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Chapter 2 - Anti-Fat Microaggression Experiences Questionnaire (AFMEQ)

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Virginia Ramseyer Winter
Affiliation:
University of Minnesota
Tracy L. Tylka
Affiliation:
Ohio State University
Antoinette M. Landor
Affiliation:
University of Missouri
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Summary

The 32-item Anti-Fat Microaggression Experiences Questionnaire (AFMEQ; Webb et al., 2019) assesses contemporary forms of weight bias that individuals living in larger bodies routinely confront. The AFMEQ can be administered online or in person to older adolescents and adults and has not been validated for use in younger populations. It is free to use in research settings. This chapter first discusses the development of the AFMEQ and then provides evidence of its psychometrics. More specifically, the AFMEQ has been found to have a four-factor structure within exploratory factor analyses (Micro-Assault, Micro-Insult, Micro-Invalidation, and Media-Influenced Microaggression), aligning with the original microaggression framework but adding a novel recognition of the influence of media in promulgating oppressive stereotypes denigrating higher-weight individuals. Internal consistency reliability, test-retest reliability, convergent validity, discriminant validity, and incremental validity support the use of the AFMEQ. Next, this chapter provides the AFMEQ items in their entirety, instructions for administering the AFMEQ to participants, the item response scale, and the scoring procedure. Abbreviated forms are not offered, and no known translations are currently available. Logistics of use, such as permissions, copyright, and contact information, are provided for readers.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Durso, L. E., & Latner, J. D. (2008). Understanding self-directed stigma: Development of the Weight Bias Internalization Scale. Obesity, 16, S80S86. https://doi.org/10.1038/oby.2008.448.CrossRefGoogle ScholarPubMed
Lillis, J., Luoma, J. B., Levin, M. E., & Hayes, S. C. (2010). Measuring weight self-stigma: The Weight Self-Stigma Questionnaire. Obesity, 18, 971976. https://doi.org/10.1038/oby.2009.353.CrossRefGoogle ScholarPubMed
Myers, A., & Rosen, J. C. (1999). Obesity stigmatization and coping: Relation to mental health symptoms, body image, and self-esteem. International Journal of Obesity and Related Metabolic Disorders, 23, 221230. https://doi.org/10.1038/sj.ijo.0800765.CrossRefGoogle ScholarPubMed
O’Neill, E. A., Trout, K., & Ramseyer Winter, V. (2023). Relationships between experiencing anti-fat microaggressions, body appreciation, and perceived physical and mental health. Journal of Health Psychology, 28, 107118. https://doi.org/10.1177/13591053221103421.CrossRefGoogle ScholarPubMed
Singh, R. S., Bhambhani, Y., Skinta, M. D., & Torres-Harding, S. R. (2021). Measurement of intersectional microaggressions: Conceptual barriers and recommendations. Perspectives on Psychological Science, 16, 956971. https://doi.org/10.1177/1745691621991855.CrossRefGoogle ScholarPubMed
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M. B., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62, 271286. https://doi.org/10.1037/0003-066X.62.4.271.CrossRefGoogle ScholarPubMed
Vartanian, L. R. (2015). Development and validation of a brief version of the Stigmatizing Situations Inventory. Obesity Science & Practice, 1, 119125. https://doi.org/10.1002/osp4.11.CrossRefGoogle ScholarPubMed
Webb, J. B., Reeve, C., Etzel, L., Papay, K., Hardin, A., & Taylor, J. (2019). The Weight-related Microaggression Experiences Questionnaire (WRMEQ): Item development and initial evaluation. Poster presented at the American Psychosomatic Society’s 77th Annual Scientific Meeting, Vancouver, BC, Canada.Google Scholar
Webb, J. B., Etzel, L., Reeve, C., & Hardin, A. (2023). Psychometric Refinement of the Anti-fat Microaggression Experiences Questionnaire. Unpublished data.Google Scholar

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