Social Comparisons and Adolescent Body Misperception: Evidence From School Entry Cutoffs

IF 2.4 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-06-30 DOI:10.1002/hec.4980
Christopher S. Carpenter, Brandyn F. Churchill
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引用次数: 0

Abstract

We provide novel evidence on the role of social comparisons in shaping adolescent body misperception. Using an instrumental variables approach leveraging variation in relative age generated by school entry cutoff months and data from the Health Behaviour in School-Aged Children study, we show that relatively younger students are more likely to describe their bodies as lighter than the clinically relevant BMI category implied by their reported heights and weights compared to their same-age counterparts who are relatively older within their respective classrooms. This result is driven by relatively younger students who are classified as normal weight for their age describing themselves as “too thin.” We then show that relatively younger students are more likely to desire to gain weight, consume more calorie-dense foods, and report lower levels of physical activity. Overall, our results suggest that relatively younger students base their weight-related expectations and behaviors on their older peers.

社会比较与青少年身体误解:来自入学门槛的证据。
我们为社会比较在塑造青少年身体误解中的作用提供了新的证据。使用工具变量方法,利用入学截止月份产生的相对年龄变化和学龄儿童健康行为研究的数据,我们表明,相对年轻的学生更有可能将自己的身体描述为比他们报告的身高和体重所暗示的临床相关BMI类别更轻,而与同龄的同龄人相比,他们在各自的教室里相对年长。造成这一结果的原因是,年龄相对较小的学生体重正常,他们认为自己“太瘦了”。然后我们表明,相对年轻的学生更有可能想要增加体重,消耗更多的高热量食物,并报告更少的体育活动。总的来说,我们的研究结果表明,相对年轻的学生将他们与体重相关的期望和行为建立在他们年长的同龄人的基础上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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