Is Weight Bias Evident in Peer Interactions Between Young and Older Children?

Abstract

Objective: This study aimed to investigate whether weight bias is apparent in young and older children’s interactions during a paired reading activity. Methods: One hundred seventy-two children (57% girls) read a book in which the main character, “Alfie,” was portrayed either as average weight or as having obesity. Younger children (mean = 6.1 years) were paired with a same-sex older child (mean = 9.5 years). Questions within and at the end of the story prompted discussion. Children’s conversations were analyzed according to valence (emotional tone). Nonverbal behavior was noted via observation. Results: Pairs of children reading about the Alfie character with obesity made significantly more negative and fewer positive comments when offering story completions. Just one pair of boys spoke about him being “fat.” There was no evidence that older children passed negative attitudes to younger children. Covertly expressed weight bias was more common. There was more frequent laughter while reading about the character with obesity, and two pairs made nonverbal reference to Alfie’s appearance. Conclusions: Covert weight bias was apparent in the interactions of some of these children, but overt weight bias was rare. There is a need to establish a better chronology of children’s awareness of, and attitudes toward, obesity and how they are acquired.