Height and social adjustment: Are extremes a cause for concern and action?

Height and social adjustment: Are extremes a cause for concern and action?
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DOI:
10.1542/peds.2003-1169-l
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发表时间:
2004-09-01
期刊:
影响因子:
8
通讯作者:
Noll, RB
Noll, RB
中科院分区:
医学2区
文献类型:
--
作者:
Sandberg, DE;Bukowski, WM;Noll, RB

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Objective.生长激素治疗足够的矮小青年是基于这样一种信念,即矮小与同龄人的社会问题有关。本研究评估了同伴关系和社会适应作为一个功能的高度在一个社区样本。在纽约西部的一个公立学区进行了一项横断面研究,研究对象是6至12年级的男女学生(N=956)。目标人群包括身材矮小的参与者(身高小于或等于-1.6标准差,即,小于或等于年龄和性别调整的人群标准的第5百分位数; n=68)和高身材(大于或等于1.6标准差;大于或等于第95百分位数; n=58)和平均身高的同学(在第25和第75次之间; n=123)用于组内比较。所有其余未分类的同学(n=704)也提供了数据。测量了社会声誉和社会接受度的自我和同伴评价。尽管统计功效很大,但仍检测到身高对社会功能指标的影响很小。我们没有发现身高与友谊、受欢迎程度或在同龄人中的声誉之间存在显著关系。研究结果并没有因参与者的性别,同行或自我报告,或是否使用整个样本的数据或目标群体与比较参与者进行对比而有所不同。矮个子的学生被同龄人认为比他们的年龄年轻。这种影响仅限于低年级,并没有影响社会接受或声誉的措施与peer. Conclusions。在一般人群中,身材的极端--无论是矮的还是高的--对同伴对社会行为、友谊或接受度的感知的影响微乎其微。研究结果不支持需要进行干预的先验,因为潜在的风险,负面状态相关的社会后遗症。此外,如果在矮个子或高个子青年中发现同伴关系问题,那么身高以外的因素应被视为重要的病因。
Objective. Growth hormone treatment of hormone-sufficient short youths is predicated on the belief that short stature is associated with social problems with peers. This study assessed peer relations and social adjustment as a function of height in a community sample.Methods. A cross-sectional study was conducted at 1 public school district in Western New York of students of both genders who attended grades 6 to 12 (N=956). Target groups included participants of short stature (height less than or equal to-1.6 standard deviation, ie, less than or equal to5th percentile for age- and gender-adjusted population norms; n=68) and tall stature (greater than or equal to1.6 standard deviation; greater than or equal to95th percentile; n=58) and classmates of average height (between the 25th and 75th percentiles; n=123) used for within-class comparisons. All remaining unclassified classmates (n=704) also provided data. Self- and peer-rated assessment of social reputation and social acceptance was measured.Results. Minimal effects of height on measures of social functioning were detected despite substantial statistical power. We detected no significant relationships between height and measures of friendship, popularity, or reputation with peers. Findings did not vary by gender of participant, by peer- or self-report, or by whether data from the entire sample were used or target groups were contrasted with comparison participants. Shorter students were perceived by peers to be younger than their age. This influence was restricted to lower grades and did not have an impact on measures of social acceptance or reputation with peers.Conclusions. Extremes of stature in the general population-either short or tall-have minimal detectable impact on peer perceptions of social behavior, friendship, or acceptance. Findings are not supportive of the need to intervene a priori because of the potential risk of negative stature-related social sequelae. Furthermore, if problems with peer relationships are identified among short or tall youths, then factors other than stature should be considered as etiologically important.