Which body features are associated with female adolescents' body dissatisfaction? A cross-cultural study in Australia, China and Malaysia.

This study investigated how dissatisfaction with various aspects of the body is associated with overall body dissatisfaction among female adolescents in Western and Asian cultures. Data used in the study were obtained from 58 Malaysian Malays, 95 Malaysian Chinese, 242 Chinese from China, and 81 non-Asian Australians aged 12-19 years (M=15.72, SD=1.72) who were recruited from high schools. Participants completed a questionnaire assessing dissatisfaction with their body overall, and dissatisfaction with varying aspects of their body. Malaysian Chinese were the most dissatisfied with their bodies. After controlling for body mass index (BMI), age and dissatisfaction with weight/shape, upper, middle and lower body, and muscles, dissatisfaction with the face was positively correlated with overall body dissatisfaction among Malaysian Malays and Australians. These findings demonstrate the importance of using assessment measures that address all possible areas of body focus as well as being tailored to the relevant culture.

[1]  D. Frederick,et al.  The UCLA Body Project II: Breast and Body Dissatisfaction among African, Asian, European, and Hispanic American College Women , 2008 .

[2]  C. Grilo,et al.  Ethnic differences in the prediction of eating and body image disturbances among female adolescent psychiatric inpatients. , 2005, The International journal of eating disorders.

[3]  C. Davis,et al.  Charting new territory: Body esteem, weight satisfaction, depression, and self-esteem among chinese males and females in Hong Kong , 1997 .

[4]  A. Frisén,et al.  Body dissatisfaction across cultures: findings and research problems. , 2010, European eating disorders review : the journal of the Eating Disorders Association.

[5]  Laurie B. Mintz,et al.  Body Image and Disordered Eating Among Asian American and Caucasian College Students , 1999 .

[6]  A. Nevill,et al.  Body dissatisfaction, body fat and physical activity in British children. , 2006, International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity.

[7]  Ye Luo,et al.  A population-based study of body image concerns among urban Chinese adults. , 2005, Body image.

[8]  E. Koff,et al.  Body-Image Attitudes and Psychosocial Functioning in Euro-American and Asian-American College Women , 2001, Psychological reports.

[9]  A. Furnham,et al.  Positive body image: Inter-ethnic and rural–urban differences among an indigenous sample from Malaysian Borneo , 2012, The International journal of social psychiatry.

[10]  Asian Americans and standards of attractiveness: what's in the eye of the beholder? , 1998 .

[11]  S. Gilman,et al.  Changes in prevalence of overweight and in body image among Fijian women between 1989 and 1998. , 2005, Obesity research.

[12]  T. F. Cash,et al.  Body Image: A Handbook of Science, Practice, and Prevention , 2011 .

[13]  L. McCreary,et al.  Salience of physical appearance characteristics among young women in Thailand. , 2011, Body image.

[14]  J. Nezlek Body image and day-to-day social interaction. , 1999, Journal of personality.

[15]  E. Stice,et al.  Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms. , 1994, Journal of abnormal psychology.

[16]  K. Sofronoff,et al.  A comparison of body‐image dissatisfaction and eating disturbance among Australian and Hong Kong women , 2005 .

[17]  Todd Jackson,et al.  Sociocultural Predictors of Physical Appearance Concerns among Adolescent Girls and Young Women from China , 2008 .

[18]  A. Stunkard,et al.  The accuracy of self-reported weights. , 1981, The American journal of clinical nutrition.

[19]  M. P. Root Disordered eating in women of color , 1990 .

[20]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[21]  E. Koff,et al.  Breast Size Perception and Satisfaction, Body Image, and Psychological Functioning in Caucasian and Asian American College Women , 1998 .

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

[23]  Kristen Harrison,et al.  The relationship between media consumption and eating disorders , 1997 .

[24]  G. Forbes Cross-Cultural Research Methods and the Study of Gender , 2010 .

[25]  Weiyun Chen,et al.  Chinese and American College Students' Body-Image: Perceived Body Shape and Body Affect , 1998, Perceptual and motor skills.

[26]  L. Ricciardelli,et al.  Body image attitudes and concerns among indigenous Fijian and European Australian adolescent girls. , 2006, Body image.

[27]  Jaehee Jung,et al.  Multidimensional Assessment of Body Dissatisfaction and Disordered Eating in Korean and US College Women: A Comparative Study , 2006 .

[28]  Viren Swami,et al.  Female physical attractiveness in Britain and Malaysia: a cross-cultural study. , 2005, Body image.

[29]  L. Ricciardelli,et al.  Sociocultural influences on body dissatisfaction and body change behaviors among Malaysian adolescents. , 2009, Body image.

[30]  Yoon-Jung Lee,et al.  Body Dissatisfaction and Disordered Eating Among Early Adolescents From Korea and the US , 2009 .

[31]  L. Ricciardelli,et al.  Sociocultural Influences on Body Image and Body Changes Among Adolescent Boys and Girls , 2003, The Journal of social psychology.

[32]  Kristen Harrison,et al.  The body electric: thin‐ideal media and eating disorders in adolescents , 2000 .

[33]  M. McCabe,et al.  Sociocultural influences on adolescent boys' body image and body change strategies. , 2005, Body image.

[34]  David Mellor,et al.  Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. , 2010, Body image.

[35]  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.

[36]  Zainal Kling The Malay family: Beliefs and realities , 1995 .

[37]  F. Neto,et al.  The Attractive Female Body Weight and Female Body Dissatisfaction in 26 Countries Across 10 World Regions: Results of the International Body Project I , 2010, Personality & social psychology bulletin.

[38]  A. Arkoff,et al.  Body image and body dissatisfaction in Japanese-Americans. , 1966, The Journal of social psychology.

[39]  L. Ricciardelli,et al.  Body dissatisfaction and body change behaviors in Chile: the role of sociocultural factors. , 2008, Body image.

[40]  E. Stice Risk and maintenance factors for eating pathology: a meta-analytic review. , 2002, Psychological bulletin.

[41]  M. Tovée,et al.  An examination of ethnic differences in actual-ideal weight discrepancy and its correlates in a sample of Malaysian women , 2013 .

[42]  Y. Wong,et al.  Obesity concerns, weight satisfaction and characteristics of female dieters: a study on female Taiwanese college students. , 1999, Journal of the American College of Nutrition.

[43]  L. Ricciardelli,et al.  Body image and body change strategies among adolescent males and females from Fiji, Tonga and Australia. , 2009, Body image.

[44]  M. Tovée,et al.  The relative contribution of profile body shape and weight to judgements of women's physical attractiveness in Britain and Malaysia. , 2007, Body image.

[45]  G. Gates,et al.  Body image perceptions in Western and post-communist countries: a cross-cultural pilot study of children and parents. , 2008, Maternal & child nutrition.

[46]  C. C. Hall,et al.  Asian Eyes: Body Image and Eating Disorders of Asian and Asian American Women , 1995 .

[47]  G. Tsai Eating disorders in the Far East , 2000, Eating and weight disorders : EWD.

[48]  S. Paxton,et al.  Body Image Development – Adolescent Girls , 2011 .

[49]  Eugenia Kaw Steven Polgar Prize Essay (1991). Medicalization of Racial Features: Asian American Women and Cosmetic Surgery , 1993 .

[50]  S. Seubsman,et al.  Validity of self-reported weight, height, and body mass index among university students in Thailand: Implications for population studies of obesity in developing countries , 2009, Population health metrics.

[51]  N. Tewari Seeking, Receiving, and Providing Culturally Competent Mental Health Services: A Focus on Asian Americans , 2008 .

[52]  L. Ricciardelli,et al.  Body image and body change techniques among young adolescent boys , 2001 .

[53]  Sing Lee Eating disorders are becoming more common in the East too , 2000, BMJ : British Medical Journal.

[54]  L. Ricciardelli,et al.  A qualitative study of body image and appearance among men of Chinese ancestry in Australia. , 2012, Body image.

[55]  K. Y. Kawamura Body Image Among Asian Americans , 2012 .

[56]  T. F. Cash,et al.  Black Beauty: Skin Color and Body Images among African- American College Women' , 1992 .

[57]  A. Mussap,et al.  Body satisfaction among adolescents in eight different countries , 2012, Journal of health psychology.

[58]  J. Wardle,et al.  Body image and weight control in young adults: international comparisons in university students from 22 countries , 2006, International Journal of Obesity.

[59]  Jaehee Jung,et al.  Body Dissatisfaction and Disordered Eating among College Women in China, South Korea, and the United States: Contrasting Predictions from Sociocultural and Feminist Theories , 2007 .

[60]  M Nasser,et al.  Culture and weight consciousness. , 1997, Journal of psychosomatic research.

[61]  K. Pike,et al.  The Rise of Eating Disorders in Japan: Issues of Culture and Limitations of the Model of “westernization” , 2004, Culture, medicine and psychiatry.

[62]  G. Hulse,et al.  Eating Disorder Attitudes and Psychopathology in Caucasian Australian, Asian Australian and Thai University Students , 2006, The Australian and New Zealand journal of psychiatry.

[63]  J. Wardle,et al.  Culture and body image: Body perception and weight concern in young Asian and Caucasian British women , 1993 .

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

[65]  V. Swami,et al.  Factor structure of the Body Appreciation Scale among Malaysian women. , 2008, Body image.

[66]  M. McCabe,et al.  Adolescent Body Image and Psychosocial Functioning , 2006, The Journal of social psychology.

[67]  Todd Jackson,et al.  The Negative Physical Self Scale: Initial development and validation in samples of Chinese adolescents and young adults. , 2006, Body image.

[68]  R. Gordon Eating Disorders: Anatomy of a Social Epidemic , 2000 .

[69]  F. Hu,et al.  Comparison of Self‐reported and Measured BMI as Correlates of Disease Markers in U.S. Adults , 2007, Obesity.

[70]  A. Stunkard,et al.  Use of the Danish Adoption Register for the study of obesity and thinness. , 1983, Research publications - Association for Research in Nervous and Mental Disease.

[71]  Seunghee Lee,et al.  Cross‐Cultural Comparisons of Appearance Self‐Schema, Body Image, Self‐Esteem, and Dieting Behavior Between Korean and U.S. Women , 2006 .

[72]  Renée A. Botta,et al.  Television images and adolescent girls' body image disturbance , 1999 .

[73]  M. Tovée,et al.  Male physical attractiveness in Britain and Malaysia: A cross-cultural study , 2005 .

[74]  C. Grilo,et al.  Sociocultural influences on eating attitudes and behaviors, body image, and psychological functioning: a comparison of African-American, Asian-American, and Caucasian college women. , 1995, The International journal of eating disorders.