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Journal of Pediatric Psychology Advance Access originally published online on June 8, 2006
Journal of Pediatric Psychology 2007 32(1):42-51; doi:10.1093/jpepsy/jsl004
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Agreement with Satisfaction in Adolescent Body Size between Female Caregivers and Teens from a Low-income African-American Community

Andrea L. Mitola, BS1,2, Mia A. Papas, PhD1, Katherine Le, MPH1, Lauren Fusillo, MPH1 and Maureen M. Black, PhD1

1 Department of Pediatrics, University of Maryland School of Medicine and, 2 Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health

All correspondence concerning this article should be addressed to Maureen Black, PhD, 737 W. Lombard Street, Room 161, Baltimore, Maryland 21201. E-mail: mblack{at}peds.umaryland.edu.


  Abstract

Objective To describe body size satisfaction and agreement among low-income, urban, African-American adolescents, and female caregivers. Methods Two hundred and fifteen adolescent–caregiver pairs completed measures of demographics, anthropometrics, and body size satisfaction. Results Adolescent–caregiver agreement on body size satisfaction varied by body mass index (BMI) category. Among normal weight adolescents, 61% of adolescent–caregivers agreed that current body size was ideal. Among adolescents at risk for overweight, 38% of adolescent–caregivers agreed that current body size was ideal, and 38% were discordant with adolescents wanting to be thinner and caregivers satisfied with current body size. Among overweight adolescents, adolescent–caregiver agreement was 67%; 52% agreed the adolescent should be thinner and 15% agreed current body size was ideal. Conclusions Body size satisfaction is related to BMI category for adolescents and caregivers, but adolescents have a lower threshold. Encouraging caregivers to elicit their adolescents’ views on body size satisfaction may enable caregivers to support their adolescents in addressing weight-related issues.

Key words: adolescent–caregiver agreement; adolescents; African American; at risk for overweight; body size satisfaction; overweight.


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