Howard Janna B, Skinner Asheley Cockrell, Ravanbakht Sophie N, Brown Jane D, Perrin Andrew J, Steiner Michael J, Perrin Eliana M
Departments of Pediatrics and.
Duke Center for Childhood Obesity Research, School of Medicine, Duke University, Durham, North Carolina.
Pediatrics. 2017 Dec;140(6). doi: 10.1542/peds.2017-2126.
Obesity-promoting content and weight-stigmatizing messages are common in child-directed television programming and advertisements, and 1 study found similar trends in G- and PG-rated movies from 2006 to 2010. Our objective was to examine the prevalence of such content in more recent popular children's movies.
Raters examined 31 top-grossing G- and PG-rated movies released from 2012 to 2015. For each 10-minute segment ( = 302) and for movies as units, raters documented the presence of eating-, activity-, and weight-related content observed on-screen. To assess interrater reliability, 10 movies (32%) were coded by more than 1 rater.
The result of Cohen's κ test of agreement among 3 raters was 0.65 for binary responses (good agreement). All 31 movies included obesity-promoting content; most common were unhealthy foods (87% of movies, 42% of segments), exaggerated portion sizes (71%, 29%), screen use (68%, 38%), and sugar-sweetened beverages (61%, 24%). Weight-based stigma, such as a verbal insult about body size or weight, was observed in 84% of movies and 30% of segments.
Children's movies include much obesogenic and weight-stigmatizing content. These messages are not shown in isolated incidences; rather, they often appear on-screen multiple times throughout the entire movie. Future research should explore these trends over time, and their effects.
在面向儿童的电视节目和广告中，促进肥胖的内容以及对体重的污名化信息很常见，并且有一项研究发现2006年至2010年的G级和PG级电影中也存在类似趋势。我们的目的是研究此类内容在近期热门儿童电影中的流行情况。
评估人员审查了2012年至2015年发行的31部票房最高的G级和PG级电影。以每10分钟片段（共302个）以及整部电影为单位，评估人员记录了屏幕上出现的与饮食、活动和体重相关的内容。为评估评估人员间的可靠性，10部电影（32%）由不止一名评估人员进行编码。
3名评估人员之间的二元反应一致性的Cohen's κ检验结果为0.65（一致性良好）。所有31部电影都包含促进肥胖的内容；最常见的是不健康食品（87%的电影，42%的片段）、夸张的份量（71%，29%）、屏幕使用（68%，38%）和含糖饮料（61%，24%）。在84%的电影和30%的片段中观察到基于体重的污名化，例如关于体型或体重的言语侮辱。
儿童电影包含大量致肥胖和对体重污名化的内容。这些信息并非孤立出现；相反，它们在整部电影中经常多次出现在屏幕上。未来的研究应随着时间推移探索这些趋势及其影响。
