Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
Department of Psychology, College of Medicine, Chung Shan Medical University, Taichung, Taiwan.
J Adolesc. 2022 Jan;94(1):81-91. doi: 10.1002/jad.12001. Epub 2022 Jan 28.
Adolescents with obesity are more likely to be isolated by peers, but whether they also choose to disengage from their peers remains unclear.
This study examined a sample of 646 adolescents between the age of 13 and 16 across 34 classrooms in 3 junior high schools in Taiwan, with data collected from May to June 2019. The sociometric network nomination method assessed peer relationships, such as unpopularity, unsociability, and alienation. Multilevel models were applied to explore the extent to which the class-level prevalence of overweight and obesity and peer support moderate the relationship between student-level obesity and peer relationships.
Overall, students with obesity were more likely to experience unpopularity, unsociability, and alienation from their peers in classroom settings (adjusted odds ratio [AOR] = 1.904, 2.208, 2.777, p < .05). Regardless of their obesity status, students in high classroom peer support were less likely to report unsociability (AOR = 0.124, p < .05). No cross-level interactions were observed, indicating that students with obesity did not experience a reduction of peer rejection in high peer support classrooms. Neither did obese students in classrooms with higher rates of overweight and obesity.
Students with obesity were more likely to experience interpersonal problems. Classroom peer support can increase peer acceptance for typical students but has no beneficial influence on adolescents with weight problems. Classroom peer support needs to be directed to become adequate support for students with obesity.
肥胖青少年更有可能被同龄人孤立，但他们是否也选择与同龄人脱离关系尚不清楚。
本研究调查了台湾三所初中 34 个班级的 646 名 13 至 16 岁的青少年，数据收集于 2019 年 5 月至 6 月。社会计量网络图提名法评估了同伴关系，如不受欢迎、不合群和疏远。多层次模型用于探讨班级超重和肥胖的流行程度以及同伴支持在多大程度上调节学生肥胖水平与同伴关系之间的关系。
总体而言，肥胖学生在课堂环境中更有可能不受欢迎、不合群和被同伴疏远（调整后的优势比 [AOR] = 1.904、2.208、2.777，p < .05）。无论肥胖状况如何，在高课堂同伴支持的学生不太可能报告不合群（AOR = 0.124，p < .05）。没有观察到跨水平的相互作用，这表明肥胖学生在高同伴支持的课堂中并没有减少同伴的排斥。在超重和肥胖率较高的班级中，肥胖学生也没有这种情况。
肥胖学生更有可能经历人际关系问题。课堂同伴支持可以增加对典型学生的同伴接受度，但对有体重问题的青少年没有有益影响。课堂同伴支持需要针对肥胖学生提供适当的支持。
