Getting worse: the stigmatization of obese children.

OBJECTIVE The prevalence of childhood obesity more than doubled in the period from 1961 to 2001. We replicated a 1961 study of stigma in childhood obesity to see what effect this increased prevalence has had on this stigma. RESEARCH METHODS AND PROCEDURES Participants included 458 5th- and 6th-grade children attending upper-middle and lower-middle income U.S. public schools. Children ranked six drawings of same-sex children with obesity, various disabilities, or no disability ("healthy"), in order of how well they liked each child. RESULTS Children in both the present and the 1961 study liked the drawing of the obese child least. The obese child was liked significantly less in the present study than in 1961 [Kruskal-Wallis H(1) = 130.53, p < 0.001]. Girls liked the obese child less than boys did [H(1) = 5.23, p < 0.02]. Children ranked the healthy child highest and significantly higher than in 1961 [H(1) = 245.40, p < 0.001]. The difference in liking between the healthy and obese child was currently 40.8% greater than in 1961. DISCUSSION Stigmatization of obesity by children appears to have increased over the last 40 years.

[1]  R. Troiano,et al.  Changes in the distribution of body mass index of adults and children in the US population , 2000, International Journal of Obesity.

[2]  C. Crandall Do Parents Discriminate Against their Heavyweight Daughters? , 1995 .

[3]  S. Dornbusch,et al.  VARIANT REACTIONS TO PHYSICAL DISABILITIES , 1963 .

[4]  T. E. Miller,et al.  The early development of stigmatizing reactions to physical differences , 1986 .

[5]  P. Cramer,et al.  Thin is good, fat is bad: How early does it begin? , 1998 .

[6]  J. Chrisler,et al.  Body Stereotyping and Stigmatization of Obese Persons by First Graders , 1995, Perceptual and motor skills.

[7]  H. Steiner,et al.  Body dissatisfaction and dieting in young children. , 2000, The International journal of eating disorders.

[8]  C. Rand,et al.  The "good enough" body size as judged by people of varying age and weight. , 2000, Obesity research.

[9]  J. R. Staffieri A study of social stereotype of body image in children. , 1967, Journal of personality and social psychology.

[10]  J. Mayer,et al.  Obesity — Its Possible Effect on College Acceptance , 1966 .

[11]  J. Brumberg The Body Project: An Intimate History of American Girls , 1997 .

[12]  D. Styne,et al.  CHILDHOOD AND ADOLESCENT OBESITY: Prevalence and Significance , 2001 .

[13]  Carol T. Miller,et al.  A Meta-Analysis of Heavyweight and Self-Esteem , 1999 .

[14]  W. Graziano,et al.  Childhood obesity and social stigma: What we know and what we don't know , 1983 .

[15]  R. Lerner,et al.  Body build identification, preference, and aversion in children. , 1969 .

[16]  S. Ornstein,et al.  High prevalence of overweight children and adolescents in the Practice Partner Research Network. , 2000, Archives of pediatrics & adolescent medicine.

[17]  R R Wing,et al.  Long-term maintenance of weight loss: current status. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[18]  J. Rodin,et al.  Eating disorder symptoms in a cohort of 11 to 16-year-old black and white girls: the NHLBI growth and health study. , 2000, The International journal of eating disorders.

[19]  J. Wardle,et al.  Cause and effect beliefs and self-esteem of overweight children. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[20]  K W Back,et al.  Overweight as social deviance and disability. , 1968, Journal of health and social behavior.

[21]  S. Dornbusch,et al.  Cultural uniformity in reaction to physical disabilities. , 1961 .

[22]  J. R. Staffieri Body build and behavioral expectancies in young females. , 1972 .

[23]  K. Lagerspetz,et al.  Group aggression among school children in three schools , 1982 .

[24]  J. Chrisler,et al.  Body esteem, eating attitudes, and gender-role orientation in three age groups of children , 1996 .