The Identity Threat of Weight Stigma in Adolescents

Hand, Wren B.; Robinson, J.C.; Stewart, Mary W.; Zhang, Lei; Hand, Samuel C.

doi:10.1177/0193945917704201

Cited by 23 publications

(34 citation statements)

References 32 publications

(50 reference statements)

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“…Body image has always been an important part of societies and cultures, and overweight or obese individuals are frequently subject to weight-related stigma, either through the media or through bullying [53,54]. Among adolescents, weightrelated stigma is reported to be one of the most prevalent forms of bullying at school [55,56]. Only a few adolescents in this study stated that they had been bullied.…”

Section: Discussionmentioning

confidence: 62%

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Health Qual Life Outcomes

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Background: Overweight and obesity are public concerns with risk of adverse health outcomes. Health-related quality of life (HRQoL) is lower in adolescents than children in general. An increase in body mass index (BMI) is associated with a decrease in HRQoL. The purpose of this study was to measure and explore the HRQoL among adolescents with overweight or obesity who had participated in an intervention study, Young & Active, with the aim of increasing physical activity (PA), reducing BMI and promoting HRQoL. Methods: Mixed methods, with a convergent design, were used to investigate how different methodological approaches could expand our understanding of the adolescents' HRQoL. Quantitative post-intervention data on HRQoL were collected among the 84 intervention participants, aged 13-14 years, using the KIDSCREEN 52 questionnaire. The data were compared with a Norwegian reference population of 244 individuals, and analysed using a non-parametric Mann-Whitney test. Qualitative semi-structured interviews were conducted with 21 adolescents from the intervention. A directed approach to content analysis was adopted, using the ten sub-scales from KIDSCREEN 52. Results: HRQoL in the intervention sample was significantly reduced on the sub-scale of physical well-being compared to the reference population. The reference population scored significantly lower than the intervention sample on the sub-scale of parent relation and home life. No significant differences were found on the other subscales. The qualitative data supported the quantitative findings on the sub-scale of physical well-being, but showed that perceptions of fitness, energy level or health could vary. Regarding parent relations, the interviewees extended this to include relationships to other family members as equally important. Most of the interviewees expressed a negative view of their bodies, but not their clothing or accessories. This may explain why no statistically significant differences were found on these aspects in the results from the KIDSCREEN questionnaire. Conclusion: The use of the KIDSCREEN 52 instrument gave important indications about the adolescents' HRQoL and need for additional follow up. The qualitative data provided an in-depth understanding that nuanced the findings and widened our knowledge of the adolescents HRQoL. Combining methods enabled a comprehensive approach to research on HRQoL.

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Section: Discussionmentioning

confidence: 62%

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Health Qual Life Outcomes

View full text Add to dashboard Cite

show abstract

“…Adolescents who become obese tend to be considered physically unattractive (Ehlert, Marston, Fontana, & Waldron, 2015; Zeller et al, 2008). Weight stigmatization and discrimination (Hand et al, 2017; Puhl & Heuer, 2010), weight-based teasing, and bullying (Ehlert et al, 2015; Janssen, Craig, Boyce, & Pickett, 2004) are common among adolescents. Therefore, adolescents are less likely to make friends with their peers who are obese or becoming obese.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, being overweight or obese is not an ideal physical feature for Taiwanese people. Previous studies have found that overweight and obese adolescents are at higher risk of weight stigmatization and discrimination than their normal-weight peers (Hand, Robinson, Stewart, Zhang, & Hand, 2017; Myers & Rosen, 1999; Puhl & Heuer, 2009, 2010; Smolak, Levine, & Thompson, 2001). Overweight and obese Taiwanese adolescents were also at a greater risk of weight stigmatization and discrimination among peers (Yen, Liu, Ko, Wu, & Cheng, 2014).…”

Section: Introductionmentioning

confidence: 96%

Association of Weight With Sociometric Status in Classrooms of Taiwanese Adolescents

Chen

2019

The Journal of Early Adolescence

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This study examined the association between adolescents’ obesity and sociometric status among their peers across 1 year. The participants were 2,528 junior high school students from Taiwan (mean age = 13.31 years). The negative associations discovered between obesity and sociometric status were both concurrent and cumulative. Moreover, the adolescents who changed from nonobese to obese were more likely to have lower social acceptance and be isolated in their classrooms. These findings inform concerns regarding the sociometric status of adolescents who are (or are becoming) obese.

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“…Body image has always been an important part of societies and cultures, and overweight or obese individuals are frequently subject to weightrelated stigma, either through the media or through bullying [55,56]. Among adolescents, weight-related stigma is reported to be one of the most prevalent forms of bullying at school [57,58]. Only a few adolescents in this study stated that they had been bullied.…”

Section: Discussionmentioning

confidence: 62%

Health-related quality of life among 13–14 year old adolescents with overweight - a mixed methods approach

Sundar

Riiser

Småstuen

et al. 2020

Preprint

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Background: Overweight and obesity are public concerns with risk of adverse health outcomes. Health-related quality of life (HRQoL) is lower in adolescents than children in general. An increase in body mass index (BMI) is associated with a decrease in HRQoL. The purpose of this study was to measure and explore the HRQoL among adolescents with overweight or obesity who had participated in an intervention study, Young & Active, with the aim of increasing physical activity (PA), reducing BMI and promoting HRQoL. Methods: Mixed methods, with a convergent design, were used to investigate how different methodological approaches could expand our understanding of the adolescents’ HRQoL. Quantitative post-intervention data on HRQoL were collected among the 84 intervention participants, aged 13–14 years, using the KIDSCREEN 52 questionnaire. The data were compared with a Norwegian reference population of 244 individuals, and analysed using a non-parametric Mann-Whitney test. Qualitative semi-structured interviews were conducted with 21 adolescents from the intervention. A directed approach to content analysis was adopted, using the ten sub-scales from KIDSCREEN 52. Results: HRQoL in the intervention sample was significantly reduced on the sub-scale of physical well-being compared to the reference population. The reference population scored significantly lower than the intervention sample on the sub-scale of parent relation and home life. No significant differences were found on the other sub-scales. The qualitative data supported the quantitative findings on the sub-scale of physical well-being, but showed that perceptions of fitness, energy level or health could vary. Regarding parent relations, the interviewees extended this to include relationships to other family members as equally important. Most of the interviewees expressed a negative view of their bodies, but not their clothing or accessories. This may explain why no statistically significant differences were found on these aspects in the results from the KIDSCREEN questionnaire.Conclusion: The use of the KIDSCREEN 52 instrument gave important indications about the adolescents’ HRQoL and need for additional follow up. The qualitative data provided an in-depth understanding that nuanced the findings and widened our knowledge of the adolescents HRQoL. Combining methods enabled a comprehensive approach to research on HRQoL.

show abstract

The Identity Threat of Weight Stigma in Adolescents

Cited by 23 publications

References 32 publications

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Health-related quality of life among 13–14 year old adolescents with overweight−a mixed methods approach

Association of Weight With Sociometric Status in Classrooms of Taiwanese Adolescents

Health-related quality of life among 13–14 year old adolescents with overweight - a mixed methods approach

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