Abstract
Using a sample of 7,881 African American (915 males and 1,073 females) and White (2,864 males and 3,029 females) adolescents from Waves 1 and 3 of the National Longitudinal Study of Adolescent Health, this study examined the psychosocial consequences that obese adolescents encounter as they reach young adulthood. Results indicate that obesity among adolescent females is associated with a lower status attainment in young adulthood than normal weight adolescent females. In addition, obese adolescent females have more depressive symptoms in young adulthood than normal weight females, even after controlling for prior depressive symptoms in adolescence. Obesity status among adolescent males is not associated with poorer psychosocial outcomes in young adulthood. We did not find evidence of an interaction between obesity status and race, indicating no significant differences in psychosocial outcomes for obese White compared to obese African American adolescents.
Similar content being viewed by others
References
American Obesity Association. (2002). American obesity association fact sheets. Washington, DC.
Anderson, S. E., Cohen, P., Naumova, E. N., & Must, A. (2006). Association of depression and anxiety disorders with weight change in a prospective community-based study of children followed up into adulthood. Archives of Pediatrics & Adolescent Medicine, 160, 285–291.
Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.
Averett, S., & Korenman, S. (1999). Black-white differences in social and economic consequences of obesity. International Journal of Obesity, 23, 166–173.
Ball, K., Crawford, D., & Kenardy, J. (2004). Longitudinal relationships among overweight, life satisfaction, and aspirations in young women. Obesity Research, 12(6), 1019–1030.
Baumrind, D. (1966). Effects of authoritative parental control on child behavior. Child Development, 37(4), 887–907.
Benton, D. (2004). Role of parents in the determination of the food preferences of children and the development of obesity. International Journal of Obesity, 28, 858–869.
Black, S. A. (2002). Diabetes, diversity, and disparity: What do we do with the evidence? American Journal of Public Health, 92(4), 543–548.
Braungart-Reiker, J., & Bergeman, C. S. (1999). Behavioral genetics and health across the lifespan. In T. Whitman, T. Merluzzi, & R. White (Eds.), Psychology and Medicine (pp. 47–65). Hillsdale, NJ: Erlbaum.
Canning, H., & Majer, J. (1966). Obesity-its possible effect on college acceptance. New England Journal of Medicine, 275, 1172–1174.
Centers for Disease Control. (2000). 2000 CDC growth charts: United States. Assessed from http://www.cdc.gov/growthcharts.
Cottrell, C. A., & Neuberg, S. L. (2005). Differential emotional reactions to different groups: A socio-functional threat-based approach to “prejudice.” Journal of Personality and Social Psychology, 88(5), 770–789.
Crosnoe, R. (2007). Gender, obesity, and education. Sociology of Education, 80, 241–260.
Crosnoe, R., & Muller, C. (2004). Body mass index, academic achievement, and school context: Examining the educational experiences of adolescents at risk of obesity. Journal of Health and Social Behavior, 45, 393–407.
Dietz, W. H., & Robinson, T. N. (1998). Use of body mass index (BMI) as a measure of overweight in children and adolescents. Journal of Pediatrics, 132, 191–193.
Ding, C., & Bornhop, J. (2005). Overweight and school: Are there any perceived achievement consequences of overweight among american youth? Journal of Social Sciences, 1(2), 118–133.
Douma, S. L., Husband, C., O’Donnell, M. E., Barwin, B. N., & Woodend, A. K. (2005). Estrogen-related mood disorders: Reproductive life cycle factors. Advances in Nursing Science, 28(4), 364–375.
Ferraro, K. F., & Kelley-Moore, J. A. (2003). Cumulative disadvantage and health: Long-term consequences of obesity? American Sociological Review, 68, 707–729.
Flanagan, S. A. (1996). Obesity: The last bastion of prejudice. Obesity Surgery, 6, 430–437.
Forehand, R., Biggar, H., & Kotchick, B. A. (1998). Cumulative risk across family stressors: Short- and long-term effects for adolescents. Journal of Abnormal Child Psychology, 26(2), 119–128.
Franko, D. L., Striegel-Moore, R. H., Thompson, D., Schreiber, G. B., & Daniels, S. R. (2005). Does adolescent depression predict obesity in black and white young adult women? Psychological Medicine, 35, 1505–1513.
Friedman, M. A., & Brownell, K. D. (1995). Psychological correlates of obesity: Moving to the next research generation. Psychological Bulletin, 117, 3–20.
Friedman, K. E., Reichmann, S. K., Costanzo, P. R., Zelli, A., Ashmore, J. A., & Musante, G. J. (2005). Weight stigmatization and ideological beliefs: Relation to psychological functioning in obese adults. Obesity Research, 13(5), 907–916.
Gabriel, P. E., & Schmitz, S. (2007). Gender differences in occupational distributions among workers. Monthly Labor Review, 130(6), 19–24.
Garibaldi, A. M. (1997). Four decades of progress… and decline: An assessment of African American educational attainment. The Journal of Negro Education, 66(2), 105–120.
Ge, X., Elder, G. H. Jr, Regnerus, M., & Cox, C. (2001). Pubertal transitions, perceptions of being overweight, and adolescents’ psychological maladjustment: Gender and ethnic differences. Social Psychology Quarterly, 64(4), 363–375.
Goodman, E., & Whitaker, R. C. (2002). A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics, 109(3), 497–504.
Gortmaker, S. L., Must, A., Perrin, J. M., Sobol, A. M., & Dietz, W. H. (1993). Social and economic consequences of overweight in adolescence and young adulthood. New England Journal of Medicine, 329, 1008–1012.
Guo, S. S., Wu, W., Chumlea, W. C., & Roche, A. F. (2002). Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. American Journal of Clinical Nutrition, 76(3), 653–658.
Harris, M. B., Walters, L. C., & Waschull, S. (1991). Gender and ethnic differences in obesity-related behaviors and attitudes in a college sample. Journal of Applied Social Psychology, 21(19), 1545–1566.
Hill, J. O., Catenacci, V., & Wyatt, H. R. (2005). Obesity: Overview of an epidemic. Psychiatric Clinics of North America, 28, 1–38.
Himes, C. L., & Reynolds, S. L. (2005). The changing relationship between obesity and educational status. Gender Issues, 22(2), 45–57.
Holmbeck, G. N. (2002). Post-hoc probing of significant moderational and meditational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87–96.
Kenkel, D., Lillard, D., & Mathios, A. (2006). The roles of high school completion and GED receipt in smoking and obesity. Journal of Labor Economics, 24(3), 635–660.
Lin, N. (1999). Social networks and status attainment. Annual Review of Psychology, 25, 467–487.
Malina, R. M., & Katzmarzyk, P. T. (1999). Validity of the body mass index as an indicator of the risk and presence of overweight in adolescents. American Journal of Clinical Nutrition, 70(1), 131S–136S.
McNabb, R., Pal, S., & Sloane, P. (2002). Gender differences in educational attainment: The case of university students in England and Wales. Economics, 69, 481–503.
Mueller, T. I., Leon, A. C., Keller, M. B., Solomon, D. A., Endicott, J., & Coryell, W., et al. (1999). Recurrence after recovery from major depressive disorder during 15 years of observational follow-up. American Journal of Psychiatry, 156(7), 1000–1006.
Mustillo, S., Worthman, C., Erkanli, A., Keeler, G., Angold, A., & Costello, E. J. (2003). Obesity and psychiatric disorder: Developmental trajectories. Pediatrics, 111(4), 851–859.
Nayga, R. M. Jr. (2000). Schooling, health knowledge and obesity. Applied Economics, 32(7), 815–828.
Needham, B. L., & Crosnoe, R. (2005). Overweight status and depressive symptoms during adolescence. Journal of Adolescent Health, 36(1), 48–55.
Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295(13), 1549–1555.
Patock-Peckham, J. A., Cheong, J., Balhorn, M. E., & Nagoshi, C. T. (2001). A social learning perspective: A model of parenting styles, self-regulation, perceived drinking control, and alcohol use and problems. Alcoholism: Clinical and Experimental Research, 25(9), 1284–1292.
Pearce, M. J., Boergers, J., & Prinstein, M. J. (2002). Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obesity Research, 10(5), 386–393.
Pronk, N., Martinson, B., Kessler, R., Beck, A. L., Simon, G. E., & Wang, P. (2004). The association between work performance and physical activity, cardiorespiratory fitness, and obesity. Journal of Occupational & Environmental Medicine, 46(1), 19–25.
Radloff, L. S. (1977). The CES-D scale: A self-report depressive symptoms scale for research in the general population. Applied Psychological Measurement, 1, 385–401.
Radloff, L. S. (1991). The use of the center for epidemiology studies of depressive symptoms scale in adolescents and young adults. Journal of Youth and Adolescence, 20, 149–166.
Register, C. A., & Williams, D. R. (1990). Wage effects of obesity among young workers. Social Science Quarterly, 71, 130–141.
Roberts, R. E., Deleger, S., Strawbridge, W. J., Kaplan, G. A. (2003). Prospective association between obesity and depression: Evidence from the Alameda county study. International Journal of Obesity, 27, 514–521.
Roehling, M. V. (2002). Weight discrimination in the American workplace: Ethical issues and analysis. Journal of Business Ethics, 40(2), 177–189.
Roehling, M. V., Roehling, P. V., & Pichler, S. (2007). The relationship between body weight and perceived weight-related employment discrimination: The role of sex and race. Journal of Vocational Behavior, 71, 300–318.
Rogge, M. M., Greenwald, M., & Golden, A. (2004). Obesity, stigma, and civilized oppression. Advances in Nursing Science, 27(4), 301–315.
Sacco, W. P. (1999). A social-cognitive model of interpersonal processes in depression. In T. Joiner & J. C. Coyne (Eds.) The interactional nature of depression: Advances in interpersonal approaches (pp. 329–362). Washington, DC: American Psychological Association.
Sargent, J. D., & Blachflower, D. G. (1994). Obesity and stature in adolescence and earning in young adulthood. Archives of Pediatrics & Adolescent Medicine, 148, 681–687.
Sarlio-Lahteenkorva, S., & Lahelma, E. (1999). The association of body mass index with social and economic disadvantage in women and men. International Journal of Epidemiology, 28, 445–449.
Sobolewski, J. M., & Amato, P. R. (2005). Economic hardship in the family of origin and children’s psychological well-being in adulthood. Journal of Marriage and Family, 67(1), 141–157.
Stunkard, A. J., Faith, M. S., & Allison, K. C. (2003). Depression and obesity. Society of Biological Psychiatry, 54, 330–337.
The World Health Report. (2002). Reducing risks, promoting healthy life. Chapter 4: Quantifying selected major risks to health.
Tunceli, K, Li, K., & Williams, L. K. (2006). Long-term effects of obesity on employment and work limitations among U.S. adults, 1986–1999. Obesity, 14(9), 1637–1646.
Viner, R. M., & Cole, T. J. (2005). Adult socioeconomic, educational, social, and psychological Outcomes of childhood obesity: A national birth cohort study. British Medical Journal, 330(7504), 1354–1369.
Wadden, T. A., & Stunkard, A. J. (1985). Social and psychological consequences of obesity. Annals of Internal Medicine, 103, 1062–1067.
Wadden, T. A., Sarwer, D. B.,Womble, L. G., Foster, G. D., McGuckin, B. G., & Schimmel, A. (2001). Psychosocial aspects of obesity and obesity surgery. Surgery Clinics of North America, 81(5), 1001–1024.
Weinberg, D. H. (2007). Earnings by gender: Evidence from census 2000. Monthly Labor Review, 130(7 & 8), 26–34.
White, M. A., O’Neil, P. M., Kolotkin, R. L., & Byrne, T. K. (2004). Gender, race, and obesity-related quality of life at extreme levels of obesity. Obesity Research, 12(6), 949–955.
Zetlin, M. (1988). Sizable problems. Savvy Manager, 22–24.
Acknowledgments
This research is based on data from the Add Health Project, a program project designed by J. Richard Udry (principal investigator) and Peter Bearman and funded by grant P01-HD31921 from the National Institute of Child Health and Human Development to the Carolina Population Center, University of North Carolina at Chapel Hill, with cooperative funding participation by the National Cancer Institute; the National Institute of Alcohol Abuse and Alcoholism; the National Institute on Deafness and Other Communication Disorders; the National Institute on Drug Abuse; the National Institute of General Medical Sciences; the National Institute of Mental Health; the National Institute of Nursing Research; the Office of AIDS Research, National Institutes of Health (NIH); the Office of Behavior and Social Science Research, NIH; the Office of the Director, NIH; the Office of Research on Women’s Health, NIH; the Office of Population Affairs, Department of Health and Human Services (DHHS); the National Center for Health Statistics, Centers for Disease Control and Prevention, DHHS; the Office of Minority Health, Centers for Disease Control and Prevention, DHHS; the Office of Minority Health, Office of Public Health and Science, DHHS; the Office of the Assistant Secretary for Planning and Evaluation, DHHS; and the National Science Foundation. Persons interested in obtaining data files from the National Longitudinal Study of Adolescent Health should contact Add Health Project, Carolina Population Center, 123 West Franklin Street, Chapel Hill, NC 27516-3997 (email: addhealth@unc.edu).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Merten, M.J., Wickrama, K.A.S. & Williams, A.L. Adolescent Obesity and Young Adult Psychosocial Outcomes: Gender and Racial Differences. J Youth Adolescence 37, 1111–1122 (2008). https://doi.org/10.1007/s10964-008-9281-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10964-008-9281-z