"What's a normal weight?" - Origin and receiving country influences on weight-status assessment among 1.5 and 2nd generation immigrant adolescents in Europe.
Many adolescents struggle with adequately assessing their weight-status, often leading to unnecessary weight-related interventions or preventing necessary ones. The prevalence of weight-status over- and underestimation differs considerably cross-nationally, suggesting that individual weight-status assessment is informed by cross-nationally differing standards of evaluation. For adolescents with a migration background, this brings up the possibility of a simultaneous influence of origin- and receiving country standards. The current study examines the magnitude of both influences using data from the 2014 Health Behaviour in School-Aged Children study. The cross-national design of the study enabled us to aggregate weight-evaluation standards for 41, primarily European, countries. Subsequently, we identified a sample of 8 124 adolescents with a migration background whose origin as well as receiving country participated in the study. Among those adolescents, we assessed the effects of origin and receiving country weight-evaluation standards using cross-classified multilevel regression analyses. Descriptive analyses revealed considerable differences in weight-evaluation standards between the countries. Regression analyses showed that both origin- and receiving country weight-evaluation standards were significantly associated cross-sectionally with weight-status assessment among the immigrant adolescents, with a stronger impact of receiving country standards. Results illustrate the context-sensitivity of adolescent weight-status assessment and reinforce the theoretical notion that immigrant adolescent development is not only informed by factors pertaining to their receiving country but also, albeit to a lesser extent, by those pertaining to their origin country.
['Kern|Matthias Robert|MR|', 'Heinz|Andreas|A|', 'Stevens|Gonneke W J M|GWJM|', 'Walsh|Sophie D|SD|', 'Willems|Helmut|H|']
D000293:Adolescent D000294:Adolescent Behavior D001835:Body Weight D002648:Child D054242:Emigrants and Immigrants D005060:Europe D006801:Humans D012574:Schools
Receiving country Weight-status assessment Adolescence Cross-national Migration Origin country Weight-status perception