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. 2020 Nov 16;175(3):1–9. doi: 10.1001/jamapediatrics.2020.4768

Table 3. Adjusted Weight Stigmatization Outcomes for 14 318 Students in Grades 4 to 7 With Complete Surveys, by Groupa.

Variable Mean (SE) Value (95% CI)
Baseline 1 y 2 y 1-y Change 2-y Change
Within-group Between-group P valueb Within-group Between-group P valueb
Child and peer outcomesc
Peer weight teasing index, range 1-5
BMI reporting and BMI screening 1.73 (0.03) 1.68 (0.02) 1.65 (0.03) −0.06 (−0.10 to −0.02) 0.01 (−0.02 to 0.04)c .67 −0.08 (−0.15 to −0.01) −0.02 (−0.07 to 0.03)c .35
Control 1.76 (0.03) 1.70 (0.03) 1.70 (0.04) −0.06 (−0.11 to −0.02) NA NA −0.06 (−0.13 to 0.01) NA NA
Peer weight talk, range 1-5
BMI reporting and BMI screening 1.67 (0.02) 1.70 (0.01) 1.67 (0.03) 0.03 (−0.01 to 0.07) 0.05 (0.01 to 0.09)c .007 −0.00 (−0.08 to 0.07) −0.00 (−0.07 to 0.06)c .99
Control 1.69 (0.02) 1.67 (0.02) 1.69 (0.03) −0.03 (−0.07 to 0.02) NA NA −0.00 (−0.08 to 0.08) NA NA
Teacher weight talk, range 1-5
BMI reporting and BMI screening 1.14 (0.01) 1.10 (0.01) 1.06 (0.02) −0.04 (−0.06 to −0.01) −0.01 (−0.03 to 0.02)c .53 −0.07 (−0.11 to −0.03) −0.00 (−0.04 to 0.03)c .82
Control 1.13 (0.01) 1.11 (0.01) 1.07 (0.02) −0.03 (−0.06 to −0.00) NA NA −0.07 (−0.11 to −0.02) NA NA
Weight satisfaction, range 1-5
BMI reporting and BMI screening 3.43 (0.02) 3.45 (0.02) 3.37 (0.03) 0.02 (−0.03 to 0.06) −0.03 (−0.07 to 0.01)c .13 −0.06 (−0.15 to 0.02) −0.11 (−0.18 to −0.05)c .001
Control 3.41 (0.02) 3.46 (0.02) 3.46 (0.04) 0.05 (−0.00 to 0.10) NA NA 0.05 (−0.04 to 0.14) NA NA
Weight control behaviors index, range 0-3
BMI reporting and BMI screening 1.14 (0.02) 1.13 (0.01) 1.12 (0.03) −0.01 (−0.05 to 0.03) −0.06 (−0.10 to −0.02)c .001 −0.02 (−0.10 to 0.06) −0.04 (−0.10 to 0.02)c .19
Control 1.13 (0.02) 1.18 (0.02) 1.15 (0.04) 0.05 (0.00 to 0.10) NA NA 0.02 (−0.06 to 0.11) NA NA
Family outcomesc
Family weight teasing, range 1-5
BMI reporting 1.32 (0.02) 1.28 (0.02) 1.28 (0.03) −0.03 (−0.07 to 0.01) −0.01 (−0.04 to 0.03)d .73 −0.04 (−0.11 to 0.03) −0.01 (−0.06 to 0.04)d .59
BMI screening and control 1.33 (0.01) 1.30 (0.01) 1.30 (0.02) −0.03 (−0.06 to 0.01) NA NA −0.03 (−0.09 to 0.03) NA NA

Abbreviations: BMI, body mass index; NA, not applicable.

a

Analyses adjusted for baseline perceived weight status, sex, race/ethnicity, grade, school district, school-level percentage of students eligible for free and reduced-price meal, and calendar year. For all outcomes except weight satisfaction, higher scores reflect poorer outcomes (increased teasing, talk, or concerning weight control behaviors).

b

P value for between-group difference.

c

Between-group difference: BMI reporting group and BMI screening group combined minus control group.

d

Between-group difference: BMI reporting group minus BMI screening group and control group combined.