Journal of Youth and Adolescence

, Volume 43, Issue 10, pp 1770–1780 | Cite as

Weight-Related Teasing in the School Environment: Associations with Psychosocial Health and Weight Control Practices Among Adolescent Boys and Girls

  • Amy M. Lampard
  • Richard F. MacLehose
  • Marla E. Eisenberg
  • Dianne Neumark-Sztainer
  • Kirsten K. Davison
Empirical Research

Abstract

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.

Keywords

Weight-related teasing School Adolescent Weight control behavior Body dissatisfaction 

References

  1. Almeida, S., Severo, M., Araújo, J., Lopes, C., & Ramos, E. (2012). Body image and depressive symptoms in 13-year-old adolescents. Journal of Paediatrics and Child Health, 48, E165–E171.PubMedCrossRefGoogle Scholar
  2. Aminzadeh, K., Denny, S., Utter, J., Milfont, T. L., Ameratunga, S., Teevale, T., et al. (2013). Neighbourhood social capital and adolescent self-reported wellbeing in New Zealand: A multilevel analysis. Social Science and Medicine, 84, 13–21.PubMedCrossRefGoogle Scholar
  3. Bronfenbrenner, U. (1994). Ecological models of human development. International Encyclopedia of Education. Oxford: Elsevier.Google Scholar
  4. Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2013a). Body dissatisfaction from adolescence to young adulthood: Findings from a 10-year longitudinal study. Body Image, 10, 1–7.PubMedCrossRefGoogle Scholar
  5. Bucchianeri, M. M., Eisenberg, M. E., & Neumark-Sztainer, D. (2013b). Weightism, racism, classism, and sexism: Shared forms of harassment in adolescents. Journal of Adolescent Health, 53, 47–53.PubMedCrossRefPubMedCentralGoogle Scholar
  6. 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
  7. Carrera, M. V., DePalma, R., & Lameiras, M. (2011). Toward a more comprehensive understanding of bullying in school settings. Educational Psychology Review, 23, 479–499.CrossRefGoogle Scholar
  8. 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
  9. Eisenberg, M. E., Neumark-Sztainer, D., Haines, J., & Wall, M. (2006). Weight-teasing and emotional well-being in adolescents: Longitudinal findings from Project EAT. Journal of Adolescent Health, 38, 675–683.PubMedCrossRefGoogle Scholar
  10. Eisenberg, M. E., Wall, M., & Neumark-Sztainer, D. (2012). Muscle-enhancing behaviors among adolescent girls and boys. Pediatrics, 130, 1019–1026.PubMedCrossRefPubMedCentralGoogle Scholar
  11. Erikson, E. H. (1963). Childhood and Society. New York: Norton.Google Scholar
  12. Field, A. E., Aneja, P., Austin, S. B., Shrier, L. A., De Moor, C., & Gordon-Larsen, P. (2007). Race and gender differences in the association of dieting and gains in BMI among young adults. Obesity, 15, 456–464.PubMedCrossRefGoogle Scholar
  13. Goldfield, G., Moore, C., Henderson, K., Buchholz, A., Obeid, N., & Flament, M. (2010). The relation between weight-based teasing and psychological adjustment in adolescents. Paediatrics and Child Health, 15, 283–288.PubMedPubMedCentralGoogle Scholar
  14. Haines, J., Neumark-Sztainer, D., Eisenberg, M. E., & Hannan, P. J. (2006a). Weight teasing and disordered eating behaviors in adolescents: longitudinal findings from Project EAT (Eating Among Teens). Pediatrics, 117, e209–e215.PubMedCrossRefGoogle Scholar
  15. Haines, J., Neumark-Sztainer, D., Perry, C. L., Hannan, P. J., & Levine, M. P. (2006b). V.I.K. (Very Important Kids): a school-based program designed to reduce teasing and unhealthy weight-control behaviors. Health Education Research, 21, 884–895.PubMedCrossRefGoogle Scholar
  16. 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
  17. Juvonen, J., Wang, Y., & Espinoza, G. (2011). Bullying experiences and compromised academic performance across middle school grades. Journal of Early Adolescence, 31, 152–173.CrossRefGoogle Scholar
  18. Kandel, D. B., & Davies, M. (1982). Epidemiology of depressive mood in adolescents: an empirical study. Archives of General Psychiatry, 39, 1205–1212.PubMedCrossRefGoogle Scholar
  19. Kuczmarski, R., Ogden, C., Grummer-Strawn, L., Flegal, K., Guo, S., Wei, R., et al. (2000). CDC growth charts: United States. Advance Data, 314, 1–27.PubMedGoogle Scholar
  20. Kumar, R., O’Malley, P. M., Johnston, L. D., Schulenberg, J. E., & Bachman, J. G. (2002). Effects of school-level norms on student substance use. Prevention Science, 3, 105–124.PubMedCrossRefGoogle Scholar
  21. Lynch, W. C., Heil, D. P., Wagner, E., & Havens, M. D. (2008). Body dissatisfaction mediates the association between body mass index and risky weight control behaviors among White and Native American adolescent girls. Appetite, 51, 210–213.PubMedCrossRefPubMedCentralGoogle Scholar
  22. McVey, G., Tweed, S., & Blackmore, E. (2005). Correlates of weight loss and muscle-gaining behavior in 10- to 14-year-old males and females. Preventive Medicine, 40, 1–9.PubMedCrossRefGoogle Scholar
  23. McVey, G., Tweed, S., & Blackmore, E. (2007). Healthy Schools-Healthy Kids: A controlled evaluation of a comprehensive universal eating disorder prevention program. Body Image, 4, 115–136.PubMedCrossRefGoogle Scholar
  24. Menzel, J. E., Schaefer, L. M., Burke, N. L., Mayhew, L. L., Brannick, M. T., & Thompson, J. K. (2010). Appearance-related teasing, body dissatisfaction, and disordered eating: A meta-analysis. Body Image, 7, 261–270.PubMedCrossRefGoogle Scholar
  25. Neumark-Sztainer, D., Falkner, N., Story, M., Perry, C., Hannan, P. J., & Mulert, S. (2002a). Weight-teasing among adolescents: Correlations with weight status and disordered eating behaviors. International Journal of Obesity, 26, 123–131.CrossRefGoogle Scholar
  26. Neumark-Sztainer, D., Story, M., Hannan, P. J., et al. (2002b). Overweight status and eating patterns among adolescents: Where do youths stand in comparison with the Healthy People 2010 Objectives? American Journal of Public Health, 92, 844–851.PubMedCrossRefPubMedCentralGoogle Scholar
  27. Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M. (2006). Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: How do dieters fare 5 years later? Journal of the American Dietetic Association, 106, 559–568.PubMedCrossRefGoogle Scholar
  28. Neumark-Sztainer, D., Wall, M., Larson, N., Story, M., Fulkerson, J. A., & Eisenberg, M. E. (2012a). Secular trends in weight status and weight-related attitudes and behaviors in adolescents from 1999-2010. Preventive Medicine, 54, 77.PubMedCrossRefPubMedCentralGoogle Scholar
  29. Neumark-Sztainer, D., Wall, M., Story, M., & Standish, A. R. (2012b). Dieting and unhealthy weight control behaviors during adolescence: Associations with 10-year changes in body mass index. Journal of Adolescent Health, 50, 80–86.PubMedCrossRefPubMedCentralGoogle Scholar
  30. 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
  31. Puhl, R. M., Luedicke, J., & Heuer, C. (2011). Weight-based victimization toward overweight adolescents: Observations and reactions of peers. Journal of School Health, 81, 696–703.PubMedCrossRefGoogle Scholar
  32. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.Google Scholar
  33. 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
  34. 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
  35. Smolak, L., Levine, M. P., & Scherme, F. (1998). A controlled evaluation of an elementary school primary prevention program for eating problems. Journal of Psychosomatic Research, 44, 339–353.PubMedCrossRefGoogle Scholar
  36. Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53, 985–993.PubMedCrossRefGoogle Scholar
  37. Stice, E., Marti, C. N., & Durant, S. (2011). Risk factors for onset of eating disorders: Evidence of multiple risk pathways from an 8-year prospective study. Behaviour Research and Therapy, 49, 622–627.PubMedCrossRefPubMedCentralGoogle Scholar
  38. Swearer, S. M., Song, S. Y., Cary, P. T., Eagle, J. W., & Mickelson, W. T. (2001). Psychosocial correlates in bullying and victimization: The relationship between depression, anxiety, and bully/victim status. Journal of Emotional Abuse, 2, 95–121.CrossRefGoogle Scholar
  39. Thompson, J. K., & Stice, E. (2001). Thin-ideal internalization: mounting evidence for a new risk factor for body-image disturbance and eating pathology. Current Directions in Psychological Science, 10, 181–183.CrossRefGoogle Scholar
  40. Ttofi, M. M., & Farrington, D. P. (2011). Effectiveness of school-based programs to reduce bullying: a systematic and meta-analytic review. Journal of Experimental Criminology, 7, 27–56.CrossRefGoogle Scholar
  41. 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
  42. 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
  43. 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
  44. Wang, J., Iannotti, R. J., & Nansel, T. R. (2009). School bullying among adolescents in the United States: physical, verbal, relational, and cyber. Journal of Adolescent Health, 45, 368–375.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Amy M. Lampard
    • 1
  • Richard F. MacLehose
    • 2
  • Marla E. Eisenberg
    • 2
    • 3
  • Dianne Neumark-Sztainer
    • 2
  • Kirsten K. Davison
    • 1
  1. 1.Department of NutritionHarvard School of Public HealthBostonUSA
  2. 2.Division of Epidemiology and Community Health, School of Public HealthUniversity of MinnesotaMinneapolisUSA
  3. 3.Division of General Pediatrics and Adolescent Health, Department of PediatricsUniversity of MinnesotaMinneapolisUSA

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