1
|
Wu S, Liu J, Xue Z, Xu J, Lin L, Sun Y, Song S, Luo X, Lu J. Association between childhood trauma and affective lability among adolescents: A moderated mediation model. J Affect Disord 2023; 338:21-31. [PMID: 37257783 DOI: 10.1016/j.jad.2023.05.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 05/24/2023] [Accepted: 05/25/2023] [Indexed: 06/02/2023]
Abstract
BACKGROUND Affective lability is an important feature of psychopathology. However, there is limited relevant research involving adolescents. To fill this research gap, the present study assessed the relationship between childhood trauma and affective lability among adolescents using a moderated mediation model. METHODS A total of 3738 students were recruited from four high schools in Shenzhen, China, between September and December 2019. The participants completed self-reported questionnaires measuring childhood trauma, affective lability, body image dissatisfaction, and the experience of being bullied. Linear regression and moderated mediation analyses were used in this study. RESULTS Linear regression analysis showed that emotional abuse and body image dissatisfaction positively predicted affective lability in boys and girls (all p < 0.001). Body image dissatisfaction mediated the relationship between emotional abuse and affective lability. In the moderated mediation model, being bullied moderated the direct path from emotional abuse to affective lability (p = 0.0236, p = 0.0188), and gender did not have a significant moderating effect on any direct or indirect path (all p > 0.05). LIMITATIONS A causal relationship could not be ascertained due to the cross-sectional design, and the results cannot be generalized to other populations. CONCLUSIONS The findings support that childhood trauma has an impact on affective lability in adolescents. Specifically, body image dissatisfaction and being bullied affect the relationship between emotional abuse and affective lability.
Collapse
Affiliation(s)
- Shuxian Wu
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
| | - Jianbo Liu
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Zhenpeng Xue
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Jianchang Xu
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Ling Lin
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Yumeng Sun
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Shiqi Song
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China
| | - Xuerong Luo
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China.
| | - Jianping Lu
- Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen Institute of Mental Health, Shenzhen 518003, China.
| |
Collapse
|
2
|
van Geel M, Tanilon J, Vedder P. A commentary on the association between weight status and bullying experiences among children and adolescents in schools: An updated meta-analysis. CHILD ABUSE & NEGLECT 2023; 143:106268. [PMID: 37295192 DOI: 10.1016/j.chiabu.2023.106268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 05/16/2023] [Accepted: 05/28/2023] [Indexed: 06/12/2023]
Affiliation(s)
- Mitch van Geel
- Leiden University, Social Science Faculty, Department of Child and Adolescent Studies, the Netherlands.
| | - Jenny Tanilon
- Leiden University, Faculty of Humanities, the Netherlands
| | - Paul Vedder
- Leiden University, Social Science Faculty, Department of Child and Adolescent Studies, the Netherlands
| |
Collapse
|
3
|
Gonçalves L, Zanlorenci S, Borges LL, de Lima TR, Silva DAS. Body Weight Dissatisfaction and Health Risk Behaviors in Adolescents. Percept Mot Skills 2023; 130:340-363. [PMID: 36330766 DOI: 10.1177/00315125221137678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Body weight dissatisfaction has been described as a marker for various health diseases, given its direct association with social, physical, and emotional suffering. We investigated the association between body weight dissatisfaction and health risk behaviors in adolescents. This was a cross-sectional study conducted with 668 adolescents aged 14-19 years in the city of São José, southern Brazil. Body weight satisfaction/dissatisfaction was assessed using a questionnaire validated for the investigated population. Health risk behaviors included smoking, alcohol, illicit drugs, medication, non-prescription anabolic steroids, not using seatbelt, unsafe sexual behavior and not knowing how to deal with day-to-day stress. Among males, 66.1% were dissatisfied with their body weight (32.1% due to thinness and 34.0% due to overweight). Among females, 80.0% were dissatisfied with their body weight (24.5% due to thinness and 55.5% due to overweight). There were no significant differences regarding health risk behaviors according to body weight satisfaction/dissatisfaction and sex. Compared to males who were satisfied with their body weight, those who were dissatisfied due to being overweight were more likely to be using tobacco (OR: 2.9; 95% CI: 2.1-4.2), alcohol (OR: 1.7; 95% CI: 1.5-1.9) and anabolic steroids (OR: 2.7; 95% CI: 1.2-5.7). Compared to females who were satisfied with their body weight, those who were dissatisfied due to thinness were more likely to be consuming alcoholic beverages (OR: 1.6; 95% CI: 1.2-2.0) and less likely to be consuming illicit drugs (OR: 0.5; 95% CI: 0.3-0.8). Interventions aimed at health education regarding the non-adoption of risk behaviors such as alcohol and tobacco use, as well as the non-use of anabolic steroids, and favoring the maintenance of general health, may be important for adolescents with body dissatisfaction. These data suggest that health risk behaviors such as adolescent male use of tobacco, alcohol, and anabolic steroids and the use of alcohol and drugs by female adolescents can be related to body weight dissatisfaction.
Collapse
Affiliation(s)
- Leticia Gonçalves
- Department of Physical Education, 28117Federal University of Santa Catarina - Sports Center, Santa Catarina, Brazil
| | - Suellem Zanlorenci
- Department of Physical Education, 28117Federal University of Santa Catarina - Sports Center, Santa Catarina, Brazil
| | - Leandro Lima Borges
- Department of Physical Education, 28117Federal University of Santa Catarina - Sports Center, Santa Catarina, Brazil
| | - Tiago Rodrigues de Lima
- Department of Physical Education, 28117Federal University of Santa Catarina - Sports Center, Santa Catarina, Brazil
| | - Diego Augusto Santos Silva
- Department of Physical Education, 28117Federal University of Santa Catarina - Sports Center, Santa Catarina, Brazil.,Faculty of Health Sciences, Universidad Autnoma de Chile, Providencia, Chile
| |
Collapse
|
4
|
Cheng S, Kaminga AC, Liu Q, Wu F, Wang Z, Wang X, Liu X. Association between weight status and bullying experiences among children and adolescents in schools: An updated meta-analysis. CHILD ABUSE & NEGLECT 2022; 134:105833. [PMID: 36219907 DOI: 10.1016/j.chiabu.2022.105833] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 07/30/2022] [Accepted: 08/10/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The association between weight status and bullying experience is well established, but little is known about the association between overweight or obesity and bullying behaviors among children and adolescents. OBJECTIVE The aim of this study was to provide updated evidence on the association between weight status and exposure to bullying among school children and adolescents. METHODS All literature published not later than December 12, 2019 was obtained from PubMed, Web of Science, Embase, and PsycINFO databases. The odds ratios (ORs) and corresponding 95 % confidence intervals (CIs) were used to measure the effect size. Results were combined using random-effects or fixed-effects meta-analysis, and sensitivity analysis was conducted to explore potential heterogeneity moderator factors. RESULTS This meta-analysis included 26 studies on the association between obesity overweight and bullying. Overall, children and adolescents with obesity had greater odds of experiencing bullying than their counterparts with healthy weight. Children and adolescents with obesity (OR = 1.46, 95 % CI:1.31-1.62), and overweight (OR = 1.24, 95 % CI: 1.17-1.32) were more likely to experience bullying than their normal weight peers. With regards to gender, boys with obesity experienced an increased risk of bullying behaviors than girls with obesity (OR = 1.40, 95 % CI: 1.30-1.50). Similarly, boys with overweight experienced an increased risk of bullying behaviors than girls with overweight (OR = 1.19, 95 % CI:1.06-1.34). CONCLUSIONS The present results suggest that children and adolescents must be protected from bullying, especially those that are children and adolescents with obesity overweight and effective strategies are needed to reduce bullying behaviors among children and adolescents in schools.
Collapse
Affiliation(s)
- Sixiang Cheng
- College of Data Science and Information Engineering, Guizhou Minzu University,Guiyang, Guizhou Province, China; Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China
| | - Atipatsa Chiwanda Kaminga
- Department of Mathematics and Statistics, Mzuzu University, Private Bag 201, Luwinga, Mzuzu, Malawi; Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China
| | - Qianwen Liu
- Department of Children &Woman Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China
| | - Fang Wu
- Department of Children &Woman Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China
| | - Zheng Wang
- Qilu Normal University College Teacher Education, Jinan, Shandong, China
| | - Xiaofen Wang
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China; Hunan Normal University School of Medicine, Changsha, Hunan Province, China
| | - Xiaoqun Liu
- Department of Children &Woman Health, Xiangya School of Public Health, Central South University, Changsha, Hunan Province, China.
| |
Collapse
|
5
|
Baranauskas M, Kupčiūnaitė I, Stukas R. Mental Health and Physical Activity of Female Higher Education Students during the COVID-19 Pandemic: A Comparative Cross-Sectional Study from Lithuania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9725. [PMID: 35955080 PMCID: PMC9367914 DOI: 10.3390/ijerph19159725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/05/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
During emerging adulthood (EA), higher education medical students undergo a higher risk of anxiety and depression compared to the general population. The aim of this comparative cross-sectional study was to compare the proportions of three mental disorders, namely anxiety, depression and somatisation in terms of their symptoms and self-reported physical activity (PA) levels across the cohorts of biomedical and non-biomedical female students as well as to assess the association between the mental health outcomes and PA use. Between September 2021 and January 2022, a total of 1231 female higher education students aged between 18 and 29 years old were recruited for the study. Severe symptoms of anxiety and depression, as well as unexplained somatic complaints, were suffered by 51.9%, 11% and 23% of female students, respectively. Non-biomedical female students, compared to medicine and health sciences students, were more vulnerable due to the increased prevalence of negative mental health outcomes. The relationship between increased sports activity as a potential trigger for mental well-being and decreased severity of depressive symptoms was identified in the cohorts of both biomedical (adjusted odd ratio (ORadj) 0.4; 95% confidence interval (CI): 0.1-1.0) and non-biomedical (ORadj 0.4; 95% CI: 0.2-0.9) female students. The current research highlights the importance of increasing sports activity by involving students in regular physical exercise of specific types for decreasing the severity of depressive symptoms in student-aged female populations.
Collapse
Affiliation(s)
- Marius Baranauskas
- Faculty of Biomedical Sciences, Panevėžys University of Applied Sciences, 35200 Panevėžys, Lithuania
| | - Ingrida Kupčiūnaitė
- Faculty of Biomedical Sciences, Panevėžys University of Applied Sciences, 35200 Panevėžys, Lithuania
| | - Rimantas Stukas
- Institute of Health Sciences, Faculty of Medicine, Department of Public Health, Vilnius University, 01513 Vilnius, Lithuania
| |
Collapse
|
6
|
Assessment of Actual Weight, Perceived Weight and Desired Weight of Romanian School Children-Opinions and Practices of Children and Their Parents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063502. [PMID: 35329188 PMCID: PMC8950891 DOI: 10.3390/ijerph19063502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 03/06/2022] [Accepted: 03/09/2022] [Indexed: 02/04/2023]
Abstract
Objective: Children and parental awareness regarding weight is linked to the development and management of overweight and obesity. The aim of this study is to assess the actual weight, perceived weight, and desired weight of Romanian school children. Methods: A cross-sectional study was conducted in 2019 in seven schools from two counties of Romania and included 880 pupils aged between 10 and 15 years old and 665 parents. We administrated confidential questionnaires to the participants, and we measured children’s weight and height during school activities. Results: A total of 61.0% of pupils had normal weight, 7.4% were underweight, and 31.6% were overweight or obese. A total of 66.7% of normal weight children, 56.5% of overweight children, and 40% of underweight children perceived their weight accurately. Regarding parents, a majority correctly appreciated the weight of their normal weight children and only a third appreciated correctly the body weight of their underweight and overweight children. Factors such as body mass index, gender, weight related behaviors, parents’ estimation about their children’s weight, discussions of weight topics inside family, and bullying, cyberbullying and exclusion from groups were associated with misperceptions. Conclusion: The study provides useful information for health education activities targeting both children and their parents regarding appropriate body weight management of children.
Collapse
|
7
|
Suanrueang P, Peltzer K, Suen MW, Lin HF, Er TK. Trends and Gender Differences in Mental Disorders in Hospitalized Patients in Thailand. INQUIRY: THE JOURNAL OF HEALTH CARE ORGANIZATION, PROVISION, AND FINANCING 2022; 59:469580221092827. [PMID: 35420043 PMCID: PMC9019317 DOI: 10.1177/00469580221092827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Previous studies have shown that gender differences play a substantial role in the influence of mental disorders. This study was designed to investigate gender differences in mental disorders by presenting odd ratio (OR) trends and cumulative effects over a period of 13 years in Thailand. This observational study used hospital data from the Ministry of Public Health on selected patients admitted to inpatient departments in public hospitals with mental disorders, according to ICD-10 cause groups from 2007 to 2019, counting from more than 1,90,000 cases in 2007 to more than 4,00,000 cases in 2019. Data were collected from the Thailand Ministry of Public Health website. The results indicate that compared to women, men were positively related to five mental disorders revealed by the OR and the ratio per 100,000 population (mean and SD): psychoactive alcohol use (OR = 7.31-9.07, 271.19 (59.26)), substance abuse (OR = 5.06-7.82, 59.25 (33.71)), schizophrenia (OR = 1.64-1.93, 108.32 (19.62)), mental retardation (OR = 1.15-1.58, 10.64 (1.88)), and other mental and behavioral disorders (OR = 1.10-1.55, 70.67 (22.75)). Three mental disorders in men were found to be negatively related: neurotic and related disorders (OR=.34-.46, 27.98 (3.26)), mood (affective) disorders (OR = .44-.56, 31.91 (9.59)), and dementia (OR = .78-10.82, 13.75 (2.73)). Gender can become a key biological element that contributes to the dissimilarity of mental illness. Preventive care for men and women should, therefore, be prioritized for health conditions separately. More specifically, screening and detection, and providing appropriate intervention.
Collapse
Affiliation(s)
- Passakorn Suanrueang
- Department of Healthcare Administration Specialty in Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan
| | - Karl Peltzer
- Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan
| | - Mein-Woei Suen
- Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan
| | - Hsiao-Fang Lin
- Department and Graduate Institute of Early Childhood Development and Education, Chaoyang University of Technology, Taichung, Taiwan
| | - Tze-Kiong Er
- Department of Medical Laboratory Science and Biotechnology, Asia University, Taichung, Taiwan
| |
Collapse
|
8
|
Lee J, Hong JS, Tan K, Pineros-Leano M, Baek SA. Bullying Victimization Profiles of School-Aged Adolescents and Associations With Weight Statuses: A Latent Class Analysis. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP12949-NP12972. [PMID: 32046566 DOI: 10.1177/0886260520905087] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Bullying and childhood obesity are public health concerns in the United States. While obesity has been found to be associated with bullying victimization, it is less clear how it is differentially associated with biological sex and grade level across varying patterns of bullying victimization. Based on the subset of U.S. students in the Health Behavior in School-Aged Children study, patterns of co-occurring bullying victimization and sex and grade level differences in the association between the patterns of bullying victimization and weight status were examined among 9,124 students in Grades 5 to 10. The latent class analysis revealed three patterns of bullying victimization: verbal-relational victimization (Class 1), all-type victimization (Class 2), and noninvolved pattern (Class 3). The results found that females had a higher likelihood of being in Class 1 than males. Moreover, fifth to sixth and seventh to eighth-graders were more likely than ninth to tenth graders to be in both Class 1 and Class 2. Obese males and overweight females were more likely to be in Class 1 and Class 2 than in Class 3. In addition, obesity and overweight status were positively associated with bullying victimization among fifth to sixth and seven to eighth-graders. However, no significant association was found between obesity and overweight status and bullying victimization among ninth to tenth graders. Findings from the study suggest that school-based strategies, especially sex- and age-specific programs, need to take into consideration the bullying involvement of students who are overweight or obese.
Collapse
Affiliation(s)
- Jungup Lee
- National University of Singapore, Singapore
| | | | - Kevin Tan
- University of Illinois at Urbana-Champaign, Urbana, IL, USA
| | | | | |
Collapse
|
9
|
Russo LX. [Association of victimization from bullying with body mass index in schoolchildren]. CAD SAUDE PUBLICA 2020; 36:e00182819. [PMID: 33084832 DOI: 10.1590/0102-311x00182819] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Accepted: 04/01/2020] [Indexed: 11/22/2022] Open
Abstract
Many schoolchildren report bullying by their classmates because of their physical appearance. Teenagers' body weight is one of the main reasons for this victimization. The current study aims to investigate the association between victimization from bullying and body mass index (BMI) in Brazilian schoolchildren. This was a cross-sectional study using data from the Brazilian National School Health Survey (PeNSE) in 2015 for students from 11 to 15 years of age. The analysis used the Probit model. The probability of victimization from bullying was 46% in Brazilian schoolchildren in this age bracket. There was a significant non-linear association between BMI and bullying. Both underweight and overweight/obese schoolchildren were more likely to suffer bullying, compared to their peers with adequate weight for age. The association was found in both sexes, and the U-shaped curve was more accentuated in girls. Risk factors included feeling misunderstood by parents, dissatisfaction with one's own body, and enrollment in public schools. Living with the mother, mother's schooling, and a proxy for family income were neither risk factors nor protective factors for bullying. The results show that overweight/obese and underweight students should be considered a risk group for bullying.
Collapse
|
10
|
Gong Z, Han Z, Zhang H, Zhang G. Weight Status and School Bullying Experiences in Urban China: The Difference Between Boys and Girls. JOURNAL OF INTERPERSONAL VIOLENCE 2020; 35:2663-2686. [PMID: 31583944 DOI: 10.1177/0886260519880170] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This article examined the associations between weight status (body mass index [BMI] and perceived weight measures) and school bullying experiences (being bullied and bullying others) of children and adolescents in urban China. A national representative sample (n = 3,675) of all types of pre-college schools from seven Chinese cities was employed for the analysis. Students from all grades in high school, vocational school, middle school, and primary grades 4 to 6 were surveyed. Height, weight, perceived weight status, and experiences of being bullied and bullying others were obtained. The results demonstrated that the objective weight status (BMI) was neither associated with being bullied overall by others nor associated with bullying others, but the subjective/perceived weight status was significantly related to being bullied. Regarding the specific forms of being bullied, underweight (measured by BMI) students were less likely to be cyberbullied, whereas obese (measured by BMI) students were more likely to be cyberbullied. Students who perceived themselves as slightly fat and too fat were more likely to be verbally bullied. Overweight and obese students were more likely to bully others physically and relationally, and the students who perceived themselves as too thin were positively associated with physically bullying others. Moreover, BMI had a role in the involvement in school bullying for boys, whereas perceived weight status had a role in school bullying involvement in girls. These results indicate that school bullying prevention and intervention should consider weight status, as well as gender differences.
Collapse
|
11
|
Abio A, Wilburn JK, Shaikh MA, Wilson ML. School Violence Among a Nationally Representative Sample of Adolescents in Chile. Front Public Health 2020; 8:46. [PMID: 32175300 PMCID: PMC7054283 DOI: 10.3389/fpubh.2020.00046] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 02/10/2020] [Indexed: 11/13/2022] Open
Abstract
Background: School violence is widely acknowledged as a public health problem with considerable consequences on student learning and social development. There are also a wide range of health consequences. A large share of previous research on school violence has focused on populations in the global north, with significant gaps in the state of knowledge in the world's emerging economies. To this end, the present study provides an examination of correlates for school-based violence in Chile using a nationally representative cohort. Methods: Six independent variables were considered (age, sex, physical activity, sedentary life style, bullying victimization, food insecurity) within a logistic regression model to ascertain the strength and direction of associations with physical fighting. Results: Among the surveyed students, ~13.08% reported being involved in two or more physical fights during the twelve month recall period. Males were significantly over represented among those reporting being involved in a fight OR 2.91 (CI = 1.98–4.27). Those who reported experiencing food insecurity were 5.29 (CI = 1.43–19.50) times more likely to have been involved in a physical fight. Students who reported being bullied were 2.41 (CI = 1.67–3.47) times more likely to have been involved in physical fights. While age provided protection from involvement in physical fights with an adjusted odds ratio of 0.91 (CI = 0.84–0.98). Conclusion: Consistent with previous research, our results suggest that the use of school-based interventions that target multiple risk behaviors may be helpful in reducing rates of physical fighting.
Collapse
Affiliation(s)
- Anne Abio
- Injury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland
| | - Jennifer K Wilburn
- Injury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland
| | - Masood Ali Shaikh
- Injury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, Turku Brain Injury Centre, Turku University Hospital and University of Turku, Turku, Finland
| | - Michael Lowery Wilson
- Injury Epidemiology and Prevention Research Unit, Heidelberg Institute of Global Health (HIGH), University of Heidelberg, Heidelberg, Germany
| |
Collapse
|
12
|
Balta S, Emirtekin E, Kircaburun K, Griffiths MD. The Mediating Role of Depression in the Relationship Between Body Image Dissatisfaction and Cyberbullying Perpetration. Int J Ment Health Addict 2019. [DOI: 10.1007/s11469-019-00151-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
AbstractPreliminary evidence suggests that psychopathological factors (e.g., depression) are associated with higher engagement in cyberbullying perpetration, and those with elevated body image dissatisfaction (BID) are more susceptible to depression. However, the possible impact of body image dissatisfaction (BID) on cyberbullying remains untested. The present study examined the direct and indirect relationships of BID with cyberbullying via depression among a sample of 507 university students (mean age, 21.37 years; range 18–44 years). t tests showed that males had a higher prevalence of cyberbullying than females. Structural equation modeling indicated that BID was directly and indirectly associated with cyberbullying via depression among the total sample and males. However, BID was only indirectly related to cyberbullying via depression among females. Depression fully explained the relationship between BID and cyberbullying among females, although there were additional mediating factors between BID and cyberbullying among males. The findings are in accordance with theoretical models suggesting that individuals’ personal characteristics including psychopathological factors are associated with cyberbullying. Furthermore, males attempt to cope with their body image–related psychopathology with more externalizing behaviors than females.
Collapse
|
13
|
van Vuuren CL, Wachter GG, Veenstra R, Rijnhart JJM, van der Wal MF, Chinapaw MJM, Busch V. Associations between overweight and mental health problems among adolescents, and the mediating role of victimization. BMC Public Health 2019; 19:612. [PMID: 31113424 PMCID: PMC6528281 DOI: 10.1186/s12889-019-6832-z] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 04/15/2019] [Indexed: 01/29/2023] Open
Abstract
Background Evidence has not been conclusive on whether adolescent overweight is associated with mental health, possibly caused by indirect, yet untested associations. Therefore, the purpose of this study was to examine the association between overweight or obesity and mental health problems among adolescents, and to determine whether victimization plays a mediating role in these associations. Methods Self-reported data on mental health and victimization and objectively measured Body Mass Index data were used, using three cohorts (2010–2011 until 2012–2013) and an interval between the measurement waves of two years later. We performed a multi-level mediation analysis with a two-level structure to incorporate the clustering of the measurements within individuals. The study population consisted of 13,740 secondary school students, 13–14 years old at the first measurement moment, in Amsterdam, the Netherlands. Results Compared to their normal-weight peers, adolescents with overweight or obesity reported psychosocial problems and suicidal thoughts more often. Victimization was a significant mediator in the relationship between having overweight, and psychosocial problems (indirect effect OR: 2.3; 95% CI 1.5, 3.7 and direct effect OR: 1.4; 95% CI 1.2, 1.7) or suicidal thoughts (indirect effect OR: 2.1; 95% CI 1.4, 3.2 and direct effect OR: 1.3; 95% CI 1.1, 1.5). The associations between obesity, and psychosocial problems (indirect OR: 6.2; 95% CI 2.8, 14.7 and direct effect OR: 1.4; 95% CI 1.0, 2.0), or suicidal thoughts (indirect OR: 4.5; 95% CI 2.3, 9.1 and direct effect OR: 1.5; 95% CI 1.1, 2.0) were even stronger. Conclusions Overweight and obesity were significantly associated with mental health problems in adolescents, and victimization played a mediating role in this association. Victimization and mental health should be integrated into prevention programs that address healthy weight development. Moreover, overweight should be given more attention in programs to prevent victimization and promote adolescent mental health. Electronic supplementary material The online version of this article (10.1186/s12889-019-6832-z) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Cornelia Leontine van Vuuren
- Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, the Netherlands. .,Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, P.O. BOX 7057, 1007 MB, Amsterdam, the Netherlands.
| | - Gusta G Wachter
- Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, the Netherlands
| | - René Veenstra
- Department of Sociology, Faculty of Behavioral and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, the Netherlands
| | - Judith J M Rijnhart
- Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam UMC, location VU University Medical Center, P.O. BOX 7057, 1007 MB, Amsterdam, the Netherlands
| | - Marcel F van der Wal
- Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, the Netherlands
| | - Mai J M Chinapaw
- Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, P.O. BOX 7057, 1007 MB, Amsterdam, the Netherlands
| | - Vincent Busch
- Department of Epidemiology, Health Promotion and Healthcare Innovation, Public Health Service (GGD) Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, the Netherlands
| |
Collapse
|
14
|
Carey FR, Wilkinson AV, Ranjit N, Mandell D, Hoelscher DM. Perceived Weight and Bullying Victimization in Boys and Girls. THE JOURNAL OF SCHOOL HEALTH 2018; 88:217-226. [PMID: 29399837 DOI: 10.1111/josh.12600] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2016] [Revised: 05/30/2017] [Accepted: 11/08/2017] [Indexed: 06/07/2023]
Abstract
BACKGROUND Research suggests that perceived weight poses separate risks from objective weight on adolescents' risks of being bullied. We examined if the prevalence of bullying victimization differed by perceived and objective weight status, and how these associations varied by sex. METHODS Data were analyzed for 6716 8th and 11th graders from the School Physical Activity and Nutrition project, a Texas statewide survey of public school students. Participants reported demographics, bullying victimization, and weight perceptions. Height and weight were measured. RESULTS In the last 6 months, 10.8% of students reported being bullied. Nearly 70% of normal weight and overweight and 50% of obese adolescents perceived themselves as weighing the right amount. Perceiving oneself as weighing too little or too much was significantly associated with increased bullying victimization (p < .05 for both), whereas objective weight was not. Statistical interactions between perceived weight and sex were significantly associated with victimization (p < .05) among boys only; boys who perceived themselves as weighing too little had higher predicted probabilities of victimization. CONCLUSIONS Perceived weight may play a greater role in bullying victimization than objective weight, especially among boys. Interventions to prevent bullying should consider adolescents' self-perceptions of weight to effectively identify those at greater risk for victimization.
Collapse
Affiliation(s)
- Felicia R Carey
- University of Texas Health Science Center at Houston, School of Public Health in Austin, Michael & Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701
| | - Anna V Wilkinson
- University of Texas Health Science Center at Houston, School of Public Health in Austin, Michael & Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701
| | - Nalini Ranjit
- University of Texas Health Science Center at Houston, School of Public Health in Austin, Michael & Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701
| | - Dorothy Mandell
- Office of Program Decision Support, Texas Department of State Health Services, UT System Administration, 210 West 6th Street, Suite B.140E, Austin, TX 78701
| | - Deanna M Hoelscher
- University of Texas Health Science Center at Houston, School of Public Health in Austin, Michael & Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701
| |
Collapse
|
15
|
Lian Q, Su Q, Li R, Elgar FJ, Liu Z, Zheng D. The association between chronic bullying victimization with weight status and body self-image: a cross-national study in 39 countries. PeerJ 2018; 6:e4330. [PMID: 29404221 PMCID: PMC5794335 DOI: 10.7717/peerj.4330] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 01/16/2018] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Childhood obesity and school bullying are pervasive public health issues and known to co-occur in adolescents. However, the association between underweight or thinness and chronic bullying victimization is unclear. The current study examined whether chronic bullying victimization is associated with weight status and body self-image. METHODS A school-based, cross-sectional study in 39 North American and European countries and regions was conducted. A total of 213,595 adolescents aged 11, 13, and 15 years were surveyed in 2009/10. Chronic bullying victimization was identified using the Revised Olweus Bully/Victim Questionnaire. Weight status was determined using self-reported height and weight and the body mass index (BMI), and body self-image was based on perceived weight. We tested associations between underweight and bullying victimization using three-level logistic regression models. RESULTS Of the 213,595 adolescents investigated, 11.28% adolescents reported chronic bullying victimization, 14.80% were classified as overweight/obese according to age- and sex-specific BMI criteria, 12.97% were underweight, and 28.36% considered themselves a little bit fat or too fat, 14.57% were too thin. Bullying victimization was less common in older adolescent boys and girls. Weight status was associated with chronic bullying victimization (adjusted ORunderweight = 1.10, 95% CI = 1.05-1.16, p = 0.002; adjusted ORoverweight = 1.40, 95% CI = 1.32-1.49, p < 0.0001; adjusted ORobese = 1.91, 95% CI = 1.71-2.14, p < 0.0001). Body self-image also related to chronic bullying victimization (adjusted ORtoo thin = 1.42, 95% CI = 1.36-1.49, p < 0.0001; adjusted ORa little bit fat = 1.54, 95% CI = 1.48-1.61, p < 0.0001; adjusted ORtoo fat = 3.30, 95% CI = 2.96-3.68, p < 0.0001). CONCLUSION Both perceived weight and self-rated overweight are associated with chronic bullying victimization. Both overweight and underweight children are at risk of being chronically bullied.
Collapse
Affiliation(s)
- Qiguo Lian
- Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, Shanghai, China
- School of Public Health, Fudan University, Shanghai, China
| | - Qiru Su
- National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Ruili Li
- Children Health and Development Department, Capital Institute of Pediatrics, Beijing, China
| | - Frank J. Elgar
- Institute for Health and Social Policy, McGill University, Montreal, QC, Canada
| | - Zhihao Liu
- Institute for Health Education, Jiangsu Provincial Center for Disease Control and Prevention, Jiangsu, China
| | - Dongpeng Zheng
- Huajing Community Health Service Center, Shanghai, China
| |
Collapse
|
16
|
Lee K, Dale J, Guy A, Wolke D. Bullying and negative appearance feedback among adolescents: Is it objective or misperceived weight that matters? J Adolesc 2017; 63:118-128. [PMID: 29289824 DOI: 10.1016/j.adolescence.2017.12.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 12/11/2017] [Accepted: 12/12/2017] [Indexed: 01/08/2023]
Abstract
This study investigated (1) whether involvement in bullying as a bully, victim or bully-victim was associated with objectively measured overweight or underweight, or whether it was related to weight misperception (i.e., inaccurate perceptions), and (2) whether appearance-specific feedback mediated the relationship between bullying and weight misperception. In Stage 1, 2782 adolescents aged 11-16 years from British secondary schools were screened for peer bullying and victimisation. In Stage 2, 411 adolescents with weight and height data (objective n = 319, self-report n = 92) also self-reported on their weight perception and appearance-specific feedback. Neither bullying nor victimisation were related to objective underweight or overweight. Victims were at increased odds of overweight misperception, while bully-victims were at increased odds of underweight misperception. Additionally, there was an indirect effect of appearance feedback on overweight misperception in bully-victims. Both victims and bully-victims are at increased risk of weight misperception, posing further detrimental effects to their health and wellbeing.
Collapse
Affiliation(s)
- Kirsty Lee
- Department of Psychology, University of Warwick, Coventry, CV4 7AL, United Kingdom.
| | - Jeremy Dale
- Warwick Medical School, University of Warwick, Coventry, CV4 7AL, United Kingdom.
| | - Alexa Guy
- Department of Psychology, University of Warwick, Coventry, CV4 7AL, United Kingdom.
| | - Dieter Wolke
- Department of Psychology, University of Warwick, Coventry, CV4 7AL, United Kingdom; Warwick Medical School, University of Warwick, Coventry, CV4 7AL, United Kingdom.
| |
Collapse
|
17
|
Pinquart M. Systematic Review: Bullying Involvement of Children With and Without Chronic Physical Illness and/or Physical/Sensory Disability-a Meta-Analytic Comparison With Healthy/Nondisabled Peers. J Pediatr Psychol 2017; 42:245-259. [PMID: 27784727 DOI: 10.1093/jpepsy/jsw081] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Accepted: 08/28/2016] [Indexed: 02/07/2023] Open
Abstract
Objective To compare levels of victimization and perpetration associated with bullying among children and adolescents with and without chronic physical illnesses and/or physical or sensory disabilities. Methods In total, 107 studies were identified using a systematic search in electronic databases and cross-referencing. A random-effects meta-analysis was computed. Results Children and adolescents with chronic physical illness or disability were more likely to be victims of bullying in general (odds ratio [OR] = 1.65), particularly physical bullying (OR = 1.47), relational bullying (OR = 1.47), verbal bullying (OR = 1.67), cyberbullying (OR = 1.39), and illness-specific teasing (OR = 5.29). They were also more likely to be bullies in general (OR = 1.28), as well physical (OR = 1.38) and relational bullies (OR = 1.13). The effect sizes varied across different illnesses and disabilities and, in part, by visibility of the disease, school type, and year of assessment. Conclusions Although most between-group differences tend to be small, some form of intervention is needed to reduce bullying among children and adolescents with chronic physical illnesses and/or physical or sensory disabilities, and illness-specific weight- and appearance-related teasing in particular.
Collapse
Affiliation(s)
- Martin Pinquart
- Department of Psychology, Philipps University, Marburg , Germany
| |
Collapse
|
18
|
Bacchini D, Licenziati MR, Affuso G, Garrasi A, Corciulo N, Driul D, Tanas R, Fiumani PM, Di Pietro E, Pesce S, Crinò A, Maltoni G, Iughetti L, Sartorio A, Deiana M, Lombardi F, Valerio G. The Interplay among BMI z-Score, Peer Victmization, and Self-Concept in Outpatient Children and Adolescents with Overweight or Obesity. Child Obes 2017; 13:242-249. [PMID: 28267352 DOI: 10.1089/chi.2016.0139] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Research has provided evidence that obesity is associated with peer victimization and low levels of self-concept. No study has examined the relationship between BMI z-score, self-concept in multiple domains, and peer victimization. METHODS The aim of the research was to investigate the interplay between BMI z-score, self-concept in multiple domains (physical, athletic, social), and peer victimization, testing direct, mediated, and moderated associations. Eighty hundred fifteen outpatient children and adolescents were consecutively recruited in 14 hospitals distributed over the Italian country. The sample consisted of 419 males and 396 females; mean age 10.91 ± 1.97 years (range 6-14 years) and mean BMI z-score 1.85 ± 0.74 (range -0.97 ± 3.27). Peer victimization and self-concept were assessed with a revised Olweus Bully/Victim Questionnaire and with the Self-Perception Profile for Children. A structural equation model approach was used to determine the associations among variables, testing two competing models. RESULTS In both models, path analysis revealed that BMI z-score was directly associated with peer victimization and self-concept in multiple domains. In the first model, peer victimization mediated the relationship between BMI-score and self-concept, whereas in the alternative model, self-concept mediated the relationship between BMI z-score and peer victimization. Interaction analyses revealed that social competence moderated the relationship between BMI z-score and peer victimization and that peer victimization moderated the relationship between BMI z-score and physical appearance. CONCLUSIONS Higher levels of BMI z-score are a risk factor for peer victimization and poor self-concept. When high levels of BMI z-score are associated with a negative self-concept, the risk of victimization increases. Preventive and supportive interventions are needed to avoid negative consequences on quality of life in children and adolescents with obesity.
Collapse
Affiliation(s)
- Dario Bacchini
- 1 Dipartimento di Psicologia, University of Campania "Luigi Vanvitelli," Caserta, Italy
| | - Maria Rosaria Licenziati
- 2 Dipartimento di Pediatria Specialistica e Sistematica, AORN Santobono Pausilipon , Napoli, Italy
| | - Gaetana Affuso
- 1 Dipartimento di Psicologia, University of Campania "Luigi Vanvitelli," Caserta, Italy
| | - Alessandra Garrasi
- 3 Servizio di Dietologia Clinica , Ospedale Pediatrico Bambino Gesù IRCCS, Roma, Italy
| | - Nicola Corciulo
- 4 Centro di Prevenzione Diagnosi e Cura dell'Obesità in Età Evolutiva U.O. Pediatria , Presidio Ospedaliero di Gallipoli, Lecce, Italy
| | - Daniela Driul
- 5 SOC Clinica Pediatrica, Azienda Ospedaliero-Universitaria Udine , Udine, Italy
| | - Rita Tanas
- 6 U.O. di Pediatria, Azienda Ospedaliero-Universitaria S. Anna , Ferrara, Italy
| | - Perla Maria Fiumani
- 7 Dipartimento della Donna, del Bambino e di Chirurgia Generale e Specialistica, Seconda Università di Napoli , Napoli, Italy
| | - Elena Di Pietro
- 8 U.O. di Pediatria, Ospedale S. Liberatore , Atri, Teramo and Unità di Neuropsichiatria Infantile, Policlinico di Modena, Modena, Italy
| | - Sabino Pesce
- 9 U.O.C. di Malattie Metaboliche ed Endocrinologia Pediatrica A.O.U. Policlinico Bari, Bari, Italy
| | - Antonino Crinò
- 10 U.O.S. di Patologia Endocrina Autoimmune, Ospedale Pediatrico Bambino Gesù IRCCS , Palidoro, Roma, Italy
| | - Giulio Maltoni
- 11 Dipartimento di Scienze Mediche e Chirurgiche, Unità Operativa di Pediatria, Programma di Endocrinologia Pediatrica, Policlinico Universitario S. Orsola Malpighi , Bologna, Italy
| | - Lorenzo Iughetti
- 12 Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'Adulto, Università di Modena e Reggio Emilia , Modena, Italy
| | - Alessandro Sartorio
- 13 Laboratorio Sperimentale Ricerche Auxo-Endocrinologiche , Divisione di Auxologia e Malattie Metaboliche, Istituto Auxologico Italiano, IRCCS, Milano, Italy
| | - Manuela Deiana
- 14 Clinica Pediatrica , Ospedale F. Del Ponte, Varese, Italy
| | - Francesca Lombardi
- 15 U.O.C. di Pediatria, Ospedale Maggiore, Ausl di Bologna, Bologna, Italy
| | - Giuliana Valerio
- 16 Dipartimento di Scienze Motorie e del Benessere, Università degli Studi di Napoli Parthenope , Napoli, Italy
| |
Collapse
|
19
|
Flores-Cornejo F, Kamego-Tome M, Zapata-Pachas MA, Alvarado GF. Association between body image dissatisfaction and depressive symptoms in adolescents. ACTA ACUST UNITED AC 2017; 39:316-322. [PMID: 28355343 PMCID: PMC7111410 DOI: 10.1590/1516-4446-2016-1947] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Accepted: 11/03/2016] [Indexed: 12/25/2022]
Abstract
Objective: To determine the association between body image dissatisfaction (BID) and depressive symptoms in adolescents from a school in Lima, Peru. Methods: A cross-sectional study was performed through a census of 875 high-school students, aged 13 to 17 years, from a school in Lima. Participants completed a survey containing the Body Shape Questionnaire (BSQ) and the Patient Health Questionnaire-9 (PHQ-9). Data regarding demographics, alcohol and tobacco use, self-esteem, and family history of depression were also obtained. To identify associated factors, Poisson regression with robust variance was used. Prevalence ratios with 95% confidence intervals were calculated. Results: Of the 875 adolescents, 55.8% were male. The mean age was 14.1±1.5 years. Depressive symptoms were observed in 19.9% of participants. An association between BID and depressive symptoms was found. Alcohol and tobacco use were also associated with the outcome of interest. Conclusions: Teens who had BID were 3.7 times more likely to report depressive symptoms. Additionally, those who used tobacco or alcohol were 1.5 and 1.4 times more likely to have depressive symptoms, respectively. Further studies targeting other populations and using longitudinal designs are recommended.
Collapse
Affiliation(s)
| | - Mayumi Kamego-Tome
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | | | - German F Alvarado
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| |
Collapse
|
20
|
Seo HJ, Jung YE, Kim MD, Bahk WM. Factors associated with bullying victimization among Korean adolescents. Neuropsychiatr Dis Treat 2017; 13:2429-2435. [PMID: 29075119 PMCID: PMC5609785 DOI: 10.2147/ndt.s140535] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVES The aims of the present study were to assess the prevalence of bullying victimization among Korean adolescents by sex and age and to investigate the correlates of this phenomenon. METHODS Of 3,200 eligible subjects, 2,936 (91.8%) adolescents were recruited from four elementary schools (6th grade, age range: 10-12 years), five middle schools (8th grade, age range: 13-14 years), and three high schools (10th grade, age range: 15-17 years) located in the Jeju Special Self-Governing Province, Republic of Korea. This study used a self-administered questionnaire to collect data on sociodemographic characteristics and experiences of bullying victimization and employed the Korean form of the Children's Depression Inventory to evaluate depressive symptoms. RESULTS Of the total sample of 2,936 students, 1,689 were boys (57.5%) and 1,247 were girls (42.5%). The prevalence of bullying victimization by age group was as follows: 10-12 years, 9.5%; 13-14 years, 8.3%; and 15-17 years, 6.4%. A significant difference in the prevalence of bullying victimization was observed by sex (boys: 45.0%, girls: 55.0%). Overall, the prevalence decreased with age. After adjusting for age and sex, bullying victimization was significantly associated with lower socioeconomic status (odds ratio [OR] =1.67; 95% confidence interval [CI] 1.04-2.67), lower than average academic achievement (OR =1.77; 95% CI 1.25-2.50), more depressive symptoms (OR =1.88; 95% CI 1.38-2.55), and poorer perceived relationship with parents (OR =1.46; 95% CI 1.00-2.14). CONCLUSION Our findings will provide researchers and public health practitioners with data on the prevalence of bullying victimization and help to identify the risk factors for later behavioral and emotional problems.
Collapse
Affiliation(s)
- Hye-Jin Seo
- Department of Psychiatry, Ansan Shinwoo Hospital, Ansan
| | - Young-Eun Jung
- Department of Psychiatry, School of Medicine, Jeju National University, Jeju
| | - Moon-Doo Kim
- Department of Psychiatry, School of Medicine, Jeju National University, Jeju
| | - Won-Myong Bahk
- Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| |
Collapse
|
21
|
Abstract
PURPOSE OF REVIEW In recent years, there has been increased recognition that the experiences of youth who have endured bullying cannot be ignored or dismissed as harmless acts by 'kids being kids'. The present article reviews several key risks and consequences of bullying for adolescent victims. RECENT FINDINGS Bullying victimization has been linked with a number of adverse health and social outcomes, including mental health issues, weapon-carrying, substance abuse, academic problems, and other adverse consequences - some of which may persist into adulthood. Recent findings on cyberbullying, in particular, highlight the real-life consequences of virtual victimization. SUMMARY Pediatricians play a critical role in identifying and supporting victims of bullying and counseling parents about surveillance and intervention strategies.
Collapse
|
22
|
Is subjective perception of negative body image among adolescents associated with bullying? Eur J Pediatr 2015; 174:1035-41. [PMID: 25708851 DOI: 10.1007/s00431-015-2507-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2014] [Revised: 02/02/2015] [Accepted: 02/10/2015] [Indexed: 11/27/2022]
Abstract
UNLABELLED Adolescents' body image dissatisfaction has an adverse effect on peer relationships. It may lead to changes in behaviour (aggressive or passive) and consequently to bullying behaviour. Our aim was to assess the association between body image dissatisfaction and involvement in bullying and whether this differs by gender. We used data from the Slovak part of the 2010 Health Behaviour in School-aged Children study. The final sample comprised 8050 adolescents aged 11 to 15 years old (mean age 13.57), less than half of whom were boys. The association between self-reported body image and involvement in bullying was determined using multinomial logistic regression. We found a significant association between body dissatisfaction and involvement in bullying. Adolescents dissatisfied with their bodies because due to feeling overweight were more likely to become passive or reactive victims. Self-reported thinness was found to be significantly associated with bully-victims only in boys. CONCLUSION Adolescent body dissatisfaction is strongly associated with bullying behaviour. Our findings point out the importance of incorporating at schools different types of intervention programmes supporting positive self-perceptions of adolescents and reducing bullying behaviour.
Collapse
|
23
|
Are overweight and obese youths more often bullied by their peers? A meta-analysis on the relation between weight status and bullying. Int J Obes (Lond) 2014; 38:1263-7. [PMID: 25002148 DOI: 10.1038/ijo.2014.117] [Citation(s) in RCA: 126] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2014] [Revised: 06/10/2014] [Accepted: 06/28/2014] [Indexed: 11/08/2022]
|
24
|
Muthuri SK, Francis CE, Wachira LJM, LeBlanc AG, Sampson M, Onywera VO, Tremblay MS. Evidence of an overweight/obesity transition among school-aged children and youth in Sub-Saharan Africa: a systematic review. PLoS One 2014; 9:e92846. [PMID: 24676350 PMCID: PMC3968060 DOI: 10.1371/journal.pone.0092846] [Citation(s) in RCA: 102] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2013] [Accepted: 02/27/2014] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Prevalence of childhood overweight/obesity has increased considerably in recent years. The transition to higher rates of overweight/obesity has been well documented in high income countries; however, consistent or representative data from lower income countries is scarce. It is therefore pertinent to assess if rates of overweight/obesity are also increasing in lower income countries, to inform public health efforts. OBJECTIVE This systematic review aimed to investigate the evidence for an overweight/obesity transition occurring in school-aged children and youth in Sub Saharan Africa. METHODS Studies were identified by searching the MEDLINE, Embase, Africa Index Medicus, Global Health, Geobase, and EPPI-Centre electronic databases. Studies that used subjective or objective metrics to assess body composition in apparently healthy or population-based samples of children and youth aged 5 to 17 years were included. RESULTS A total of 283 articles met the inclusion criteria, and of these, 68 were used for quantitative synthesis. The four regions (West, Central, East, and South) of Sub Saharan Africa were well represented, though only 11 (3.9%) studies were nationally representative. Quantitative synthesis revealed a trend towards increasing proportions of overweight/obesity over time in school-aged children in this region, as well as a persistent problem of underweight. Weighted averages of overweight/obesity and obesity for the entire time period captured were 10.6% and 2.5% respectively. Body composition measures were found to be higher in girls than boys, and higher in urban living and higher socioeconomic status children compared to rural populations or those of lower socioeconomic status. CONCLUSIONS This review provides evidence for an overweight/obesity transition in school-aged children in Sub Saharan Africa. The findings of this review serve to describe the region with respect to the growing concern of childhood overweight/obesity, highlight research gaps, and inform interventions. PROSPERO REGISTRATION NUMBER CRD42013004399.
Collapse
Affiliation(s)
- Stella K. Muthuri
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
- University of Ottawa, Ottawa, Ontario, Canada
| | - Claire E. Francis
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | | | - Allana G. LeBlanc
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
- University of Ottawa, Ottawa, Ontario, Canada
| | - Margaret Sampson
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
| | - Vincent O. Onywera
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
- Kenyatta University, Nairobi, Kenya
| | - Mark S. Tremblay
- Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada
- University of Ottawa, Ottawa, Ontario, Canada
- Kenyatta University, Nairobi, Kenya
| |
Collapse
|
25
|
Abstract
PURPOSE OF REVIEW This article addresses three areas in which new research demonstrates the potential to impact the health of children and adolescents: bullying, adverse childhood experiences (ACEs) and texting to promote behavior change. RECENT FINDINGS Recent research on bullying emphasizes its impact on children with chronic medical conditions, and highlights cyber bullying as a rising issue. ACEs are now recognized as risk factors for many health issues, particularly mental health problems. Text messaging is a promising new method to communicate with parents and adolescent patients. SUMMARY Pediatric healthcare providers can help patients with chronic medical problems by addressing bullying at well child visits. Screening for ACEs may identify children at risk for mental health issues. Incorporating text messaging into clinical practice can improve disease management and patient education.
Collapse
|