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dc.contributor.authorWhitehead, Ross David
dc.contributor.authorCosma, Alina Paula
dc.contributor.authorCecil, Joanne Elizabeth
dc.contributor.authorCurrie, Candace Evelyn
dc.contributor.authorCurrie, Dorothy Bruce
dc.contributor.authorNeville, Fergus Gilmour
dc.contributor.authorInchley, Joanna Catherine
dc.identifier.citationWhitehead , R D , Cosma , A P , Cecil , J E , Currie , C E , Currie , D B , Neville , F G & Inchley , J C 2018 , ' Trends in the perceived body size of adolescent males and females in Scotland, 1990–2014 : changing associations with mental well-being ' , International Journal of Public Health , vol. 63 , no. 1 , pp. 69-80 .
dc.identifier.otherPURE: 245628851
dc.identifier.otherPURE UUID: 7a2ca581-d037-438b-bafd-ed3ff2a96a29
dc.identifier.otherScopus: 85021740603
dc.identifier.otherORCID: /0000-0001-7377-4507/work/57568357
dc.identifier.otherORCID: /0000-0001-7321-9394/work/60196022
dc.identifier.otherORCID: /0000-0003-4779-6037/work/60196855
dc.identifier.otherWOS: 000419970800009
dc.identifier.otherORCID: /0000-0001-8322-8817/work/65014213
dc.description.abstractObjectives: This paper explores trends in Scottish adolescents’ body size perceptions and associated mental well-being outcomes. Methods: Data were collected on Scottish 11, 13 and 15-year olds by the Health Behaviour in School-aged Children study between 1990 and 2014 (n=42,312). Logistic regression was used to examine changes in the prevalence of over- and underweight perceptions. Ordinal and linear regression was used to examine changes in the association between body perception and mental well-being. Results: Little change was observed in over- or under-weight perceptions between 1990 and 2014. However, relative to those perceiving their body as ‘about right’, those perceiving themselves as overweight reported decreasing confidence (all groups), decreasing happiness (11- and 13-year old girls) and increasing psychological symptoms (all girls and 15 year-old boys). Perceived underweight is associated with poor well-being, especially in males, but we present little evidence that this is a recent phenomenon. Conclusions: We present evidence suggesting that the influence of body image on adolescent mental health is increasing over time. This may play a role in the recently observed worsening of mental well-being in Scottish adolescents.
dc.relation.ispartofInternational Journal of Public Healthen
dc.rights© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
dc.subjectBody imageen
dc.subjectBody size perceptionen
dc.subjectMental well-beingen
dc.subjectBF Psychologyen
dc.subjectRA Public aspects of medicineen
dc.subjectRC0321 Neuroscience. Biological psychiatry. Neuropsychiatryen
dc.titleTrends in the perceived body size of adolescent males and females in Scotland, 1990–2014 : changing associations with mental well-beingen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Child and Adolescent Health Research Uniten
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.School of Psychology and Neuroscienceen
dc.contributor.institutionUniversity of St Andrews.Public Health Groupen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.description.statusPeer revieweden

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