{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T12:22:33Z","timestamp":1742646153546},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"University of Maryland School of Social Work"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Internalized weight bias (i.e., the application of negative weight-based stereotypes to one\u2019s self-evaluation) is associated with adverse physical and mental health outcomes. The 10-item version of the Modified Weight Bias Internalization Scale (WBIS-M) is one of the most commonly used measures to assess internalized weight bias. However, studies examining the psychometric properties of the WBIS-M are limited in racially minoritized U.S.-based populations. The current study sought to examine the factor structure of the 10-item version of the WBIS-M in a sample of first-generation Asian immigrants, as both native and foreign-born Asian populations have consistently demonstrated higher rates of weight-related concerns relative to other racially minoritized groups. Confirmatory factor analysis was used to assess the factor structure, and a multiple indicator multiple cause modeling approach was used to assess associations between internalized weight bias and sociodemographic predictors. Results confirm the unidimensionality of the WBIS-M and provide preliminary support for a nine-item version. Identifying as a woman (p = .027) and perceiving oneself as overweight (p &amp;lt; .001) were significantly associated with greater internalized weight bias. When working with Asian and Asian American clients, mental health service providers should be aware of potential weight-related concerns and may consider using the WBIS-M to assess for internalized weight bias.<\/jats:p>","DOI":"10.1093\/hsw\/hlad033","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T10:08:24Z","timestamp":1701511704000},"page":"17-24","source":"Crossref","is-referenced-by-count":1,"title":["Validation of the Modified Weight Bias Internalization Scale (WBIS-M) among First-Generation Asian Immigrants"],"prefix":"10.1093","volume":"49","author":[{"given":"Vashti","family":"Adams","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,1]]},"reference":[{"key":"2024013007381703600_hlad033-B1","first-page":"1341","article-title":"Validity and reliability study of Modified Weight Bias Internalization Scale in Turkish","volume":"10","author":"Apay","year":"2017","journal-title":"International Journal of Caring Sciences"},{"key":"2024013007381703600_hlad033-B2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s12992-018-0337-x","article-title":"Obesity stigma as a globalizing health challenge","volume":"14","author":"Brewis","year":"2018","journal-title":"Globalization and Health"},{"key":"2024013007381703600_hlad033-B3","doi-asserted-by":"crossref","first-page":"594949","DOI":"10.3389\/fpsyg.2020.594949","article-title":"Validation of the Weight Bias Internalization Scale for mainland Chinese children and adolescents","volume":"11","author":"Chen","year":"2021","journal-title":"Frontiers in Psychology"},{"key":"2024013007381703600_hlad033-B4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/978-1-4614-6681-9_8","volume-title":"Relational social work practice with diverse populations","author":"Cheung","year":"2014"},{"key":"2024013007381703600_hlad033-B5","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.bodyim.2015.12.001","article-title":"Parental comments: Relationship with gender, body dissatisfaction, and disordered eating in Asian young adults","volume":"16","author":"Chng","year":"2016","journal-title":"Body Image"},{"key":"2024013007381703600_hlad033-B6","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1093\/jpepsy\/jsx079","article-title":"The Weight Bias Internalization Scale for Youth: Validation of a specific tool for assessing internalized weight bias among treatment-seeking German adolescents with overweight","volume":"43","author":"Ciupitu-Plath","year":"2018","journal-title":"Journal of Pediatric Psychology"},{"key":"2024013007381703600_hlad033-B7","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.1038\/oby.2008.448","article-title":"Understanding self-directed stigma: Development of the Weight Bias Internalization Scale","volume":"16","author":"Durso","year":"2008","journal-title":"Obesity"},{"key":"2024013007381703600_hlad033-B8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.55521\/10-019-109","article-title":"Weight stigma as a violation of the NASW Code of Ethics: A call to action","volume":"19","author":"Ellis-Ordway","year":"2022","journal-title":"International Journal of Social Work Values and Ethics"},{"key":"2024013007381703600_hlad033-B9","doi-asserted-by":"crossref","first-page":"2512","DOI":"10.1177\/10497323211036896","article-title":"Body image and eating disorders among South Asian American women: What are we missing?","volume":"31","author":"Goel","year":"2021","journal-title":"Qualitative Health Research"},{"key":"2024013007381703600_hlad033-B10","doi-asserted-by":"crossref","first-page":"e86303","DOI":"10.1371\/journal.pone.0086303","article-title":"Weight Bias Internalization Scale: Psychometric properties and population norms","volume":"9","author":"Hilbert","year":"2014","journal-title":"PLOS ONE"},{"key":"2024013007381703600_hlad033-B11","doi-asserted-by":"crossref","first-page":"e31307","DOI":"10.2196\/31307","article-title":"Designing Ruby: Protocol for a 2-arm, brief, digital randomized controlled trial for internalized weight bias","volume":"10","author":"Hopkins","year":"2021","journal-title":"JMIR Research Protocols"},{"key":"2024013007381703600_hlad033-B12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"1999","journal-title":"Structural Equation Modeling: A Multidisciplinary Journal"},{"key":"2024013007381703600_hlad033-B13","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s40519-016-0290-8","article-title":"Implicit and explicit anti-fat bias among Asian females","volume":"22","author":"Jiang","year":"2017","journal-title":"Eating and Weight Disorders\u2014Studies on Anorexia, Bulimia and Obesity"},{"key":"2024013007381703600_hlad033-B14","first-page":"474","article-title":"Tips for working with Asian American populations","author":"Kline","year":"2008","journal-title":"Health promotion in multicultural populations: A handbook for practitioners and students"},{"key":"2024013007381703600_hlad033-B15","volume-title":"Principles and practice of structural equation modeling","author":"Kline","year":"2015"},{"key":"2024013007381703600_hlad033-B16","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.bodyim.2016.01.008","article-title":"Weight Bias Internalization Scale: Psychometric properties using alternative weight status classification approaches","volume":"17","author":"Lee","year":"2016","journal-title":"Body Image"},{"key":"2024013007381703600_hlad033-B17","article-title":"Weight bias internalization: Relationships with mental health, physical activity, and sedentary behavior","author":"Levy","year":"2021","journal-title":"Stigma and Health"},{"key":"2024013007381703600_hlad033-B18","doi-asserted-by":"crossref","first-page":"e12454","DOI":"10.1111\/cob.12454","article-title":"Validation of the modified weight bias internalization scale in a Spanish adult population","volume":"11","author":"Macho","year":"2021","journal-title":"Clinical Obesity"},{"key":"2024013007381703600_hlad033-B19","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1186\/s12889-018-5738-5","article-title":"Relationship between body image and weight status in east Asian countries: Comparison between South Korea and Taiwan","volume":"18","author":"Noh","year":"2018","journal-title":"BMC Public Health"},{"key":"2024013007381703600_hlad033-B20","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1007\/s40519-014-0130-7","article-title":"Eating behavior and perception of body shape in Japanese university students","volume":"19","author":"Ohara","year":"2014","journal-title":"Eating and Weight Disorders\u2014Studies on Anorexia, Bulimia and Obesity"},{"key":"2024013007381703600_hlad033-B21","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.bodyim.2013.09.005","article-title":"Measuring internalized weight attitudes across body weight categories: Validation of the Modified Weight Bias Internalization Scale","volume":"11","author":"Pearl","year":"2014","journal-title":"Body Image"},{"key":"2024013007381703600_hlad033-B22","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1111\/obr.12701","article-title":"Weight bias internalization and health: A systematic review","volume":"19","author":"Pearl","year":"2018","journal-title":"Obesity Reviews"},{"key":"2024013007381703600_hlad033-B23","doi-asserted-by":"crossref","first-page":"51","DOI":"10.2337\/cd20-0071","article-title":"Weight stigma and diabetes stigma: Implications for weight-related health behaviors in adults with Type 2 diabetes","volume":"40","author":"Puhl","year":"2022","journal-title":"Clinical Diabetes"},{"key":"2024013007381703600_hlad033-B24","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1038\/ijo.2015.32","article-title":"A multinational examination of weight bias: Predictors of anti-fat attitudes across four countries","volume":"39","author":"Puhl","year":"2015","journal-title":"International Journal of Obesity"},{"key":"2024013007381703600_hlad033-B25","author":"Qualtrics","year":"2023"},{"key":"2024013007381703600_hlad033-B26","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1017\/S1352465813000763","article-title":"Obesity and internalized weight stigma: A formulation model for an emerging psychological problem","volume":"43","author":"Ratcliffe","year":"2015","journal-title":"Behavioural and Cognitive Psychotherapy"},{"key":"2024013007381703600_hlad033-B27","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1038\/oby.2011.123","article-title":"Clinical correlates of the weight bias internalization scale in a sample of obese adolescents seeking bariatric surgery","volume":"20","author":"Roberto","year":"2012","journal-title":"Obesity"},{"key":"2024013007381703600_hlad033-B28","first-page":"399","volume-title":"Latent variables analysis: Applications for developmental research","author":"Satorra","year":"1994"},{"key":"2024013007381703600_hlad033-B29","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1037\/a0035599","article-title":"Weight, body dissatisfaction, and disordered eating: Asian American women\u2019s perspectives","volume":"5","author":"Smart","year":"2014","journal-title":"Asian American Journal of Psychology"},{"key":"2024013007381703600_hlad033-B30","author":"StataCorp","year":"2015"},{"key":"2024013007381703600_hlad033-B31","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1093\/schbul\/sbl076","article-title":"Self-stigma in people with mental illness","volume":"33","author":"Watson","year":"2007","journal-title":"Schizophrenia Bulletin"},{"key":"2024013007381703600_hlad033-B32","doi-asserted-by":"crossref","first-page":"57","DOI":"10.22329\/csw.v21i2.6464","article-title":"Social work and obesity: License to oppress","volume":"21","author":"Wood","year":"2020","journal-title":"Critical Social Work"},{"key":"2024013007381703600_hlad033-B33","doi-asserted-by":"crossref","first-page":"6834","DOI":"10.1007\/s12144-021-02021-x","article-title":"\u201cThinness is beauty\u201d: Predictors of anti-fat attitudes among young Chinese women","volume":"42","author":"Wu","year":"2023","journal-title":"Current Psychology"},{"key":"2024013007381703600_hlad033-B34","doi-asserted-by":"crossref","first-page":"4319","DOI":"10.3390\/ijerph17124319","article-title":"Weight stigmatization and binge eating in Asian Americans with overweight and obesity","volume":"17","author":"Wu","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"2024013007381703600_hlad033-B35","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S0140-6736(03)15268-3","article-title":"Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies","volume":"363","author":"Yajnik","year":"2004","journal-title":"The Lancet"}],"container-title":["Health &amp; Social Work"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/hsw\/article-pdf\/49\/1\/17\/56450114\/hlad033.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/hsw\/article-pdf\/49\/1\/17\/56450114\/hlad033.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T07:38:53Z","timestamp":1706600333000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/hsw\/article\/49\/1\/17\/7457585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12,1]]},"published-print":{"date-parts":[[2024,1,30]]}},"URL":"https:\/\/doi.org\/10.1093\/hsw\/hlad033","relation":{},"ISSN":["0360-7283","1545-6854"],"issn-type":[{"value":"0360-7283","type":"print"},{"value":"1545-6854","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,2,1]]},"published":{"date-parts":[[2023,12,1]]}}}