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Weight Bias Internalization and Perceived Social Support: The Role of Obesity Stigma Coping Communication

  • Health Communication Research
  • 2025, 24(2), pp.1~38
  • DOI : 10.24172/hcr.2025.24.2.1
  • Publisher : Korea Health Communication Association
  • Research Area : Social Science > Journalism and Broadcasting > Communication
  • Received : October 13, 2024
  • Accepted : August 19, 2025
  • Published : August 31, 2025

SUNOUK YOU 1 Soojin Kim 2

1한경국립대학교
2이화여자대학교

Accredited

ABSTRACT

This study explored the relationship between internalized weight bias, stigma management communication (SMC), and perceived social support among individuals with overweight or obesity. A survey of 417 adults was conducted to examine how internalized bias influences perceived support from family and healthcare providers. Using PROCESS Macro Model 4, the analysis revealed that higher internalized bias was linked to increased use of acceptance and transcendence-type SMC, while lower bias was associated with denial and challenging strategies. Additionally, internalized bias was negatively associated with perceived family support. Mediation analysis showed that perceived family support was indirectly influenced by accepting and denial-based communication, while support from healthcare providers was shaped by transcendence and challenging strategies. These findings highlight the importance of SMC styles in shaping how individuals perceive support. Encouraging awareness of available supportive resources may empower individuals to seek help, ultimately fostering healthier coping mechanisms and improved engagement in weight-related health efforts.

Citation status

* References for papers published after 2024 are currently being built.