Investigating the Self-Stigma and Quality of Life for Overweight/Obese Children in Hong Kong: a Preliminary Study

Pik Chu Wong, Yi Ping Hsieh, Hoi Hin Ng, Shuk Fan Kong, Ka Lok Chan, Tsz Yeung Angus Au, Chung Ying Lin (Corresponding Author), Xavier C.C. Fung

Research output: Journal article publicationJournal articleAcademic researchpeer-review

19 Citations (Scopus)


Overweight (OW) children are likely to internalize common weight bias and developed weight-related self-stigma (or self-stigma in short). Also, OW children tended to have poor health-related quality of life (HRQoL) with higher level of self-stigma associated with poorer HRQoL. However, the aforementioned findings have yet been investigated in the East. This study aimed to test the differences of self-stigma and HRQoL between OW and non-OW children, and to examine the correlations between self-stigma and HRQoL in a Hong Kong sample. OW children (n = 50, M age ± SD = 9.36 ± 1.17) and non-OW children (n = 50, M age ± SD = 9.73 ± 1.28) completed questionnaires that measure self-stigma (Weight Bias Internalization Scale [WBIS] and Weight Self-Stigma Questionnaire [WSSQ]) and HRQoL (child-reported Kid-KINDL and Sizing Me Up [SMU]). All parents completed parent-reported Kid-KINDL and Sizing Them Up (STU) that measure HRQoL of their children. Compared with non-OW children, OW children had higher self-stigma in WBIS (p = 0.003) and WSSQ (p < 0.001); lower HRQoL in SMU (p < 0.001) and STU (p < 0.001). More significant correlations with stronger magnitude (r = −0.28 to −0.61) were shown between self-stigma and HRQoL in OW children than in non-OW children. This study showed that OW children had significantly higher self-stigma and lower HRQoL than did non-OW children in Hong Kong. Moreover, negative correlations between self-stigma and HRQoL were found in OW children. Future studies may want to investigate whether reducing self-stigma of OW children can improve their HRQoL.

Original languageEnglish
Pages (from-to)1065-1082
Number of pages18
JournalChild Indicators Research
Issue number3
Publication statusPublished - 15 Jun 2019


  • Asia
  • Children
  • Health-related quality of life
  • Overweight
  • Self-stigma

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Sociology and Political Science

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