The effect of weight-related self-stigma on sexual functioning in obese women with type 2 diabetes

Ahmet Sanli, Demet Celik

Abstract

This study aims to determine the relationship between weight-related self-stigma and sexual function in obese women with type 2 diabetes. This is a descriptive correlational study. The study reached 236 women through social media between December 2023 and April 2024. In data collection, a descriptive information form, the Weight Self-Stigma Questionnaire (WSSQ), and the Female Sexual Function Inventory (FSFI). The mean total score of the women on the Weight Self-Stigma Questionnaire was 32.78±10.00 and the mean total score on the Female Sexual Function Inventory was 22.38±4.08. Sexual dysfunction was identified in 70.8% of the women. We found that women with type 2 diabetes exhibited high levels of weight-related self-stigma and sexual dysfunction. Additionally, the findings indicated a negative correlation between self-devaluation and fear of enacted stigma and lubrication and sexual pain. However, self-stigma about weight and sexual dysfunction were not significantly related. It is recommended to determine the prevalence of weight bias and sexual dysfunctions among obese women with diabetes, and to provide adequate support by health professionals, in order to prevent negative effects on their mental health and sexual functions.

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References

Aygün N. Obesity definition, complications, endocrine

control and nutritional therapy. Okmeydanı

Medicine Journal, 2014; 30: 45-49. 12.

Obesity Diagnosis and Treatment Guide. Turkish Society

of Endocrinology and Metabolism. 8th Edition.

Istanbul Medical Press, 2019; ISBN: 978-605-4011-

-5.

Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S,

Dinccag N, Karsidag K, Genc S, Telci A, Canbaz A,

Turker F, Yilmaz T, Cakir B and Toomilehto J.

TURDEP-II Study Group. Twelve-year trends in the

prevalence and risk factors of diabetes and

prediabetes in Turkish adults. Eur J Epidemiol.,

; 28: 169-180.

Uçar A and Tamer A. Retrospective analysis of

demographic, anthropometric, clinical and

laboratory data at the time of first application of all

cases applying to the diabetes outpatient clinic.

IAAOJ Health Sciences, 2022; 8 (1): 1-16.

Hu G, Lınstrom J, Valle TT, Erıksson JG, Jousılahtı P,

Sılventoınen K, Qiao Q and Toumilehto J. Physical

activity, body mass 58 index, and risk of Type 2

diabetes in patients with normal or imparied glucose

regulation. Arch Intern Med., 2004; 164(8): 892-896.

Hain B, Langer L, Hünnemeyer K, Rudofsky G, Zech U

and Wild B. Translation and validation of the

German version of the Weight Self-Stigma

Questionnaire (WSSQ). Obes Surg, 2015; 25: 750–

https://doi.org/ 10.1007/s11695-015-1598-6.

Lin KP and Lee ML. Validating a Chinese version of the

Weight self-stigma questionnaire for use with obese

adults. Int J Nurs Pract., 2017; 23 (4): 1-7.

https://doi.org/10.1111/ijn.12537.

Ratcliffe D and Ellison N. Obesity and internalized weight

stigma: A formulation model for an emerging

psychological problem. Behavioural and cognitive

psychotherapy, 2015; 43(2): 239-252.

Sulamiş N and Yıldırım Varışoğlu Y. Determining the

relationship between body perception and sexual

satisfaction scores of women with type 2 diabetes.

IGUSABDER, 2023; 1 (20): 549-567.

Kolotkin RL, Binks M, Crosby RD, Qstby T, Gress RE

and Adams TD. Obesity and sexual quality of life.

Obesity (Silver Spring), 2006; 14: 472-9

Esposito K, Ciotola M, Giugliano F, Bisogni C,

Schisano B, Autorino R, Cobellis L, Sio MD,

Colacurci N and Giugliano D. Association of body

weight with sexual function in women. Int J Impot

Res, 2007; 19: 353-7. 27.

Güç H and Mutlu HH. Comparison of the frequency of

sexual dysfunction in obese and non-obese women.

Zeynep Kamil Medical Bulletin, 2020; 51(4): 186-

Lillis J, Luoma J, Levin M and Hayes S. Measuring

weight self-stigma: the weight self-stigma

questionnaire, Obesity, 2010; 18 (5): 971-976.

Sevinçer GM, Kaya A, Bozkurt S, Akin E and Köse S.

Reliability, validity, and factorial structure of the

Turkish version of the weight self-stigma

questionnaire (Turkish WSSQ), Psychiatry and

Clinical Psychopharmacology, 2017; 27 (4): 386-

Aygin D and Aslan F. Adaptation of the Female Sexual

Function Scale to Turkish. Turkiye Klin J Med Sci.,

; 25 (3): 393–9.

Yılmaz E and Aksoy M. Determination of relationship of

nursing students’ ınternalized weight bias,

depression and eating behavior. Journal of Hacettepe

University Faculty of Nursing, 2018; 5(3): 220-229.

Farhangi MA, Emam-Alizadeh M, Hamedi F and

Jahangiry L. Weight self-stigma and its association

with quality of life and psychological distress among

overweight and obese women. Eat Weight Disord.,

; 22: 451–456.

Lillis J, Thomas J, Olson K and Wing R. Weight selfstigma and weight loss during behavioural weight

loss ıntervention, Obesity Science & Practice, 2019;

(1): 21-27.

Khodari BH, Shami MO, Shajry RM, Shami JA, Names

AA, Alamer AA, Moafa AM, Hakami RO,

Almuhaysin GA and Alqassim AY. The relationship

between weight self-stigma and quality of life among

youth in the jazan region, Saudi Arabia. Cureus,

; 13(9), e18158. DOI 10.7759/cureus.18158

Dilsiz NB and Arslan S. Investigation of the relationship

between weight self-stigma, emotional eating, and

diet satisfaction in obese individuals. Eur Res J,

; 9(2): 407-415. DOI: 10.18621/eurj.1250216

Altınayak SÖ and Abukan B. Examining the effect of

weight self-stigma on attitudes toward sexuality

during pregnancy using structural equation

modeling. African Journal of Reproductive Health,

; 27(9): 87. DOI: 10.29063/ajrh2023/v27i9.9

Towe M, La J, El-Khatib F, Roberts N, Yafi FA and Rubin

R. Diet and female sexual health. Sex Med Rev.,

; 8(2): 256–264. doi:10.1016/j.

sxmr.2019.08.004

Ferrández Infante A, Novella Arribas B, Khan KS,

Zamora J, Lopez Jurado AR, Pasero MF and

Fernandez CS. Obesity and female sexual

dysfunctions: A systematic review of prevalence

with meta-analysis. Semergen, 2023; 49(7): 102022.

doi:10.1016/j. semerg.2023.102022 40.

Bialorudzki M, Mazur J, Haczyński J, Kozakiewicz A and

Izdebski Z. Body weight and the assessment of

sexual life a cross-sectional study. Ann Agric

Environ Med., 2024; 31(2): 212–218. doi:

26444/aaem/173221

Kolotkin R L, Zunker C and Østbye T. Sexual functioning

and obesity: A review. Obesity, 2012; 20: 2325–

doi: 10.1038/oby.2012.104

Aversa A, Bruzziches R, Francomano D, Greco EA, Violi

F, Lenzi A and Donini LM. Weight loss by

multidisciplinary intervention improves endothelial

and sexual function in obese fertile women. J. Sex.

Med. 2013; 10: 1024–1033. doi: 10.1111/jsm.1 2069

Syed AH, Chandnani A, Khan A, Bhutto NS, Tahir H,

Iqbal A, Aruwani SK, Naz S and Bachani P.

Association of weight loss with improved sexual

function in females. Cureus, 2021; 13:e16849. doi:

7759/cureus.16849

Abdelsamea GA, Amr M, Tolba AMN, Elboraie HO,

Soliman A, Al-Amir Hassan B, Ali F and Osman

DA. Impact of weight loss on sexual and

psychological functions and quality of life in females

with sexual dysfunction: A forgotten avenue. Front.

Psychol. 2023; 14:1090256. doi:

3389/fpsyg.2023.1090256

Karakaş Uğurlu G and Uğurlu M. The prevalence of

sexual dysfunctions in women with diabetes and ıts

relationship with diabetic and demographic factors: a

meta-analysis and meta-regression study. Ankara

Medical Journal, 2020; 20(4): 798–813.

Rahmanian E, Salari N, Mohammadi M and Jalali R.

Evaluation of sexual dysfunction and female sexual

dysfunction indicators in women with type 2

diabetes: a systematic review and meta-analysis.

Diabetology & Metabolic syndrome, 2019; 11(1):73.

Giraldi A and Kristensen E. Sexual dysfunction in women

with diabetes mellitus. The Journal of Sex Research,

; 47(2-3): 199-211.

doi:10.1080/0022449100363283.

Pontiroli AE, Cortelazzi D and Morabito A. Female

sexual dysfunction and diabetes: a systematic review

and meta‐analysis. The Journal of Sexual Medicine,

; 10(4): 1044-51.

doi:https://doi.org/10.1111/jsm.12065.

Afshari P, Yazdizadeh S, Abedi P and Rashidi H. The

relation of diabetes type 2 with sexual function

among reproductive age women in İran, a casecontrol study. Advances in Medicine, 2017; 5: 1–5.

https://doi.org/10.1155/2017/4838923 196-204

Veyhe AS, Andreassen J, Halling J, Grandjean P,

Skaalum Petersen M and Weihe P. Prevalence of

prediabetes and type 2 diabetes in two non-random

populations aged 44–77 years in the Faroe Islands.

Journal of Clinical & Translational Endocrinology,

; 16: 100187.

https://doi.org/10.1016/j.jcte.2019.100187.

Yenice M G, Danacıoğlu YO, Mert M, Karakaya P, Seker

KG, Akkaş F, Şimşek A, Şahin S and Taşçı, A. I.

Evaluation of factors affecting sexual dysfunction in

female patients with diabetes mellitus. Archives of

Endocrinology and Metabolism, 2020; 64(3): 319-

https://doi.org/10.20945/2359-3997000000238

Köse Tuncer S, Atalıkoğlu Başkan S, Karakurt P and

Güneş D. The relationship between marital

adjustment and sexual life quality in diabetic women.

Kırşehir Ahi Evran University Journal of Health

Sciences, 2023; 7(3)

Jannini EA. The interface of systems medicine and sexual

medicine for facing non-communicable diseases in a

genderdependent manner. Sex Med Rev., 2017; 5(3):

–364. doi:10.1016/j. sxmr.2017.04.002

Bajos N, Wellings K, Laborde C and Moreau C. Sexuality

and obesity, gender perspective: results from French

national random probability survey of sexual

behaviour. BMJ, 2010; 340, 1-9.

Wallwiener S, Strohmaier J, Wallwiener LM, Schönfisch

B, Zipfel S, Brucker SY, Rietschel M amd

Wallwiener C. Sexual function is correlated with

body image and partnership quality in female

university students. Journal of Sexual Medicine,

; 13(Suppl.10): 1530-1538.

Küçük N, Mecdi Kaydırak M, Aydın Bilge Ç and Hotun

Şahin N. The effect of obesity on self-esteem and

sexuality in women. Anatolian Journal of Psychiatry,

; 19(2): 126-134.

Faubion SS, Fairbanks F, Kuhle CL, Sood R, Kling JM,

Vencill JA, Mara KC and Kapoor E. Association

Between Body Mass Index and Female Sexual

Dysfunction: A Cross-sectional Study from the Data

Registry on Experiences of Aging, Menopause, and

Sexuality. J Sex Med., 2020; 17(10): 1971–1980.

doi:10.1016/j.jsxm.2020.07.004

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