Adaptação transcultural da Escala de Atitudes Antiobesidade para o português do Brasil

Abstract

Obese individuals are often blamed for their own condition and the targets of discrimination and prejudice. The scope of this study is to describe the cross-cultural adaptation to Brazilian Portuguese and the validation of the Antifat Attitudes Test - specifically developed for evaluation of negative attitudes toward the obese individual. The scale has 34 statements distributed in three subscales - Social/Character Disparagement (15 items), Physical/Romantic Unattractiveness (10 items) and Weight Control/Blame (9 items). The method involved the translation of the scale; evaluation of the conceptual, operational and item equivalence; evaluation of the semantic equivalence using the paired t test, the Pearson correlation coefficient and the intraclass correlation coefficient (ICC); internal consistency evaluation (Cronbach's alpha) and test-retest reliability (ICC) and Confirmatory Factor Analysis - after application in 340 college students in the area of health. The results showed good global internal consistency and reliability (α 0.85; CCI 0.83), and factor analysis showed that the original subscales can be kept in the adaptation, and therefore the scale adapted to the Brazilian-Portuguese version is valid and useful in studies to explore negative attitudes toward obese individuals.

Do Registered Dietitians, Nutrition Students, and Laypeople Perceive Individuals with Obesity Differently?

“…The AFAT, with 34 items, was applied in the three groups to measure negative attitudes towards individuals with obesity. The instrument was developed by Lewis (1997) [39] and adapted to Brazilian Portuguese by Obara and Alvarenga (2018) [40], who described the cross-cultural adaptation and validation. The three subscales are: (1) "Social and character depreciation" (15 items), ascribing socially undesirable personality characteristics and social disregard for PWO; (2) "physical/romantic unattractiveness" (10 items), reflecting perceptions that PWO are clumsy, unattractive and are unacceptable as romantic partners; and (3) "weight control/blame" (9 items) that assesses beliefs concerning whether PWO is responsible for their weight.…”

Translation and Validation of the Brazilian Portuguese Version of the Broad Conceptualization of Beauty Scale With Brazilian Women

“…Subscale items were summed, with higher scores indicating more negative attitudes toward fat people (i.e., greater antifat attitudes). Among Brazilian college students, structural validity of this subscale's scores was upheld via exploratory and confirmatory factor analysis, and its scores have evidenced internal consistency (a ¼ .72) and stability over a 1-month period (ICC ¼ .74) as well as conceptual, semantic, and operational equivalence (Obara & Alvarenga, 2018). Construct validity analyses have not yet been conducted on the Brazilian Portuguese AFAT.…”

Atitudes de enfermeiros de equipe da Saúde da Família em relação à obesidade

“…18 Aplicou-se também a Escala de Atitudes Antiobesidade (EAA), que foi desenvolvida por Lewis et al, 19 e, no Brasil, validada por Obara & Alvarenga. 20 A escala contempla 34 itens divididos em três subescalas: 1)…”

“…Dentre todos os itens, seis apresentam escala inversa. 19,20 Os questionários foram aplicados entre março e junho de 2019, na reunião mensal dos enfermeiros das eSF, a qual faz parte do calendário da Secretaria Municipal de Saúde e com seu conhecimento e consentimento prévio da coleta de dados. Para os enfermeiros não presentes no dia da reunião, realizou-se contato por telefone e/ou por e-mail para convidá-los a participar da pesquisa.…”