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“什么是正常体重?”——欧洲 1.5 代和 2 代移民青少年的体重评估中的原籍国和接收国的影响。

"What's a normal weight?" - Origin and receiving country influences on weight-status assessment among 1.5 and 2nd generation immigrant adolescents in Europe.

机构信息

Department of Social Sciences, University of Luxembourg, Luxembourg.

Department of Social Sciences, University of Luxembourg, Luxembourg.

出版信息

Soc Sci Med. 2020 Nov;264:113306. doi: 10.1016/j.socscimed.2020.113306. Epub 2020 Aug 22.

DOI:10.1016/j.socscimed.2020.113306
PMID:32861972
Abstract

Many adolescents struggle with adequately assessing their weight-status, often leading to unnecessary weight-related interventions or preventing necessary ones. The prevalence of weight-status over- and underestimation differs considerably cross-nationally, suggesting that individual weight-status assessment is informed by cross-nationally differing standards of evaluation. For adolescents with a migration background, this brings up the possibility of a simultaneous influence of origin- and receiving country standards. The current study examines the magnitude of both influences using data from the 2014 Health Behaviour in School-Aged Children study. The cross-national design of the study enabled us to aggregate weight-evaluation standards for 41, primarily European, countries. Subsequently, we identified a sample of 8 124 adolescents with a migration background whose origin as well as receiving country participated in the study. Among those adolescents, we assessed the effects of origin and receiving country weight-evaluation standards using cross-classified multilevel regression analyses. Descriptive analyses revealed considerable differences in weight-evaluation standards between the countries. Regression analyses showed that both origin- and receiving country weight-evaluation standards were significantly associated cross-sectionally with weight-status assessment among the immigrant adolescents, with a stronger impact of receiving country standards. Results illustrate the context-sensitivity of adolescent weight-status assessment and reinforce the theoretical notion that immigrant adolescent development is not only informed by factors pertaining to their receiving country but also, albeit to a lesser extent, by those pertaining to their origin country.

摘要

许多青少年在充分评估自己的体重状况方面存在困难,这往往导致不必要的与体重相关的干预,或阻止了必要的干预。体重状况的高估和低估在不同国家之间存在显著差异,这表明个体的体重评估受到评估标准在不同国家之间的差异的影响。对于具有移民背景的青少年来说,这就带来了原籍国和接收国标准同时产生影响的可能性。本研究使用 2014 年《青少年健康行为研究》的数据,检验了这两种影响的程度。该研究的跨国设计使我们能够为 41 个主要是欧洲国家的体重评估标准进行汇总。随后,我们确定了一个有移民背景的 8124 名青少年的样本,他们的原籍国和接收国都参与了这项研究。在这些青少年中,我们使用交叉分类多水平回归分析评估了原籍国和接收国体重评估标准的影响。描述性分析显示,各国之间的体重评估标准存在显著差异。回归分析表明,原籍国和接收国的体重评估标准与移民青少年的体重状况评估在横断面均存在显著关联,而接收国的标准影响更大。研究结果说明了青少年体重评估的背景敏感性,并进一步证实了这样一种理论观点,即移民青少年的发展不仅受到与其接收国相关的因素的影响,而且在较小程度上也受到与其原籍国相关的因素的影响。

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