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Abstract：
BACKGROUND: Despite parental concern, few studies have investigated children\'s experiences with school-based screening of growth deviations. This study aimed to explore perceptions of height and weight screening and associations with body size dissatisfaction (BSD) among third-grade children aged 8-9 years in central Norway.
METHODS: In a cross-sectional study between November 2021 and April 2022, perceptions of height and weight screening and BSD were assessed individually among 209 children (49% girls) through researcher-assisted interviews.
RESULTS: Most children indicated satisfaction with the screening by selecting a happy emoji, whereas only 1% indicated dissatisfaction, by selecting an unhappy emoji. However, 23%-30% selected a neutral emoji, indicating either neutrality or a response between satisfaction and dissatisfaction. No difference in the perception of height and weight screening was found between genders or body mass index (BMI). Children with parents from non-Western countries had a higher risk of being less satisfied with the height screening (OR=3.0, 95% CI 1.2 to 7.3) than those from Western origin, and children attending schools with lower socioeconomic status (SES) had increased risk of being less satisfied with both height (OR=5.5, 95% CI 2.2 to 13.5) and weight screening (OR=4.0, 95% CI 1.7 to 9.3), compared with children from schools with medium-high SES. Twenty-three percent reported BSD, in which 14% and 9% desired a thinner or larger body, respectively, independent of gender and BMI. No association was found between BSD and the perception of weighing (OR=1.1, 95% CI 0.6 to 2.4), however, BSD was associated with being more satisfied with height screening (OR=0.3, 95% CI 0.1 to 0.8).
CONCLUSIONS: In the present sample, most children indicated satisfaction with school-based height and weight screening, with no differences between gender or BMI category. However, more children of non-Western origin and from areas with low SES reported less satisfaction with the screening, independent of BSD.
METHODS: In a cross-sectional study between November 2021 and April 2022, perceptions of height and weight screening and BSD were assessed individually among 209 children (49% girls) through researcher-assisted interviews.
RESULTS: Most children indicated satisfaction with the screening by selecting a happy emoji, whereas only 1% indicated dissatisfaction, by selecting an unhappy emoji. However, 23%-30% selected a neutral emoji, indicating either neutrality or a response between satisfaction and dissatisfaction. No difference in the perception of height and weight screening was found between genders or body mass index (BMI). Children with parents from non-Western countries had a higher risk of being less satisfied with the height screening (OR=3.0, 95% CI 1.2 to 7.3) than those from Western origin, and children attending schools with lower socioeconomic status (SES) had increased risk of being less satisfied with both height (OR=5.5, 95% CI 2.2 to 13.5) and weight screening (OR=4.0, 95% CI 1.7 to 9.3), compared with children from schools with medium-high SES. Twenty-three percent reported BSD, in which 14% and 9% desired a thinner or larger body, respectively, independent of gender and BMI. No association was found between BSD and the perception of weighing (OR=1.1, 95% CI 0.6 to 2.4), however, BSD was associated with being more satisfied with height screening (OR=0.3, 95% CI 0.1 to 0.8).
CONCLUSIONS: In the present sample, most children indicated satisfaction with school-based height and weight screening, with no differences between gender or BMI category. However, more children of non-Western origin and from areas with low SES reported less satisfaction with the screening, independent of BSD.
摘要：
背景：尽管父母关心，很少有研究调查儿童在基于学校的成长偏差筛查中的经历。这项研究旨在探讨挪威中部8-9岁三年级儿童对身高和体重筛查的看法以及与体型不满意（BSD）的关联。
方法：在2021年11月至2022年4月的一项横断面研究中，通过研究人员协助的访谈，对209名儿童（49％的女孩）的身高和体重筛查和BSD的感知进行了单独评估。
结果：大多数儿童通过选择快乐的表情符号来表示对筛查的满意度，只有1%的人表示不满意，通过选择一个不开心的表情符号。然而,23%-30%选择了中性表情符号，表明中立或满意和不满意之间的反应。性别或体重指数（BMI）之间对身高和体重筛查的感知没有差异。父母来自非西方国家的儿童对身高筛查的满意度较高（OR=3.0，95％CI1.2至7.3），在社会经济地位(SES)较低的学校上学的儿童对身高(OR=5.5,95%CI2.2至13.5)和体重筛查(OR=4.0,95%CI1.7至9.3)不满意的风险增加,与中高SES学校的孩子相比。23%的人报告了BSD，其中14%和9%的人希望身体更薄或更大，分别,与性别和BMI无关。未发现BSD与体重感知之间的关联（OR=1.1，95％CI0.6至2.4），然而,BSD与对身高筛查更满意相关（OR=0.3，95％CI0.1至0.8）。
结论：在本样品中，大多数儿童对学校的身高和体重筛查表示满意，性别或BMI类别之间没有差异。然而,更多非西方血统和SES较低地区的儿童对筛查满意度较低，独立于BSD
方法：在2021年11月至2022年4月的一项横断面研究中，通过研究人员协助的访谈，对209名儿童（49％的女孩）的身高和体重筛查和BSD的感知进行了单独评估。
结果：大多数儿童通过选择快乐的表情符号来表示对筛查的满意度，只有1%的人表示不满意，通过选择一个不开心的表情符号。然而,23%-30%选择了中性表情符号，表明中立或满意和不满意之间的反应。性别或体重指数（BMI）之间对身高和体重筛查的感知没有差异。父母来自非西方国家的儿童对身高筛查的满意度较高（OR=3.0，95％CI1.2至7.3），在社会经济地位(SES)较低的学校上学的儿童对身高(OR=5.5,95%CI2.2至13.5)和体重筛查(OR=4.0,95%CI1.7至9.3)不满意的风险增加,与中高SES学校的孩子相比。23%的人报告了BSD，其中14%和9%的人希望身体更薄或更大，分别,与性别和BMI无关。未发现BSD与体重感知之间的关联（OR=1.1，95％CI0.6至2.4），然而,BSD与对身高筛查更满意相关（OR=0.3，95％CI0.1至0.8）。
结论：在本样品中，大多数儿童对学校的身高和体重筛查表示满意，性别或BMI类别之间没有差异。然而,更多非西方血统和SES较低地区的儿童对筛查满意度较低，独立于BSD
