McCormack Lacey Arneson, Laska Melissa Nelson, Gray Clifton, Veblen-Mortenson Sara, Barr-Anderson Daheia, Story Mary
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN 55454, USA.
J Am Diet Assoc. 2011 Mar;111(3):431-6. doi: 10.1016/j.jada.2010.11.021.
Negative outcomes are associated with weight-based teasing. Among children, little research to date has explored the extent to which teasing occurs, the effects of teasing, or differences among sources of teasing. The purpose of this secondary data analysis was to assess the prevalence and frequency of weight-related teasing by peers and families in a low-income, multiracial/ethnic sample of children; to determine how bothered children were by the teasing; to evaluate whether teasing varied by overweight status and sex; and to see whether body satisfaction varied based on teasing history. In 2007, baseline data were obtained from 148 children (aged 11 to 12 years) in a classroom intervention pilot study in four public schools serving low-income communities in St Paul, MN. Participants completed a classroom survey assessing body satisfaction and weight-related teasing. Height and weight were measured. Forty percent of children reported being teased by peers and 36% reported being teased by family members about their weight. Significantly more overweight/obese children reported being teased by peers (P<0.01) and family members (P<0.05) than normal weight children. No significant differences were seen between weight status and the degree to which children were bothered by teasing. Body satisfaction was lower among children teased by family members or peers than those who were not teased (P<0.05). These results suggest that weight-related teasing is a problem for children, especially those who are overweight or obese. A better understanding is needed of the long-term effects of teasing on behavioral and psychosocial outcomes in racially/ethnically diverse samples of children.
负面结果与基于体重的取笑行为相关。在儿童中，迄今为止几乎没有研究探讨取笑行为发生的程度、取笑行为的影响或取笑来源之间的差异。这项二次数据分析的目的是评估在一个低收入、多种族/民族儿童样本中，同伴和家人对与体重相关的取笑行为的普遍性和频率；确定儿童因取笑行为而受到的困扰程度；评估取笑行为是否因超重状况和性别而有所不同；以及查看身体满意度是否因取笑经历而有所变化。2007年，在明尼苏达州圣保罗市为低收入社区服务的四所公立学校进行的一项课堂干预试点研究中，从148名11至12岁的儿童中获取了基线数据。参与者完成了一项课堂调查，评估身体满意度和与体重相关的取笑行为。测量了身高和体重。40%的儿童报告曾被同伴取笑，36%的儿童报告曾被家人取笑其体重。超重/肥胖儿童报告被同伴取笑（P<0.01）和被家人取笑（P<0.05）的比例明显高于正常体重儿童。体重状况与儿童因取笑行为而受到的困扰程度之间没有显著差异。被家人或同伴取笑的儿童的身体满意度低于未被取笑的儿童（P<0.05）。这些结果表明，与体重相关的取笑行为对儿童来说是个问题，尤其是那些超重或肥胖的儿童。需要更好地了解在不同种族/民族儿童样本中，取笑行为对行为和心理社会结果的长期影响。
