한국어판 체중편견(Weight Bias) 측정 도구의 신뢰도 및 타당도
Reliability and Validity of Korean Version of Questionnaire for Weight Bias Measurement
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초록
연구배경: 체중 편견을 평가하는 척도인 국문 번안된 Fat Phobia Scale (short form) (F-scale), Beliefs About Obese Persons Scale (BAOP), Attitudes Toward Obese Persons Scale (ATOP)의신뢰도 및 타당도를 알아보았다방법: 성인 165명(남성 85명, 여성 80명; 의료인 73명, 교사 92명)에게 국문 F-scale, BAOP, ATOP를 배부하여 2-3주 간격으로 2회 평가하였다. 타당도는 Spearman correlation과 요인분석으로, 신뢰도는 Cronbach’s alpha와 조사-재조사(Spearman Rho)로 측정하였다. 결과: F-scale은 세 가지 요인으로 분류 되었으며 총 점수 변이의 55.20%를, BAOP에 대해 두 가지 요인이 총 점수 변이의53.30%를, ATOP에 대해서는 여섯 가지 요인이 총 점수 변이의61.61%를 설명하였다. Spearman correlation은 F-scale과 ATOP 간에 -0.28--0.36 (P<0.05)으로 비만해질까 걱정할수록 비만에 대한 부정적 생각을 가지는 경향이 있고, F-scale과 BAOP 간에는 -0.25--0.27 (P<0.05)로 비만해질까 걱정할수록 비만은 환경적 원인에 의한 것이라고 생각하는 경향이 있었다. F-scale, BAOP, ATOP의 Cronbach’s alpha는 각 0.79-0.90, 0.34-0.38, 0.82-0.87, Spearman Rho 값은 각 0.47, 0.50, 0.47 (P<0.05)이었다. 체중 편견 점수는 대상자의 성별, 체질량지수, 체형인지, 체중조절 노력 유무에 따라 유의한 차이가 없었으나 ATOP 의 경우, 나이가 많을수록 비만에 대해 부정적 생각을 지닌 경향이 있었다(P<0.05). 결론: 한국어로 번안된 F-scale, ATOP, BAOP는 체중편견을 평가할 수 있는 도구로 고려될 수 있지만 적절한 적용을 위해 관련된 연구가 필요하다.
Abstract
Background: Korean versions of Fat Phobia Scale (short form) (F-scale), Beliefs About Obese Persons Scale (BAOP),and Attitudes Toward Obese Persons Scale (ATOP) which are scales of rating weight bias were assessed to find out the reliability and validity. Methods: Korean versions of F-scale, BAOP, and ATOP were completed twice by 165 adults (85 males, 80 females; 73hospital staffs, and 92 teachers). Validity was tested using Spearman correlation and factor analysis. Reliability was analyzed using test-retest analyses (Spearman Rho value). Results: Using factor analyses, F-scale comprised of three factors explaining 55.20% of the total variance, BAOP two factors explaining 53.3% of the total variance, and ATOP six factors explaining 61.61% of the total variance. Spearman correlation between F-scale and ATOP was -0.28 to -0.36 (P < 0.05), suggesting that people who worried about being obese tended to have negative attitudes against obesity. The correlation between F-scale and BAOP was -0.25 to -0.27 (P < 0.05), meaning that people who worried about being obese had a tendency to blame obesity on environmental factors. Cronbach’s alpha coefficients were 0.79 to 0.90 for F-scale, 0.34 to 0.38 for BAOP and 0.82 to 0.87 for ATOP. Spearman Rho values were 0.47 for F-scale, 0.50 for BAOP, and 0.47 for ATOP (P < 0.05). The scores of each scale were not related to subjects’ sex, BMI, body perception, and weight control efforts, while for ATOP scores older subjects were more likely to have a negative view for obesity (P < 0.05). Conclusion: The Korean version of F-scale, ATOP and BAOP could be considered as a tool to evaluate weight-bias however,further study is needed for appropriate application.
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