Mary Ellen Wilkosz

: Purpose: Factors that contribute to body dissatisfaction among adolescents from ethnically diverse California were examined to determine if the factors vary with gender and race. Data sources: Data from the 2005 California Health Interview Survey were used; 1807 White, Latino, and Asian American adolescents from 12 to 17 years old were included. Conclusions: Ordinal multiple logistic regression with gender and ethnicity controlled for revealed two major factors (high body mass index and poor/fair general health status) contribute to body dissatisfaction across gender and ethnicity in California adolescents. Other factors related to body dissatisfaction varied with ethnicity and gender. Implications for practice: Gender‐ and ethnicity‐specific interventions to improve body image in adolescents must be developed.

Purpose To explore differences in health behaviors and factors contributing to overweight among 12 to 17 year olds in California. Methods Data from the 2005 California Health Interview Survey for 3,315 adolescents self-identified as Latino, Asian, or white were reviewed. Adolescents reported their weight, height, gender, ethnicity, parents’ educational level, household income, physical activity, sedentary activity, breakfast consumption, and family meals. Results Overall 34% of boys and 22% of girls in this study were overweight (>85th percentile for age and gender). Approximately 38% of Latinos, 25% of whites, and 16% of Asians were overweight. Latinos were more than twice as likely to be overweight as whites (2.07) and Asians (2.53). Younger adolescents (12–13 years old) and adolescents whose family income is less than 200% of the federal poverty level were more likely to be overweight. Low level of parental education is a risk factor for Latino and Asian girls and white and Latino boys. White girls with a lower socioeconomic status and white boys with more than 2 h daily of television, video, and computer time were more likely to be overweight. Conclusion Results suggest gender and ethnic variations in factors that contribute to overweight in California adolescents. To influence the current overweight epidemic, clinicians must develop culturally sensitive and gender-specific interventions that address the unique needs of an ethnically diverse adolescent population.