Saturday, December 19, 2015

Weight Perceptions, Misperceptions & Dating Violence Victimization among U.S. Adolescents

Dating violence is a major public health issue among youth. Overweight/obese adolescents experience peer victimization and discrimination and may be at increased risk of dating violence victimization. Furthermore, given the stigma associated with overweight/obesity, perceptions and misperceptions of overweight may be more important than actual weight status for dating violence victimization. 

This study examines the association of three weight indices (weight status, perceived weight, and weight perception accuracy) with psychological and physical dating violence victimization. The 2010 baseline survey of the 7-year NEXT Generation Health Study used a three-stage stratified clustered sampling design to select a nationally representative sample of U.S. 10th-grade students (n = 1,983). Participants who have had a boyfriend/girlfriend reported dating violence victimization and perceived weight. Weight status was computed from measured height/weight. Weight perception accuracy (accurate/underestimate/overestimate) was calculated by comparing weight status and perceived weight. Gender-stratified regressions examined the association of weight indices and dating violence victimization. Racial/ethnic differences were also examined. 

The association of weight indices with dating violence victimization significantly differed by gender. Overall, among boys, no associations were observed. Among girls, weight status was not associated with dating violence victimization, nor with number of dating violence victimization acts; however, perceived weight and weight perception accuracy were significantly associated with dating violence victimization, type of victimization, and number of victimization acts. Post hoc analyses revealed significant racial/ethnic differences. White girls who perceive themselves (accurately or not) to be overweight, and Hispanic girls who are overweight, may be at increased risk of dating violence victimization. 

These findings suggest a targeted approach to dating violence victimization prevention.

Table 2

Prevalence of Dating Violence Victimization, by Gender of the Victim and Measure of Victimization
Weight Status (%)Perceived Weight (%)Weight Perception Accuracy (%)



NormalOverweightObeseAbout RightToo ThinToo FatAccurateUnderestimateOverestimate
Boys (n = 881)
 Psychological
  Insulted13.710.211.012.217.710.612.013.412.9
  Sworn at21.918.923.221.626.319.219.825.223.3
  Threatened5.03.93.43.87.74.43.75.28.7
 Physical
  Pushed11.49.46.710.812.77.09.210.412.3
  Had something thrown at him or her2.64.12.82.42.74.23.02.64.2
 Any victimization
  Yes26.425.533.027.031.127.226.430.824.0
  No73.674.567.073.068.972.873.669.276.0
 Types of victimization
  None73.674.567.073.068.972.873.669.276.0
  Psychological only14.614.524.416.018.317.315.819.410.9
  Physical only/both11.811.08.611.012.89.910.611.413.1
 Total number of victimization acts (SE)0.54 (0.08)0.46 (0.07)0.46 (0.06)0.50 (0.07)0.65 (0.17)0.44 (0.08)0.47 (0.06)0.57 (0.09)0.61 (0.25)
Girls (n = 1,102)
 Psychological
  Insulted18.018.610.512.917.520.614.712.630.2**
  Sworn at37.436.636.031.534.243.3*36.127.350.4*
  Threatened5.15.810.84.93.08.36.15.78.2
 Physical
  Pushed10.610.05.36.411.012.57.47.821.3**
  Had something thrown at him or her2.61.01.31.41.32.81.31.36.6*
 Any victimization
  No58.260.058.566.058.250.860.368.041.7
  Yes41.840.041.534.041.849.2*39.732.058.3**
 Types of victimization
  None58.260.058.566.058.250.860.368.041.7
  Psychological only30.230.236.227.630.935.432.324.332.7
  Physical only/both11.69.85.36.410.913.8*7.47.625.6***
  Total number of victimization acts (SE)0.73 (0.07)0.70 (0.08)0.62 (0.12)0.56 (0.08)0.66 (0.10)0.85 (0.05)***0.64 (0.06)0.54 (0.09)1.14 (0.14)**
*p < .05.
**p < .01.
***p < .001.

Full article at:   http://goo.gl/RKTEcZ

1National Institutes of Health, Bethesda, MD, USA
Corresponding Author: Tilda Farhat, Disparities Research Branch, Center to Reduce Cancer Health Disparities, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, MSC 9746, Room 6W246, Bethesda, MD 20892, USA.  vog.hin@tahraF.adliT
Authors' Note: Faith Summersett-Ringgold is now at Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ashley Brooks-Russell is now at University of Colorado Denver, Aurora, Colorado; and Ronald J. Iannotti is now at University of Massachusetts Boston, Boston, Massachusetts.
 


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