A study to assess the perception & social stigma related obesity among adolescentgirl age 14-16 years in govt. school, Khanda kheri

Abstract

The rising prevalence of adolescent obesity has emerged as a major public health concern, particularly in developing rural communities where rapid lifestyle transitions are altering traditional dietary and physical activity patterns. Obesity among adolescent girls is not only associated with long-term metabolic and cardiovascular complications but is also strongly linked with psychological distress, body dissatisfaction, and social stigma. Adolescence is a sensitive developmental period during which peer acceptance, body image, and self-esteem play a critical role in emotional well-being. Weight-based teasing, discrimination, and internalized stigma may therefore negatively influence both academic participation and mental health outcomes among adolescent girls. The present study was conducted to assess the perception and social stigma related to obesity among adolescent girls aged 14–16 years studying in Government School, Khanda Kheri, Hisar District, Haryana. A quantitative descriptive cross-sectional research design was adopted for the study. The sample consisted of 100 adolescent girls selected through a non-probability convenient sampling technique. Data collection was carried out using a structured socio-demographic questionnaire, a perception assessment scale related to obesity, and adapted Weight Bias Internalization and Weight Self-Stigma scales. The findings of the study revealed that 55% of participants had a moderate level of perception regarding obesity, while 20% demonstrated poor understanding of obesity-related causes and complications. Only 25% showed adequate health-oriented perception. The results further indicated that a considerable proportion of participants experienced weight-related stigma, with 52% reporting moderate stigma and 18% experiencing high levels of internalized social stigma and peer-related discrimination. Weight-based teasing, exclusion from social groups, and anxiety during physical activities were commonly reported experiences. Statistical analysis demonstrated a significant association between maternal educational status and obesity perception levels among adolescent girls. Furthermore, body mass index (BMI) status showed a statistically significant association with social stigma levels. Pearson’s correlation analysis revealed a negative correlation between perception scores and internalized stigma scores, suggesting that improved knowledge regarding obesity may reduce self-directed stigma and negative body perceptions. The study concludes that obesity among adolescent girls should be addressed not only as a metabolic or nutritional concern but also as a psychosocial issue requiring supportive educational interventions. Schoolbased awareness programs, counselling services, and anti-stigma initiatives are essential to promote healthy body image, scientific understanding of obesity, and emotionally supportive peer environments. The findings emphasize the importance of integrating health literacy with psychological support strategies within rural educational institutions to reduce obesity-related stigma and improve adolescent well-being.