ArticleThe Journal of school health2026
Associations Between Specific Forms of Teasing and Body Image Dissatisfaction in Adolescents: A School-Based Study.
Article in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundBeyond traditional weight stigma, school-based peer teasing critically drives adolescent body dissatisfaction, yet its distinct impact on both overweight and thinness concerns remains largely overlooked. This study examined associations between specific forms of teasing and both directions of body image (BI) dissatisfaction among adolescents.
methodsA school-based survey was conducted with 1032 adolescents aged 14-19 years in Northern Brazil. Participants reported on four teasing modalities and body dissatisfaction, which were analyzed using survey-weighted multinomial logistic regression models adjusted for sociodemographic and behavioral covariates.
resultsOnly 27.1% of adolescents reported BI satisfaction; 41.2% and 31.7% were dissatisfied due to overweight and thinness. All teasing forms were associated with higher risks of both outcomes. Mockery of physical appearance showed the strongest associations (overweight RRR = 2.08, 95% CI: 1.41-3.08; thinness RRR = 2.75, 95% CI: 1.83-4.15). No sex interactions were observed (p > 0.05). IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: School-based strategies should address diverse forms of teasing beyond weight stigma, including explicitly recognizing weight- and appearance-based teasing within anti-bullying policies and prevention programs.
conclusionsMultiple forms of teasing are associated with BI dissatisfaction among adolescents regardless of sex. Addressing body-directed peer teasing may represent an important target for school health initiatives aimed at promoting healthier body perceptions.
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