Evidence map›Paper›PMID 40448069›Full record

ReviewBMC public health2025

Weight-related bullying in schools: a review of school anti-bullying policies.

Amanda Hughes, Elisabeth Grey, Alice Haigherty, Fayth Shepherd, Fiona Gillison, Georgie MacArthur, Caoimhe Gowran, Rebecca Langford

Abstract readReview
In one paragraph

Review in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Weight Perception and Bullying among Overweight and Obese Students (Age 6-16 Years) in Amritsar District.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026
    Article
  5. Article
  6. Article
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

8 authors.

Amanda HughesMedical Research Council Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, UK.
Elisabeth GreyThe National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.
Alice HaighertyDepartment of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.
Fayth ShepherdDepartment of Psychology, University of Bath, Claverton Down, Bath, BA2 7AY, UK.
Fiona GillisonThe National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.
Georgie MacArthurNorth Somerset Council, Town Hall, Walliscote Grove Road, Weston-super-Mare, BS23 1UJ, UK.
Caoimhe GowranBristol City Council, City Hall, PO Box 3399, Bristol, BS1 9NE, UK.
Rebecca LangfordThe National Institute for Health and Care Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK. beki.langford@bristol.ac.uk.

Funding

Economic and Social Research Council (ESRC) New Investigator Grant ES/X000486/1Medical Research Council (MRC) Integrative Epidemiology Unit MC_UU_00032/1
6 · The paper itself

Abstract

introductionWeight is reported to be the most common target for bullying at school - far more common than other targets such as ethnicity, religion or sexual orientation. Research suggests weight bias and stigma - including negative beliefs, attitudes and discriminatory behaviours related to a person's weight - is prevalent in educational settings among both pupils and staff. Most schools have anti-bullying policies. Best practice recommendations advise policies should explicitly identify forms of unacceptable behaviour, such as racism or homophobia. We conducted an audit of secondary schools in southwest England to determine if/how they mention weight-related bullying in their policies, and whether this differs by school-level factors.

methodsWe obtained lists of all secondary mainstream state, private, and special schools in seven local authorities and downloaded anti-bullying policies from their websites. Policies were searched for key words related to weight and size. We also recorded whether policies mentioned appearance or other key targets for bullying, such as race, religion, sexuality etc. We obtained school level data including size, gender mix, academic performance and quality ratings.

resultsFrom 255 schools with an available bullying or behaviour policy, only 6.7% specifically mentioned weight-related bullying. Just under half (48.6%) mentioned bullying in relation to appearance. Bullying was most often mentioned in relation to race/ethnicity (94.5%), sexual orientation (93.3%), gender (85.9%), religion (84.9%) or gender identity (67.5%). Private schools (N = 40) were more likely to mention weight-related bullying (17.5%) than mainstream state schools (N = 148, 6.1%). No special schools, whether state (N = 41) or private (N = 26), mentioned weight-related bullying in their policies. There was no strong evidence that other school characteristics made a difference, but small numbers limited statistical power of these comparisons.

conclusionThere is a significant mismatch between the prevalence of weight-related bullying in schools and its representation within school anti-bullying policies. Some types of school are more likely than others to mention weight-related bullying in their policies. We recommend that schools explicitly recognise weight-related bullying in their anti-bullying policies and explore how to support staff and pupils to take action.

Indexed as

Body WeightBullyingOrganizational PolicySchoolsAdolescentEnglandFemaleHumansMaleBiasBullyingObesityPolicySchoolStigmaUKVictimisationWeight

Identifiers

PMID40448069
PMCPMC12124066

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.