A population-based study of body image concerns among urban Chinese adults.

Using a nationally representative Chinese urban sample of 930 women and 893 men aged 20-45 who were married or had a steady sexual partner, this study examines the prevalence, risk factors and sequelae of body image concerns. Women's weight loss desires begin at modest BMI levels and are more pronounced among youth, among people of urban origin, and among the educated. Women also have stronger body image concerns if they are single, living in coastal areas, taller or larger than their partner, or if their relationship with their partner is poor. Moreover, women who perceive themselves as unattractive and who want to lose weight report more psychological distress. These findings suggest that China has joined the worldwide diffusion of the thin ideal, with negative consequences for women.

[1]  C. Ross,et al.  Overweight and depression. , 1994, Journal of health and social behavior.

[2]  C. Ross,et al.  Body and mind: the effect of exercise, overweight, and physical health on psychological well-being. , 1986, Journal of health and social behavior.

[3]  A. Negrão,et al.  Clinical characteristics and course of anorexia nervosa in Latin America, a Brazilian sample , 1996, Psychiatry Research.

[4]  T. F. Cash,et al.  Gender attitudes, feminist identity, and body images among college women , 1997 .

[5]  M. Lee,et al.  Screening of depression in patients with chronic medical diseases in a primary care setting. , 1998, Family practice.

[6]  D. Spruijt-Metz,et al.  Weight perception and psychological factors in Chinese adolescents. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  A. Esterman,et al.  Outcome in patients with eating disorders: a 5-year study , 2001, The Lancet.

[8]  T. F. Cash,et al.  Body Image - A Handbook of Theory, Research and Clinical Practice Thomas F Cash Body Image - A Handbook of Theory, Research and Clinical Practice and Thomas Pruzinsky Guilford Press 380pp £22 1593850158 1593850158 [Formula: see text]. , 2005, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[9]  S. Yamamoto,et al.  Overconcern about thinness in 10- to 14-year-old schoolgirls in Taiwan. , 2000, Journal of the American Dietetic Association.

[10]  Stanley Lemeshow,et al.  Sampling of Populations: Methods and Applications , 1991 .

[11]  E. Rothblum,et al.  A Comparison Study of United States and African Students on Perceptions of Obesity and Thinness , 1996 .

[12]  K. Brownell,et al.  Marital status, marital satisfaction, and body image dissatisfaction. , 1999, The International journal of eating disorders.

[13]  E. Laumann,et al.  Population-based study of chlamydial infection in China: a hidden epidemic. , 2003, JAMA.

[14]  Geography, Economic Policy, and Regional Development in China , 2002 .

[15]  Gail Hershatter,et al.  Dangerous Pleasures: Prostitution and Modernity in Twentieth-Century Shanghai . By Gail Hershatter. Berkeley: University of California Press, 1997. xi, 694 pp. $45.00. , 1998, The Journal of Asian Studies.

[16]  D. Le Grange,et al.  Eating attitudes and behaviors in 1,435 South African Caucasian and non-Caucasian college students. , 1998, The American journal of psychiatry.

[17]  C. Nishida,et al.  Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies , 2004, The Lancet.

[18]  Douglas T. Kenrick,et al.  Integrating evolutionary and social exchange perspectives on relationships: Effects of gender, self-appraisal, and involvement level on mate selection criteria. , 1993 .

[19]  M. Wiederman Women's body image self‐consciousness during physical intimacy with a partner , 2000 .

[20]  J. Tuomilehto,et al.  Educational level, relative body weight, and changes in their association over 10 years: an international perspective from the WHO MONICA Project. , 2000, American journal of public health.

[21]  Charles S. Gulas,et al.  Extending Social Comparison: An Examination of the Unintended Consequences of Idealized Advertising Imagery , 2000 .

[22]  L. Kogan,et al.  Satisfaction with Body Image and Peer Relationships for Males and Females in a College Environment , 2001 .

[23]  E. Lambert,et al.  An ethnic comparison of eating attitudes and associated body image concerns in adolescent South African schoolgirls. , 2001, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[24]  Harriet Evans Women and sexuality in China : female sexuality and gender since 1949 , 1997 .

[25]  C. Davis,et al.  Chinese men and women in the United States and Hong Kong: body and self-esteem ratings as a prelude to dieting and exercise. , 1998, The International journal of eating disorders.

[26]  E. Koff,et al.  Weight, weight-related aspects of body image, and depression in early adolescent girls. , 1997, Adolescence.

[27]  T. Ollendick,et al.  Negative Body Image and Disordered Eating Behavior in Children and Adolescents: What Places Youth at Risk and How Can These Problems be Prevented? , 2003, Clinical child and family psychology review.

[28]  D. Buss,et al.  Sex differences in human mate preferences: Evolutionary hypotheses tested in 37 cultures , 1989, Behavioral and Brain Sciences.

[29]  J. Crowther,et al.  Body dissatisfaction in married women: the role of spousal influence and marital communication patterns. , 2004, Body image.

[30]  Alan Feingold,et al.  Gender Differences in Body Image Are Increasing , 1998 .

[31]  M. Tiggemann Body image across the adult life span: stability and change. , 2004, Body image.

[32]  B. Popkin,et al.  Body weight patterns among the Chinese: results from the 1989 and 1991 China Health and Nutrition Surveys. , 1995, American journal of public health.

[33]  C. P. Szabo Youth at risk--dieting and eating disorders: a South African perspective. , 2002, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[34]  Linda A. Jackson,et al.  Physical Appearance and Gender: Sociobiological and Sociocultural Perspectives , 1992 .

[35]  R. Blum,et al.  Frequent dieting among adolescents: psychosocial and health behavior correlates. , 1995, American journal of public health.

[36]  E. Villanueva The validity of self-reported weight in US adults: a population based cross-sectional study , 2001, BMC public health.

[37]  M. Wiederman,et al.  Body size, physical attractiveness, and body image among young adult women: Relationships to sexual experience and sexual esteem , 1998 .

[38]  E. Haavio-Mannila,et al.  Slimness and self‐rated sexual attractiveness: Comparisons of men and women in two cultures , 2001 .

[39]  G. Forbes,et al.  Body Dissatisfaction in Women and Men: The Role of Gender-Typing and Self-Esteem , 2001 .

[40]  W. Zung A SELF-RATING DEPRESSION SCALE. , 1965, Archives of general psychiatry.

[41]  S. Paxton,et al.  Examination of a model of multiple sociocultural influences on adolescent girls' body dissatisfaction and dietary restraint. , 2001, Adolescence.

[42]  中華人民共和国国家統計局 China statistical yearbook , 1988 .

[43]  D. Maisey,et al.  Characteristics of male attractiveness for women , 1999, The Lancet.

[44]  A. Furnham,et al.  Body Image Dissatisfaction: Gender Differences in Eating Attitudes, Self-Esteem, and Reasons for Exercise , 2002, The Journal of psychology.

[45]  S. Lee,et al.  Disordered eating in three communities of China: a comparative study of female high school students in hong kong, Shenzhen, and rural hunan. , 2000, The International journal of eating disorders.

[46]  J. Townsend,et al.  The Perception of Sexual Attractiveness: Sex Differences in Variability , 1997, Archives of sexual behavior.

[47]  J. Thompson,et al.  Exacting Beauty: Theory, Assessment, And Treatment Of Body Image Disturbance , 2004 .

[48]  S. Grogan Body Image: Understanding Body Dissatisfaction in Men, Women and Children , 1998 .

[49]  Y. Nogami Eating disorders in Japan: A review of the literature , 1997, Psychiatry and clinical neurosciences.

[50]  S. Lee,et al.  Body dissatisfaction among Chinese undergraduates and its implications for eating disorders in Hong Kong. , 1996, The International journal of eating disorders.

[51]  R. Kowner Japanese body image: Structure and esteem scores in a cross-cultural perspective , 2002 .

[52]  J. Emery,et al.  Optimum body-mass index and maximum sexual attractiveness , 1998, The Lancet.

[53]  M Dezhkam,et al.  An epidemiological study of eating disorders in Iran. , 2000, The International journal of eating disorders.

[54]  D. Buss,et al.  A Half Century of Mate Preferences: The Cultural Evolution of Values , 2001 .

[55]  Chris J. Skinner,et al.  Analysis of complex surveys , 1991 .

[56]  M. J. Sharps,et al.  Body Image Preference in the United States and Rural Thailand: An Exploratory Study , 2001, The Journal of psychology.

[57]  H. Pope,et al.  Body image in boys: a review of the literature. , 2001, The International journal of eating disorders.

[58]  A M Lee,et al.  Disordered eating and its psychosocial correlates among Chinese adolescent females in Hong Kong. , 1996, The International journal of eating disorders.