Volume 51, Issue 6 p. 642-650
Clinical Scholarship

Accuracy of Body Weight Estimation Among Palestinian Refugee Adolescents Living in Jordan: A Cross-Sectional Study

Rasmieh Al-Amer PhD, MSc, RN

Rasmieh Al-Amer PhD, MSc, RN

Assistant Professor

Assistant Professor, Isra University of Jordan, School of Nursing and Midwifery, Amman, Jordan and Adjunct Research Fellow, Western Sydney University, School of Nursing and Midwifery, Penrith, NSW, Australia

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Yenna Salamonson PhD, RN

Yenna Salamonson PhD, RN

Professor

Professor, Western Sydney University, School of Nursing and Midwifery, and Centre for Oral Health Outcomes & Research Translation (COHORT), Ingham Institute for Applied Medical Research, Penrith, NSW, Australia

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Amy R. Villarosa BND

Amy R. Villarosa BND

Research Assistant

Research Assistant, Western Sydney University, School of Nursing and Midwifery, and Centre for Oral Health Outcomes & Research Translation (COHORT), Ingham Institute for Applied Medical Research, Penrith, NSW, Australia

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Maha Subih PhD, MSc, RN

Maha Subih PhD, MSc, RN

Assistant Professor

Assistant Professor, Al-Zaytoonah University of Jordan (ZUJ), School of Nursing and Midwifery, Amman, Jordan

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Rima Darwish DDS

Rima Darwish DDS

Dentist

Dentist, Ministry of Health, Amman, Jordan

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Della Maneze MD, PhD

Corresponding Author

Della Maneze MD, PhD

Multicultural Health Promotion Officer

Multicultural Health Promotion Officer, South Western Sydney Local Health District (SWSLHD), Adjunct Research Fellow, Western Sydney University, School of Nursing and Midwifery, and Centre for Oral Health Outcomes & Research Translation (COHORT), Ingham Institute for Applied Medical Research, Campbelltown, NSW, Australia

Correspondence

Dr. Della Maneze, Ground Floor, Suite 3, 1 Bolger Street, Campbelltown, NSW, Australia, 2560.

E-mail: [email protected]

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First published: 30 September 2019
Citations: 6

Abstract

Purpose

We aimed to examine the prevalence of obesity among adolescents living in a refugee camp in Jordan and analyze the factors influencing their weight perceptions.

Design

Cross-sectional survey.

Methods

We examined the body weight perception, and the influence of psychological, cultural, and social factors, among Palestinian refugee adolescents living in Jordan using a cross-sectional survey. Univariate, bivariate, and multiple logistic regression analyses were used to investigate the relationships between body weight status, weight perception, satisfaction with weight, screen time, and depression status of these adolescents.

Results

A total of 620 adolescents participated in the study, of which 24% were either overweight or obese. Overweight or obese adolescents were more likely to underestimate their weight (p < .001), while those with depressive symptoms (Patient Health Questionnaire for Adolescents score > 14), were more likely to overestimate their body weight (p = .021). Having symptoms indicative of depression (adjusted odds ratio [AOR] = 1.70; 95% confidence interval [CI] = 1.16–2.50) and having a body mass index in the overweight/obese range (AOR = 4.16; 95% CI = 2.73–6.35) were predictors of discordant weight perception.

Conclusions

This study showed that excess body weight is a significant issue among Palestinian refugee adolescents living in a refugee camp in Jordan. Underlying depression is an important factor in excess weight and distorted weight perceptions especially among this vulnerable group.

Clinical Relevance

The study highlights the importance of addressing discordant body weight perception and depression in weight management in nursing interventions for vulnerable adolescent groups.