Abstract
Adolescents’ body image dissatisfaction has an adverse effect on peer relationships. It may lead to changes in behaviour (aggressive or passive) and consequently to bullying behaviour. Our aim was to assess the association between body image dissatisfaction and involvement in bullying and whether this differs by gender. We used data from the Slovak part of the 2010 Health Behaviour in School-aged Children study. The final sample comprised 8050 adolescents aged 11 to 15 years old (mean age 13.57), less than half of whom were boys. The association between self-reported body image and involvement in bullying was determined using multinomial logistic regression. We found a significant association between body dissatisfaction and involvement in bullying. Adolescents dissatisfied with their bodies because due to feeling overweight were more likely to become passive or reactive victims. Self-reported thinness was found to be significantly associated with bully-victims only in boys.
Conclusion: Adolescent body dissatisfaction is strongly associated with bullying behaviour. Our findings point out the importance of incorporating at schools different types of intervention programmes supporting positive self-perceptions of adolescents and reducing bullying behaviour.
What is known: |
• Involvement in bullying increases the risk of unhealthy development of adolescents. • This study confirms previous evidence that adolescents dissatisfied with their bodies due to feeling overweight are more likely to be involved in bullying as passive or reactive victims. |
What is new: |
• Negative body image because of thinness was found to be associated with bullying behaviour of adolescents. • We found gender differences in the relationship between body image dissatisfaction and bullying behaviour: boys feeling too thin were at greater risk of becoming a reactive victim. |
Similar content being viewed by others
Abbreviations
- CIs:
-
Confidence intervals
- HBSC:
-
Health Behaviour in School-aged Children
- ORs:
-
Odds ratios
- SPSS:
-
Statistical Package for the Social Sciences
References
Al Sabbah H, Vereecken CA, Elgar FJ, Nansel T, Aasvee K, Abdeen Z, Ojala K, Ahluwalia N, Maes L (2009) Body weight dissatisfaction and communication with parents among adolescents in 24 countries: international cross-sectional survey. BMC Public Health 9:1–10
Alikasifoglu M, Erginoz E, Ercan O, Uysal O, Albayrak-Kaymak D (2007) Bullying behaviours and psychosocial health: results from a cross-sectional survey among high school students in Istanbul, Turkey. Eur J Pediatr 166:1253–1260
Andreou E (2000) Bully/victim problems and their association with psychological constructs in 8- to 12-year-old Greek schoolchildren. Aggress Behav 26:49–56
Bonsergent E, Benie-Bi J, Baumann C, Agrinier N, Tessier S, Thilly N, Brian‡on S (2012) Effect of gender on the association between weight status and health-related quality of life in adolescents. BMC Public Health 12:997–1004
Book AS, Volk AA, Hosker A (2012) Adolescent bullying and personality: an adaptive approach. Pers Individ Differ 52:218–223
Brixval CS, Rayce SLB, Rasmussen M, Holstein BE, Due P (2012) Overweight, body image and bullying—an epidemiological study of 11- to 15-years olds. Eur J Public Health 22:126–130
Calzo JP, Sonneville KR, Haines J, Blood EA, Field AE, Austin SB (2012) The development of associations among body mass index, body dissatisfaction, and weight and shape concern in adolescent boys and girls. J Adolesc Health 51:517–523
Cook CR, Williams KR, Guerra NG, Kim TE, Sadek S (2010) Predictors of bullying and victimization in childhood and adolescence: a meta-analytic investigation. School Psychol Q 25:65–83
Craig W, Harel-Fisch Y, Fogel-Grinvald H, Dostaler S, Hetland J, Simons-Morton B, Molcho M, de Mato MG, Overpeck M, Due P, Pickett W (2009) A cross-national profile of bullying and victimization among adolescents in 40 countries. Int J Public Health 54(Suppl 2):216–224
DeVoe JF, Bauer L, National Center for Education Statistics (2011) Student victimization in U.S. schools: results from the 2009 School Crime Supplement to the National Crime Victimization Survey. NCES 2012-314. National Center for Education Statistics
Due P, Holstein BE, Lynch J, Diderichsen F, Gabhain SN, Scheidt P, Currie C (2005) Bullying and symptoms among school-aged children: international comparative cross sectional study in 28 countries. Eur J Public Health 15:128–132
Eaton DK, Kann L, Kinchen S, Shanklin S, Flint KH, Hawkins J, Harris WA, Lowry R, Mcmanus T, Chyen D, Whittle L, Lim C, Wechsler H (2012) Youth risk behavior surveillance—United States, 2011. MMWR Surveill Summ 61:1–162
Farrow CV, Fox CL (2011) Gender differences in the relationships between bullying at school and unhealthy eating and shape-related attitudes and behaviours. Br J Educ Psychol 81:409–420
Fox CL, Farrow CV (2009) Global and physical self-esteem and body dissatisfaction as mediators of the relationship between weight status and being a victim of bullying. J Adolesc 32:1287–1301
Gini G, Pozzoli T (2009) Association between bullying and psychosomatic problems: a meta-analysis. Pediatrics 123:1059–1065
Gobina I, Zaborskis A, Pudule I, Kalnins I, Villerusa A (2008) Bullying and subjective health among adolescents at schools in Latvia and Lithuania. Int J Public Health 53:272–276
Halliwell E, Easun A, Harcourt D (2011) Body dissatisfaction: Can a short media literacy message reduce negative media exposure effects amongst adolescent girls? Br J Health Psychol 16:396–403
Hansson LM, Karnehed N, Tynelius P, Rasmussen F (2009) Prejudice against obesity among 10-year-olds: a nationwide population-based study. Acta Paediatr 98:1176–1182
Harel-Fisch Y, Walsh SD, Fogel-Grinvald H, Amitai G, Pickett W, Molcho M, Due P, de Matos MG, Craig W (2011) Negative school perceptions and involvement in school bullying: a universal relationship across 40 countries. J Adolesc 34:639–652
Isolan L, Salum G, Osowski A, Zottis G, Manfro G (2013) Victims and bully-victims but not bullies are groups associated with anxiety symptomatology among Brazilian children and adolescents. Eur Child Adolesc Psychiatry 22:641–648
Janssen I, Craig WM, Boyce WF, Pickett W (2004) Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics 113:1187–1194
Juvonen J, Graham S, Schuster MA (2003) Bullying among young adolescents: the strong, the weak, and the troubled. Pediatrics 112:1231–1237
Lawler M, Nixon E (2011) Body dissatisfaction among adolescent boys and girls: the effects of body mass, peer appearance culture and internalization of appearance ideals. J Youth Adolesc 40:59–71
Lee J (2012) The relationship between appearance-related stress and internalizing problems in South Korean adolescent girls. Soc Behav Pers 40:903–918
Lehti V, Sourander A, Klomek A, Niemelä S, Sillanmäki L, Piha J, Kumpulainen K, Tamminen T, Moilanen I, Almqvist F (2011) Childhood bullying as a predictor for becoming a teenage mother in Finland. Eur Child Adolesc Psychiatry 20:49–55
Lien L, Green K, Welander-Vatn A, Bjertness E (2009) Mental and somatic health complaints associated with school bullying between 10th and 12th grade students; results from cross sectional studies in Oslo, Norway. Clin Pract Epidemiol Ment Health 5:1–8
Madarasova Geckova A, Veselska Z, Kollarova J (2011) Social determinants of health of school-aged children. National report on health and health-related behavior of 11, 13 and 15 year old schoolchildren, based on a survey conducted in 2009/2010 in the framework of the international project “Health Behaviour in School Aged Children” [in Slovak]. Equilibria, Kosice
McCabe MP, Mavoa H, Ricciardelli LA, Schultz JT, Waqa G, Fotu KF (2011) Socio-cultural agents and their impact on body image and body change strategies among adolescents in Fiji, Tonga, Tongans in New Zealand and Australia. Obes Rev 12:61–67
Midei AJ, Matthews KA (2011) Interpersonal violence in childhood as a risk factor for obesity: a systematic review of the literature and proposed pathways. Obes Rev 12:e159–e172
Molcho M, Craig W, Due P, Pickett W, Harel-Fisch Y, Overpeck M (2009) Cross-national time trends in bullying behaviour 1994-2006: findings from Europe and North America. Int J Public Health 54(Suppl 2):225–234
Molcho M, Harel Y, Dina LO (2004) Substance use and youth violence. A study among 6th to 10th grade Israeli school children. Int J Adolesc Med Health 16:239–251
Olweus D (1991) Bully/victim problems among school children: some basic facts and effects of a school-based intervention program. In: Pepler D, Rubin K (eds) The development and treatment of childhood aggression. Erlbaum, Hillsdale, pp 411–488
Olweus D (2011) Bullying at school and later criminality: findings from three Swedish community samples of males. Crim Behav Ment Health 21:151–156
O'Moore M, Kirkham C (2001) Self-esteem and its relationship to bullying behaviour. Aggress Behav 27:269–283
Pepler DJ, Craig WM (2000) Making a difference in bullying. LaMarsh Centre for Research on Violence and Conflict Resolution. York University, Toronto
Pollastri AR, Cardemil EV, O'Donnell E (2010) Self-esteem in pure bullies and bully/victims: a longitudinal analysis. J Interpers Violence 25:1489–1502
Reulbach U, Ladewig EL, Nixon E, O'Moore M, Williams J, O'Dowd T (2013) Weight, body image and bullying in 9-year-old children. J Paediatr Child Health 49:E288–E293
Seals D, Young J (2003) Bullying and victimization: prevalence and relationship to gender, grade level, ethnicity, self-esteem, and depression. Adolescence 38:735–747
Sentenac M, Arnaud C, Gavin A, Molcho M, Gabhainn SN, Godeau E (2012) Peer victimization among school-aged children with chronic conditions. Epidemiol Rev 34:120–128
Shelton S, Liljequist L (2002) Characteristics and behaviors associated with body image in male domestic violence offenders. Eat Behav 3:217–227
Solberg ME, Olweus D, Endresen IM (2007) Bullies and victims at school: are they the same pupils? Br J Educ Psychol 77:441–464
Solberg ME, Olweus D (2003) Prevalence estimation of school bullying with the Olweus Bully/Victim Questionnaire. Aggress Behav 29:239–268
Turner MG, Exum ML, Brame R, Holt TJ (2013) Bullying victimization and adolescent mental health: general and typological effects across sex. J Crime Justice 41:53–59
Veenstra R, Lindenberg S, Oldehinkel AJ, De Winter AF, Verhulst FC, Ormel J (2005) Bullying and victimization in elementary schools: a comparison of bullies, victims, bully/victims, and uninvolved preadolescents. Dev Psychol 41:672–682
Verlinden M, Veenstra R, Ringoot AP, Jansen PW, Raat H, Hofman A, Jaddoe VWV, Verhulst FC, Tiemeier H (2014) detecting bullying in early elementary school with a computerized peer-nomination instrument. Psychol Assess 26:628–641
Vilhjalmsson R, Kristjansdottir G, Ward DS (2012) Bodily Deviations and body image in adolescence. Youth Soc 44:366–384
Wilson ML, Viswanathan B, Rousson V, Bovet P (2013) Weight status, body image and bullying among adolescents in the Seychelles. Int J Environ Res Public Health 10:1763–1774
Acknowledgments
This work was partially supported by the Research and Development Support Agency under Contract No. APVV 0032-11, by the Scientific Grant Agency of the Ministry of Education, science, research and sport of the Slovak Republic, the Slovak Academy of Sciences, reg. no. 1/0895/14, and was also partially funded within the framework of the project “Social determinants of health in socially and physically disadvantaged and other groups of population” of the Ministry of Education, Youth and Sports in Czech Republic CZ.1.07/2.3.00/20.0063.
Ethical standards
The study was approved by the Ethics Committee of the Medical Faculty at Pavol Jozef Safarik University in Kosice and was therefore performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Parents of respondents were informed about the study via the school administration; they gave their informed consent prior to inclusion of their children in the study and could opt out if they disagreed with their child’s participation. Participation in the study was fully voluntary and anonymous with no explicit incentives provided for participation.
Conflict of interest
The authors do not have any conflict of interest in connection with the current paper.
Author’s contributions
Jana Holubcikova drafted the initial manuscript, carried out the initial analyses and revised the final manuscript as submitted. Jitse P. van Dijk revised the manuscript and approved the final manuscript as submitted. Andrea Madarasova Geckova, Sijmen A. Reijeneveld and Peter Kolarcik revised the analyses and the final manuscript and approved the final manuscript as submitted.
Author information
Authors and Affiliations
Corresponding author
Additional information
Communicated by Jaan Toelen
Rights and permissions
About this article
Cite this article
Holubcikova, J., Kolarcik, P., Madarasova Geckova, A. et al. Is subjective perception of negative body image among adolescents associated with bullying?. Eur J Pediatr 174, 1035–1041 (2015). https://doi.org/10.1007/s00431-015-2507-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-015-2507-7