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Table 3 Association between actual weight, self-perceived weight, body dissatisfaction, and mental health for girls

From: Body image as risk factor for emotional and behavioral problems among Chinese adolescents

Weight status

OR (95% CI)

 
 

Emotional

Conduct

Hyperactivity

Peer problems

Prosocial

Total difficulties

Model1: Actual weight

 Normal weight

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Underweight

1.73 (0.88–3.41)

1.18 (0.76–1.84)

0.78 (0.23–2.59)

1.35 (0.64–2.86)

1.86 (0.40–3.48)

0.84 (0.37–1.91)

 Overweight/obesity

1.28 (0.91–1.80)

0.22 (0.03–1.66)

0.96 (0.60–1.52)

1.59 (1.15–2.19)**

1.46 (0.90–2.38)

1.49 (1.09–2.04)*

Model 2: Perceived weight

 Perceived normal weight

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Perceived underweight

1.10 (0.73–1.65)

0.38 (0.19–0.79)*

0.86 (0.49–1.53)

1.30 (0.95–1.79)

1.28 (0.72–2.28)

0.72 (0.47–1.11)

 Perceived overweight

1.58 (1.15–2.18)**

1.49 (0.99–2.23)

1.28 (0.84–1.95)

0.96 (0.64–1.43)

1.37 (0.84–2.22)

1.74 (1.29–2.35)**

Model 3: Body satisfaction

 Satisfaction

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Neither

0.96 (0.61–1.51)

1.45 (0.74–2.83)

1.15 (0.62–2.12)

0.99 (0.67–1.46)

1.61 (0.86–3.02)

1.44 (0.92–2.24)

 Dissatisfaction

2.26 (1.52–3.35)**

3.25 (1.79–5.92)**

2.06 (1.19–3.56)*

1.12 (0.78–1.61)

1.79 (0.98–3.27)

2.78 (1.86–4.16)**

Model 4: Actual weight + perceived weight + body satisfaction weight

 Normal weight

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Underweight

2.04 (0.96–4.34)

0.53 (0.07–4.32)

1.02 (0.28–3.68)

1.52 (0.68–3.40)

1.08 (0.34–3.45)

1.27 (0.52–3.11)

 Overweigh/obesity

0.89 (0.60–1.34)

0.68 (0.41–1.15)

0.73 (0.43–1.26)

1.54 (1.03–2.29)*

1.33 (0.73–2.44)

0.97 (0.67–1.42)

 Perceived normal weight

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Perceived underweight

0.96 (0.61–1.52)

0.40 (0.18–0.90)*

0.84 (0.45–1.58)

0.90 (0.58–1.39)

1.26 (0.67–2.38)

0.72 (0.45–1.17)

 Perceived overweight

1.20 (0.81–1.76)

1.30 (0.80–2.12)

1.14 (0.69–1.89)

1.08 (0.72–1.61)

1.00 (0.55–1.83)

1.36 (0.94–1.96)

 Satisfaction

Ref.

Ref.

Ref.

Ref.

Ref.

Ref.

 Neither

0.95 (0.60–1.51)

1.33 (0.67–2.16)

1.14 (0.62–2.11)

0.93 (0.62–1.37)

1.61 (0.85–3.04)

1.33 (0.85–2.08)

 Dissatisfaction

2.18 (1.42–3.36)**

2.79 (1.46–5.30)**

2.04 (1.13–3.69)*

0.93 (0.62–1.40)

1.71 (0.89–3.29)

2.30 (1.48–3.56)**

  1. All of the models were controlled for age, parents’ education level, household income level, pubertal development stage, and parents smoking
  2. *p < 0.05; ** p < 0.01