Department of Nutrition, Harvard T. H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, 02115.
Harvard Graduate School of Education, 13 Appian Way, Cambridge, MA, 02138.
J Sch Health. 2022 Dec;92(12):1165-1176. doi: 10.1111/josh.13203. Epub 2022 Jun 15.
Schools are crucial for preventing negative health outcomes in youth and are an ideal setting to address weight stigma and poor body image. The current study sought to examine and describe the nature of weight stigma and body image in adolescents, ascertain aspects of the school environment that affect body image, and identify recommendations for schools.
We conducted 24 semi-structured interviews with students at 2 high schools in 2020. Qualitative data were analyzed using inductive coding and an immersion/crystallization approach.
Students did not report weight discrimination or harmful body image messaging from teachers or administrators. Physical education (PE) class and dress codes were 2 instances where covert weight stigma appeared. The most common forms of peer weight stigma reported were weight-based teasing and self-directed appearance critiques. Students recommended that schools eliminate dress codes, diversify PE activities, address body image issues in school, and be cognizant of teasing within friend groups.
Weight stigma presents itself in unique ways in high school settings. Schools can play a role in reducing experiences of weight stigma and negative body image. Weight-related teasing within friend groups was common and may not be captured in traditional assessments of bullying. More nuanced survey instruments may be needed.
学校对于预防青少年负面健康结果至关重要，是解决体重歧视和不良身体形象问题的理想场所。本研究旨在探讨和描述青少年体重歧视和身体形象的本质，确定影响身体形象的学校环境方面，并为学校提出建议。
我们于 2020 年在 2 所高中对 24 名学生进行了 24 次半结构化访谈。使用归纳编码和沉浸式/结晶方法对定性数据进行分析。
学生没有报告教师或管理人员的体重歧视或有害身体形象信息。体育课和着装规范是隐性体重歧视出现的 2 个例子。报告的最常见的同伴体重歧视形式是基于体重的嘲笑和自我导向的外貌批评。学生建议学校取消着装规范，使体育课多样化，在学校解决身体形象问题，并注意朋友群体中的嘲笑。
体重歧视在高中环境中表现出独特的方式。学校可以在减少体重歧视和负面身体形象方面发挥作用。朋友群体中的体重相关嘲笑很常见，在传统的欺凌评估中可能无法捕捉到。可能需要更细致的调查工具。
