Ethnic/racial differences in weight-related concerns and behaviors among adolescent girls and boys - Findings from Project EAT

Objective: To compare weight-related concerns and behaviors across ethnicity/race among a population-based sample of adolescent boys and girls. Methods: The study population included 4746 adolescents from urban public schools in the state of Minnesota who completed surveys and anthropometric measurements as part of Project EAT (Eating Among Teens), a population-based study focusing on eating patterns and weight concerns among teenagers. Main outcome measures included measured body mass index (BMI), weight-related concerns (perceived weight status, weight disparity, body satisfaction and attitudes about weight control) and weight-related behaviors (general/specific weight control behaviors and binge eating). Results: In comparison to White girls, African American girls tended to report fewer weight-related concems/behaviors, while Hispanic, Asian American and Native American girls tended to report similar or more concems/behaviors. Among boys, weight-related concerns/behaviors were equally or more prevalent among all non-Whites than. among Whites. In particular, African American and Asian American boys were at greater risk for potentially harmful weight-related concems/behaviors than White boys. Conclusions: Weight-related concerns and behaviors are prevalent among adolescents, regardless of their ethnic/racial background, indicating a need for prevention and treatment efforts that reach adolescents of different ethnic backgrounds. However, ethnic differences demonstrate a need for ensuring that the specific needs of different groups are addressed in the development of such interventions. (C) 2002 Elsevier Science Inc. All rights reserved.