41个低收入和中等收入国家青少年中受欺凌与超重及肥胖的关联。
Association of bullying victimization with overweight and obesity among adolescents from 41 low- and middle-income countries.
作者信息
Koyanagi Ai, Veronese Nicola, Vancampfort Davy, Stickley Andrew, Jackson Sarah E, Oh Hans, Shin Jae Il, Haro Josep Maria, Stubbs Brendon, Smith Lee
机构信息
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain.
ICREA, Barcelona, Spain.
出版信息
Pediatr Obes. 2020 Jan;15(1):e12571. doi: 10.1111/ijpo.12571. Epub 2019 Aug 6.
BACKGROUND
Data on the association between overweight/obesity and bullying victimization among adolescents are scarce from low- and middle-income countries.
OBJECTIVES
We assessed the associations between overweight/obesity and bullying victimization in 41 low- and middle-income countries.
METHODS
Cross-sectional data from the Global School-based Student Health Survey were analysed. Data on past 30-day bullying victimization (including type) and body mass index based on measured weight and height were collected. The 2007 WHO Child Growth reference was used to define overweight and obesity. Multivariable logistic regression (multinomial and binary) and meta-analyses based on country-wise estimates were conducted. Data on 114 240 adolescents aged 12 to 15 years were analysed (mean age [SD], 13.8 [1.0] y; 48.8% girls).
RESULTS
Among girls, compared with normal weight, overweight (OR = 1.08; 95% CI, 1.02-1.16; between-country heterogeneity I = 0.0%) and obesity (OR = 1.20; 95% CI, 1.07-1.34; I = 0.0%) were associated with significantly higher odds for any bullying victimization, but no significant association was observed among boys. However, overweight and obesity were both associated with significantly increased odds for bullying by being made fun of because of physical appearance among both sexes-obesity (vs normal weight): girls OR = 3.42 (95% CI, 2.49-4.71); boys OR = 2.38 (95% CI, 1.67-3.37).
CONCLUSIONS
Effective strategies to reduce bullying of children with overweight/obesity are needed in low- and middle-income countries.
背景
来自低收入和中等收入国家的青少年超重/肥胖与受欺凌之间关联的数据稀缺。
目的
我们评估了41个低收入和中等收入国家中超重/肥胖与受欺凌之间的关联。
方法
分析了全球学校学生健康调查的横断面数据。收集了过去30天内受欺凌情况（包括类型）以及基于测量体重和身高的体重指数数据。使用2007年世界卫生组织儿童生长标准来定义超重和肥胖。进行了多变量逻辑回归（多项和二元）以及基于国家层面估计的荟萃分析。分析了114240名12至15岁青少年的数据（平均年龄[标准差]，13.8[1.0]岁；48.8%为女孩）。
结果
在女孩中，与正常体重相比，超重（比值比[OR]=1.08；95%置信区间[CI]，1.02 - 1.16；国家间异质性I²=0.0%）和肥胖（OR = 1.20；95% CI，1.07 - 1.34；I² = 0.0%）与任何形式的受欺凌几率显著更高相关，但在男孩中未观察到显著关联。然而，超重和肥胖在两性中均与因外貌被取笑而受欺凌的几率显著增加相关——肥胖（与正常体重相比）：女孩OR = 3.42（95% CI，2.49 - 4.71）；男孩OR = 2.38（95% CI，1.67 - 3.37）。
结论
低收入和中等收入国家需要有效的策略来减少对超重/肥胖儿童的欺凌。
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