Study finds high rates of weight-based bullying among LBGTQ teens

Adolescents who identify as LGBTQ often face victimization and bullying because of their sexual and/or gender identity. New research from the Rudd Center for Food Policy and Obesity and the Department of Human Development and Family Studies at the University of Connecticut indicates that high percentages of LGBTQ youth are also teased and bullied because of their body weight - in some cases at higher rates than previous reports of weight-based bullying in heterosexual youth.

The study, published in Pediatric Obesity, reports on findings from 9,838 adolescents who participated in the 2017 LGBTQ National Teen Survey, a comprehensive survey conducted in partnership with the Human Rights Campaign to assess victimization, health behaviors, family relationships, and experiences of LGBTQ adolescents across the United States.

Researchers found that across sexual identities, 44-70% of LGBTQ teens reported weight-based teasing from family members, 41-57% reported weight-based teasing from peers, and as many as 44% reported weight-based teasing from both family members and peers. Furthermore, approximately 1 in 4 teens reported these experiences at school, and body weight was the third most common reason that these adolescents indicated they were teased or treated badly (behind sexual orientation and gender identity).

"Body weight is often absent in school-based anti-bullying policies, and our findings suggest that heightened awareness of this issue may be warranted in school settings to ensure that weightbased victimization is adequately addressed and that sexual and gender minority youth are recognized as potentially vulnerable targets of weight-based bullying," said Rebecca Puhl, Deputy Director of the UConn Rudd Center, Professor of Human Development and Family Studies at the University of Connecticut, and the study's lead author.

Adolescent obesity rates currently reach 20% in the United States, and weight-based victimization has become a widespread form of mistreatment experienced by youth. This victimization has harmful health consequences, including increased risk for depression, low selfesteem, suicidal ideation, poor body image, disordered eating, harmful weight control behaviors, and lower levels of physical activity. Although there is mounting evidence of weight-based victimization in youth, there has been little attention to this issue in LGBTQ adolescents, despite their high prevalence of overweight and obesity and increased risk for victimization.

"These issues warrant attention among healthcare providers, parents, educators, and all others who interact with adolescents. Increased consideration must be given to the intersection of social identities related to body weight, sexual orientation, and gender identity in youth," said Ryan Watson, Professor of Human Development and Family Studies at the University of Connecticut and co-author of the study.

Another key finding from this new study was that regardless of the source (family or peers) of weight-based victimization, sexual and gender minority adolescents face these experiences across diverse body weight categories. The highest rates of weight-based victimization occurred in LGBTQ adolescents with obesity (as many as 77% reported these experiences), but high percentages of teens at lower body weight categories were also vulnerable - 55-64% of those with an underweight BMI reported weight-based victimization.

These findings are timely given a 2017 policy statement from the American Academy of Pediatrics, recommending that pediatricians assess youth with obesity for their experiences of victimization and stigma related to their body weight.

"Healthcare providers should be aware that sexual and gender minority youth can be vulnerable to weight-based victimization, regardless of their body size. Our study suggests that it may be warranted to screen LGBTQ youth for their victimization experiences not only in the context of sexual and gender identity, but also in the context of body weight," suggested Puhl.