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Journal of the Academy of Nutrition and Dietetics · 2025

Beyond Perceived Discrimination: Weight Discrimination in College Social Networks Is Associated With Poorer Mental and Behavioral Health.

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Borgatti Alena C, Davis Andrea L, Dutton Gareth R

Аннотация

BACKGROUND: Weight discrimination is associated with poorer health but has not been studied using social network analysis. This is surprising, as discrimination is a highly social phenomenon, and peer relationships are associated with health, discrimination, and behavior.

OBJECTIVE: The aim of this study was to analyze relationships between freshman health and weight discrimination in college social networks during October through December 2021.

DESIGN: This study used a cross-sectional design to analyze data from the Freshman Life and Student Health project.

PARTICIPANTS/SETTING: Participants (n = 1216 [64% of the class]) included freshmen older than 17 years who were living on a mid-sized Southeastern US university campus (55% from racial and ethnic minoritized groups, 69% female, 32% first-generation college students).

MAIN OUTCOME MEASURES: Outcomes included disordered eating, physical activity, gym use, alcohol use, loneliness, stress, depression, and self-esteem.

STATISTICAL ANALYSES PERFORMED: Discrimination indices were calculated for each participant's unique position in the network on the basis of discriminatory behavior observed and perpetuated by one's direct connections (ie, immediate network) and direct plus indirect connections (eg, friends of friends, peripheral network). Multivariate regressions tested whether these indices were associated with health, while controlling for race, ethnicity, gender, first-generation college status, perceived weight discrimination, body mass index, and network size.

RESULTS: Immediate network discrimination related to poorer health (P = .002; partial eta squared [ηp2] = .023), including greater depression (P = .035; ηp2 = .004), disordered eating (P < .001; ηp2 = .013), perceived stress (P = .020; ηp2 = .005), and loneliness (P = .006; ηp2 = .007), plus lower self-esteem (P = .008; ηp2 = .007), and less gym use (P = .012; ηp2 = .006). Similarly, peripheral network discrimination was associated with poorer health (P = .013; ηp2 = .017), including greater disordered eating (P < .001; ηp2 = .010), loneliness (P = .009; ηp2 = .006), and perceived stress (P = .005; ηp2 = .007), and lower self-esteem (P = .003; ηp2 = .008).

CONCLUSIONS: Weight discrimination in college social networks is related to poorer mental and behavioral health. Results suggest that network-level weight discrimination is related to poorer health, even after accounting for weight discrimination perceived by the individual.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты