Children
Joint Categories of Perceived Stress and Subjective Body-Shape Perception and Health-Related Outcomes Among Adolescents
By Zhou P, Lee J, Kim Y and 1 others.
Abstract
Background
Perceived stress and subjective body-shape perception may jointly characterize health-related conditions during adolescence. This study examined health-related outcomes across joint categories of perceived stress and subjective body-shape perception and compared perceived stress across combinations of objective and subjective weight status.
Methods
This cross-sectional study included 1387 adolescents aged 12-18 years from the 2021-2024 Korea National Health and Nutrition Examination Survey. Survey-weighted multivariable logistic regression was used to examine depressive symptoms, poor self-rated health, and alcohol experience across four joint categories defined by perceived stress and self-perceived body shape, with adjustment for age, sex, household income, and body mass index. Objective weight status and self-perceived body shape were also combined into four categories to compare the odds of high perceived stress. Random Forest and SHapley Additive exPlanations (SHAP) analyses were additionally performed as exploratory cross-sectional classification analyses.