Chisuwa-Hayami Naomi, Haruki Toshi
Graduate School of Human Life Science, Osaka City University, Osaka, Japan.
Health Promot Perspect. 2016 Mar 5;7(2):80-87. doi: 10.15171/hpp.2017.15. eCollection 2017.
Body-related teasing is known to be linked to body dissatisfaction and dieting behavior in adolescents. However, little is known about it in non-Western countries. This study aims to examine the prevalence of body-related teasing among Japanese adolescents and its connection to weight status, body image, and dieting behavior to consider implications for public health. The design of this study is a cross-sectional study. An anonymous self-administrated survey was conducted with 1172 junior high school students in Higashi-Osaka City in Osaka Prefecture in Japan. The sampling method was non-random design. The survey items included self-reported height and weight, history and source of teasing, body image perception, and dieting behavior. A chi-square test and logistic regression analysis were used to examine the associations. A history of teasing was reported by 16.4% of boys and 32.5% of girls (P < 0.001, effect size = 0.19). The most common answer for source of teasing was friends (84.7% of boys' teasing, 67.1% of girls' teasing, P = 0.003, effect size = 0.19). Students who were overweight, of an upper-normal weight status, and perceived themselves as "fat" were at a greater risk of being teased. Additionally, students with a history of teasing were significantly likelier to display dieting behavior (odds ratios with confidence intervals: boys 4.06 [2.08-7.93], girls 2.40 [1.53- 3.75]). Body-related teasing has a significant association with body image and dieting behavior in Japanese adolescents. A school-based education should be provided to reduce body-related teasing.
众所周知，与身体相关的取笑行为与青少年的身体不满和节食行为有关。然而，在非西方国家，对此了解甚少。本研究旨在调查日本青少年中与身体相关的取笑行为的发生率及其与体重状况、身体形象和节食行为的关系，以考虑其对公共卫生的影响。本研究的设计为横断面研究。对日本大阪府东大阪市的1172名初中生进行了匿名的自填式调查。抽样方法为非随机设计。调查项目包括自我报告的身高和体重、取笑的经历和来源、身体形象认知以及节食行为。采用卡方检验和逻辑回归分析来检验相关性。16.4%的男孩和32.5%的女孩报告有被取笑的经历（P<0.001，效应量=0.19）。关于取笑来源，最常见的回答是朋友（男孩被取笑情况中的84.7%，女孩被取笑情况中的67.1%，P=0.003，效应量=0.19）。超重、体重处于正常上限以及自认为“胖”的学生被取笑的风险更大。此外，有被取笑经历的学生明显更有可能表现出节食行为（置信区间的比值比：男孩4.06[2.08 - 7.93]，女孩2.40[1.53 - 3.75]）。与身体相关的取笑行为与日本青少年的身体形象和节食行为有显著关联。应提供基于学校的教育以减少与身体相关的取笑行为。
