Addressing Weight-Related Bullying in Schools: Youth Perspectives on School Policies and Interventions

Abstract

Background: Weight-related bullying is linked to negative mental health outcomes. However, anti-bullying policies targeting weight-based bullying remain limited. This study aimed to gather youth perspectives on weight-related bullying and potential school interventions. Methods: Data were collected in November 2022 from the MyVoice National Poll of Youth, a diverse cohort of U.S. youth (ages 14–24). Respondents (n = 621) answered five open-ended questions about weight-related bullying, which were analyzed using inductive content analysis. Results: A majority of respondents (71.6%) reported witnessing weight-related bullying. While most respondents attributed bullying to characteristics of the individual doing the bullying (e.g., insecurity), characteristics of the target of the bullying were more commonly named for weight-related bullying compared to bullying in general (46.5% vs. 29.2%; p = 0.0013). Respondents suggested both educational/programming approaches and policy solutions. Most respondents (68.5%) supported the inclusion of weight-related bullying in school anti-bullying policies. Implications for School Health Policy, Practice, and Equity: Research on anti-bullying laws shows potential benefits for youth (e.g., reduced bullying, improved mental health). As policies addressing weight-related bullying expand, research is needed to assess their effectiveness and minimize unintended consequences. Conclusions: Youth support the inclusion of weight-related bullying in school policies, which could help create more supportive environments and improve mental health outcomes.