title: Validating a Chinese version of the Weight Self-stigma Questionnaire for use with obese adults.
abstract: BACKGROUND
  Although weight-based stigmatization is pervasive in everyday life, a suitable measure of weight self-stigma is currently unavailable for the obese Chinese population.
  
  
  OBJECTIVE
  The purpose of this study was to translate and test the psychometric properties of the Weight Self-stigma Questionnaire into Chinese (C-WSSQ) for use with obese Chinese people.
  
  
  METHODS
  A cross-sectional study was conducted on 156 overweight or obese adults. The data were collected from September to December 2015. Data on the body mass index, C-WSSQ, and Multidimensional Body Self-relation Questionnaire were used.
  
  
  RESULTS
  The reproducibility and Cronbach a of the C-WSSQ were .892 and .880, respectively, indicating acceptable reliability. The exploratory factor analysis revealed that 2 extracted factors identified to the domain structures of the C-WSSQ, as explained by the 67.05% total variance. The C-WSSQ also demonstrated that the 2-factor model, self-devaluation, and fear of enacted stigma fit the data on the basis of confirmatory factor analysis. Meanwhile, the C-WSSQ was correlated with body mass index and Multidimensional Body Self-relation Questionnaire, indicating an acceptable criterion-related validity.
  
  
  CONCLUSIONS
  The C-WSSQ shows adequate reliability and validity. The health professionals can use the C-WSSQ to assess weight self-stigma of obese Chinese adults before and after intervention of a weight-loss program.
authors.affiliation: Department of Nursing, HungKuang University, Taichung, Taiwan.
authors.forename: Kuan Pin
authors.identifier: http://orcid.org/0000-0002-2574-2268
authors.initials: KP
authors.lastname: Lin
authors.affiliation: Department of Nursing, HungKuang University, Taichung, Taiwan.|College of Nursing, Taipei Medical University, Taipei, Taiwan.
authors.forename: Mei Li
authors.identifier: http://orcid.org/0000-0003-0586-6746
authors.initials: ML
authors.lastname: Lee
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D015992:Body Mass Index; D001835:Body Weight; D003430:Cross-Sectional Studies; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology / Q000523:psychology*; D011594:Psychometrics; D015203:Reproducibility of Results; D012649:Self Concept; D057545:Social Stigma; D011795:Surveys and Questionnaires; D014177:Translations
keywords: Chinese version Weight Self-stigma Questionnaire; obese; reliability; validity