Published in:
Open Access
01-01-2018 | Original Article
Trends in the perceived body size of adolescent males and females in Scotland, 1990–2014: changing associations with mental well-being
Authors:
Ross D. Whitehead, Alina Cosma, Jo Cecil, Candace Currie, Dorothy Currie, Fergus Neville, Jo Inchley
Published in:
International Journal of Public Health
|
Issue 1/2018
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Abstract
Objectives
This paper explores trends in Scottish adolescents’ body size perceptions and associated mental well-being outcomes.
Methods
Data were collected on Scottish 11-, 13-, and 15-year-olds by the Health Behaviour in School-aged Children study between 1990 and 2014 (n = 42,312). Logistic regression was used to examine changes in the prevalence of over- and underweight perceptions. Ordinal and linear regressions were used to examine changes in the association between body perception and mental well-being.
Results
Little change was observed in over- or underweight perceptions. However, relative to those perceiving their body as ‘about right’, those perceiving themselves as overweight reported decreasing confidence (all groups), decreasing happiness (11- and 13-year-old girls), and increasing psychological health symptoms (all girls and 15-year-old boys). Perceived underweight is associated with poor well-being, especially in males, but we present little evidence that this is a recent phenomenon.
Conclusions
We present evidence suggesting that the association between body size perception and poor mental health in adolescence is changing over time. This may play a role in the recently observed worsening of mental well-being in Scottish adolescents.