Evidence map›Paper›PMID 34088278›Full record

ArticleBMC public health2021

Do weight perception and bullying victimization account for links between weight status and mental health among adolescents?

Karen A Patte, Maram Livermore, Wei Qian, Scott T Leatherdale

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
10.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
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  5. Flourishing as a Pathway to Well-Being in Obesity Care.Journal of personalized medicine · 2025
    Review
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  10. Review
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  15. Reframing How Providers Advocate for Adolescent Well-Being in Body Image, Eating, and Weight.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Karen A PatteDepartment of Health Sciences, Brock University, Niagara Region, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada. kpatte@brocku.ca.
Maram LivermoreDepartment of Health Sciences, Brock University, Niagara Region, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada.
Wei QianSchool of Public Health and Health Systems, University of Waterloo, 200 University Ave, Waterloo, Ontario, N2L 3G1, Canada.
Scott T LeatherdaleSchool of Public Health and Health Systems, University of Waterloo, 200 University Ave, Waterloo, Ontario, N2L 3G1, Canada.
University of Waterloo · CABrock University · CARegional Municipality of Niagara · CA

Funding

CIHR MOP-114875CIHR PJT-148562CIHR PJT-149092CIHR PJT-159693
6 · The paper itself

Abstract

backgroundThe purpose of this study was to explore whether the way youth perceive their weight and their experiences of bullying victimization account for the increased risk of depression and anxiety symptoms, and poor psychosocial well-being, associated with overweight/obesity in a large sample of Canadian secondary school students. We also explored if associations differed by gender.

methodsWe used cross-sectional survey data from year 7 (2018-19) of the COMPASS study. The sample included 57,059 students in grades 9-12 (Secondary III-V in Quebec) at 134 Canadian secondary schools (Alberta, British Columbia, Ontario, Quebec). First, multiple regression models tested associations between body mass index (BMI) classification and mental health outcomes (anxiety [GAD-7] and depression [CESD-10] symptoms, and psychosocial well-being [Diener's Flourishing Scale]). Second, weight perception and bullying victimization were added to the models. Models were stratified by gender and controlled for sociodemographic covariates and school clustering.

resultsWhen weight perception and bullying victimization were added to the models, obesity BMI status no longer predicted internalizing symptoms and flourishing scores relative to normal-weight BMIs. Students with 'overweight' or 'underweight' perceptions, and experiences of bullying victimization in the past month, reported higher anxiety and depressive symptomatology, and lower flourishing levels, in comparison to students with 'about right' weight perceptions and without experiences of bullying victimization, respectively, controlling for BMI status. Results were largely consistent across boys and girls.

conclusionsResults suggest perceptions of weight and experiences of bullying independently contribute to differences in mental health outcomes by weight status among youth. Continued efforts targeting weight-based bullying and weight bias, and the promotion of body size acceptance and positive body image, may help reduce the risk of mental illness and poor mental health among adolescents.

Indexed as

BullyingCrime VictimsWeight PerceptionAdolescentAlbertaBritish ColumbiaCross-Sectional StudiesFemaleHumansMaleMental HealthOntarioQuebecAdolescentsAnxietyDepressionInternalizing symptomsObesityOverweightWeight perceptionYouth

Identifiers

PMID34088278
PMCPMC8177253
OpenAlexW3165162707

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.