2882 respondents. Most identified as female (56%) and reported their ethnicity as White or White-mix (92%). The total sample had a mean age of 41 years and a BMI of 35.4 kg/m2. During the peak of the pandemic, compared to pre-pandemic, perceiving more negative representation of people with obesity on social media was associated with worse psychological distress, depression, and wellbeing. Perceiving more positive representation, compared to no change in representation, of people with obesity on television was associated with greater wellbeing, yet also higher psychological distress and anxiety. Loneliness, as a moderator, explained ≤0.3% of the variance in outcomes in any of the models.ConclusionsPerceiving negative representation of obesity on social media was associated with poorer mental wellbeing outcomes during the pandemic; positive representation on television was associated with both positive and negative mental wellbeing outcomes. We encourage greater media accountability when representing people with obesity. More... »

PAGES

2120-2127

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41366-022-01220-1

DOI

http://dx.doi.org/10.1038/s41366-022-01220-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1150987730

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/36104431


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29 COVID-19
30 COVID-19 pandemic
31 European countries
32 MethodsBetween September
33 Online
34 ResultsThe survey
35 accountability
36 age
37 anxiety
38 body mass index
39 changes
40 countries
41 cross-sectional study
42 data
43 demographics
44 depression
45 distress
46 effect
47 ethnicity
48 gender
49 greater wellbeing
50 high psychological distress
51 impact
52 incepts
53 index
54 linear mixed-effects models
55 loneliness
56 m2
57 mass index
58 mean age
59 media accountability
60 medium
61 mental wellbeing
62 mental wellbeing outcomes
63 mixed-effects models
64 model
65 moderating effect
66 moderator
67 need
68 negative representations
69 obesity
70 outcomes
71 pandemic
72 pandemic survey
73 participants
74 peak
75 people
76 positive representations
77 potential moderating effect
78 psychological distress
79 relationship
80 representation
81 representation of obesity
82 respondents
83 sample of people
84 samples
85 social media
86 status
87 stigma
88 study
89 survey
90 television
91 total sample
92 variance
93 weight-related stigma
94 wellbeing
95 wellbeing outcomes
96 worse psychological distress
97 years
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