Wang Claudia, Li Yin, Li Kaigang, Seo Dong-Chul
Department of Health and Human Development, Western Washington University, Bellingham, WA, USA.
Department of Health Care Systems, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Am J Health Behav. 2018 Jan 1;42(1):3-12. doi: 10.5993/AJHB.42.1.1.
We examined the association between body weight status at all levels (including underweight, normal weight, overweight, and obesity) and bullying victimization among US ado- lescents using a nationally representative data.
We used logistic regression to exam- ine the association between bullying victimization and body weight status by sex with the data from the 2013 Youth Risk Behavior Survey (YRBS) (N = 11,825), controlling for demographics, selected behavioral confounders, and complex survey design.
We found a statistically significant U-shaped association between body weight and bullying victimization among male (p = .001) but not female students (p = .838). For girls, the prevalence of being bullied slightly increased from underweight (33.58%) to normal weight (34.36%) to obesity (36.18%) but such increases failed to reach statistical significance. For boys, being bullied was significantly associ- ated with younger age, being white, feeling hopeless, having suicidal ideation, and excessive video-game playing.
A U-shaped association between body weight and bullying victimization appears to exist in boys but not girls, partly because of the body weight stigma and sex stereotypes among US adolescents. Future studies should investigate the risk factors associated with sex-specific bullying to develop effective anti-bullying programs for youth.
我们使用具有全国代表性的数据,研究了美国青少年各级体重状况(包括体重过轻、正常体重、超重和肥胖)与受欺凌之间的关联。
我们使用逻辑回归,通过2013年青少年风险行为调查(YRBS)(N = 11,825)的数据,按性别检验受欺凌与体重状况之间的关联,同时控制人口统计学因素、选定的行为混杂因素和复杂的调查设计。
我们发现,在男学生中,体重与受欺凌之间存在统计学上显著的U型关联(p = .001),而在女学生中则不存在(p = .838)。对于女孩来说,受欺凌的发生率从体重过轻(33.58%)到正常体重(34.36%)再到肥胖(36.18%)略有增加,但这种增加未达到统计学显著性。对于男孩来说,受欺凌与年龄较小、白人、感到绝望、有自杀念头以及过度玩电子游戏显著相关。
体重与受欺凌之间的U型关联似乎在男孩中存在,而在女孩中不存在,部分原因是美国青少年中的体重耻辱感和性别刻板印象。未来的研究应调查与特定性别的欺凌相关的风险因素,以便为青少年制定有效的反欺凌计划。