Weight-Related Teasing in the School Environment: Associations with Psychosocial Health and Weight Control Practices Among Adolescent Boys and Girls
- 1.9k Downloads
Weight-related teasing has been found to be associated with low self-esteem, depressive symptoms, body dissatisfaction, and weight control behaviors in adolescents. While research has typically examined weight-related teasing directed towards the individual, little is known about weight-related teasing at the school level. This study aimed to determine the association between the school-level prevalence of weight-related teasing and psychosocial factors, body dissatisfaction and weight control behaviors in adolescents. Adolescents (N = 2,793; 53.2 % female) attending 20 US public middle and high schools were surveyed as part of the Eating and Activity in Teens (EAT) 2010 study. Generalized estimating equations were used to estimate the association between school-level weight-related teasing and health variables, controlling for individual-level weight-related teasing, clustering of individuals within schools, and relevant covariates. A greater school-level prevalence of weight-related teasing was associated with lower self-esteem and greater body fat dissatisfaction in girls, and greater depressive symptoms in boys, over and above individual-level weight-related teasing. Dieting was associated with the school-level prevalence of weight-related teasing in analysis adjusted for covariates in girls, but not following adjustment for individual-level weight-related teasing. Unhealthy weight control behaviors, extreme weight control behaviors, and muscle-enhancing behaviors were not associated with the school-level prevalence of weight-related teasing in girls or boys. Findings from the current study, in conjunction with previous findings showing associations between weight-related teasing, psychological concerns, and weight control behaviors, highlight the importance of implementing strategies to decrease weight-related teasing in schools.
KeywordsWeight-related teasing School Adolescent Weight control behavior Body dissatisfaction
This study was supported by Grant Number R01HL084064 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health.
All authors participated in study design, data interpretation and provided critical comments on the manuscript. In addition, AL conceptualized the research questions and drafted and revised the manuscript, RM conducted statistical analysis, and DNS obtained funding for the study and supervised the acquisition of data. All authors read and approved the final manuscript.
- Bronfenbrenner, U. (1994). Ecological models of human development. International Encyclopedia of Education. Oxford: Elsevier.Google Scholar
- Bucchianeri, M. M., Eisenberg, M. E., Wall, M. M., Piran, N., & Neumark-Sztainer, D. (in press). Multiple types of harassment: Associations with emotional well-being and unhealthy behaviors in adolescents. Journal of Adolescent Health.Google Scholar
- Eaton, D., Kann, L., Kinchen, S., Shanklin, S., Flint, K., Hawkins, J., et al. (2012). Youth risk behavior surveillance: United States, 2011. Morbidity and Mortality Weekly Report, 61, 1–162.Google Scholar
- Erikson, E. H. (1963). Childhood and Society. New York: Norton.Google Scholar
- Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2004). Body image and the appearance culture among adolescent girls and boys: An examination of friend conversations, peer criticism, appearance magazines, and the internalization of appearance ideals. Journal of Adolescent Research, 19, 323–339.CrossRefGoogle Scholar
- Piscatelli, J., & Lee, C. (2011). State policies on school climate and bully prevention efforts: Challenges and opportunities for deepening state policy support for safe and civil schools. New York, NY: National School Climate Center.Google Scholar
- Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.Google Scholar
- Rubin, K. H., Bukowski, W. M., & Parker, J. G. (2006). Peer interactions, relationships, and groups. In N. Eisenberg, W. M. Bukowski, & R. M. Lerner (Eds.), Handbook of child psychology (pp. 571–645). Hoboken, NJ: Wiley.Google Scholar
- Smolak, L. (2012). Appearance in childhood and adolescence. In N. Rumsey & D. Harcourt (Eds.), Oxford handbook of the psychology of appearance (pp. 123–141). Oxford: Oxford University Press.Google Scholar
- Ttofi, M. M., Farrington, D. P., Lösel, F., & Loeber, R. (2011). Do the victims of school bullies tend to become depressed later in life? A systematic review and meta-analysis of longitudinal studies. Journal of Aggression, Conflict and Peace Research, 3, 63–73.Google Scholar
- Van Dale, K.G. (2007). The roles of teasing and social support in adolescent internalizing and externalizing outcomes. AAI3260792, Wayne State University. ProQuest Social Sciences Premium Collection database.Google Scholar
- van den Berg, P. A., Mond, J., Eisenberg, M., Ackard, D., & Neumark-Sztainer, D. (2010). The link between body dissatisfaction and self-esteem in adolescents: Similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. Journal of Adolescent Health, 47, 290–296.PubMedCrossRefPubMedCentralGoogle Scholar