青少年過重／肥胖與自尊之關連及社會人口學變項、家庭支持、學業表現、同儕互動之調節作用

The Relationship between Overweight/Obesity and Self-esteem in Adolescents: The Moderating Effects of Socio-demographic Characteristics, Family Support, Academic Achievement and Peer Interaction

目的：本橫斷面研究的目的在於檢驗青少年過重／肥胖與自尊之關連性，以及各項社會人口學變項、家庭支持、學業表現、同儕互動對於此關連性之調節作用。方法：9,885位南台灣青少年學生受邀填寫研究問卷，以logisticregressionanalyses檢驗青少年過重／肥胖與自尊之關連性，以及各項社會人口學變項、家庭支持、學業表現、同儕互動對於此關連性之調節作用。結果：在控制社會人口學變項、家庭支持、學業表現、同儕互動的影響後，過重或肥胖的青少年具有較低程度的自尊；同時，年齡和家庭支持對於青少年過重／肥胖與自尊之關連性具有調節作用。結論：為預防未來發展出病態的飲食行為，有必要協助過重或肥胖的青少年建立合適的自尊。本研究結果亦顯示：在探討青少年過重／肥胖與自尊之關連性時，必須考慮及年齡和家庭支持程度所造成的影響。

Objectives: The aims of this cross-sectional study were to examine the relationship between adolescent overweight/obesity and self-esteem, and the moderating effects of socio-demographic characteristics, family support, academic achievement, and peer interaction on its relationship. Methods: We recruited 9,885 adolescent students in southern Taiwan into this study to complete the questionnaires. We examined the relationship between overweight/obesity and self-esteem as well as the moderating effects of socio-demographic characteristics, family support, academic achievement, and peer interaction with logistic regression analyses. Results: The results of this study found that after adjusting for other important variables, overweight or obese adolescents were more likely to have low self-esteem (p < 0.05). Meanwhile, age (p < 0.05) and family support (p < 0.05) showed signifi cant moderating effects on the relationship between low self-esteem and overweight/obesity. Conclusions: The results of this study showed that low selfesteem was an important clinical issue in overweight or obese adolescents, and that the relationship between overweight/obesity and self-esteem differed signifi - cantly for the adolescents with various groups of age and family support. We suggest that further studies are needed to confi rm the fi ndings of this study.