Suh Young, Puhl Rebecca, Liu Sai, Fleming Milici Frances
Rudd Center for Food Policy and Obesity, Yale University , New Haven, CT.
Child Obes. 2014 Dec;10(6):533-41. doi: 10.1089/chi.2014.0050.
Despite the pervasiveness and negative physical and psychosocial implications of weight-based victimization (WBV) in youth, antibullying polices in schools rarely address this issue. Additionally, children's media perpetuates weight stigma, but regulation of stigmatizing media content is nonexistent.
In 2011-2013, a diverse national sample of 2185 parents (n=716 in 2011, 755 in 2012, and 714 in 2013) was analyzed to evaluate parental support for four proposed policies across the 3 years. Actions addressed (1) strengthening policies to reduce weight stigma, (2) media portrayals of children with diverse body sizes, (3) media portrayals of such children engaged in healthy behaviors, and (4) antibullying policies in schools. Chi-square tests with Bonferroni's corrections and multiple logistic regression analyses were conducted.
Across time, support for policies to address weight stigma remained consistent or increased, primarily in 2012-2013. At least 86% of participants consistently favored implementing antibullying policies in schools. Parents became increasingly supportive of policies regulating television content to positively portray children of diverse body sizes and show such children engaged in health behaviors, as well as establishing weight-related antibullying policies. Specific predictors of support included gender, race, and political affiliation.
There is a consistent and high level of parental support for weight stigma-related policies, particularly for antibullying policies. Findings can inform development of policies to rectify health and social disparities faced by overweight and obese youth.
尽管基于体重的欺凌行为(WBV)在青少年中普遍存在,并对其身体和心理社会产生负面影响,但学校的反欺凌政策很少涉及这个问题。此外,儿童媒体使体重歧视长期存在,但对带有歧视性的媒体内容却没有监管。
在2011年至2013年期间,对一个由2185名家长组成的全国性多样化样本(2011年有716名,2012年有755名,2013年有714名)进行了分析,以评估这三年中家长对四项拟议政策的支持情况。这些行动涉及:(1)加强政策以减少体重歧视;(2)媒体对不同体型儿童的描绘;(3)媒体对这类儿童参与健康行为的描绘;(4)学校的反欺凌政策。进行了带有邦费罗尼校正的卡方检验和多元逻辑回归分析。
随着时间推移,对解决体重歧视政策的支持保持一致或有所增加,主要是在2012年至2013年。至少86%的参与者一直支持在学校实施反欺凌政策。家长们越来越支持监管电视内容的政策,以正面描绘不同体型的儿童,并展示这类儿童参与健康行为,以及制定与体重相关的反欺凌政策。支持的具体预测因素包括性别、种族和政治派别。
家长对与体重歧视相关的政策,特别是反欺凌政策,一直给予高度支持。研究结果可为制定政策以纠正超重和肥胖青少年所面临的健康和社会差异提供参考。