Body Size and Sexual Behavior in a Community-Based Sample of Women

ABSTRACT. Women's body size is closely related to their social and sexual experiences. Clinical research has found that women's lifetime sexual behaviors may vary based on body mass index (BMI). Objectives: This study examined the relationship between BMI and recent solo and partnered sexual repertoire in a community-based, non-clinical sample of women. Methods: Two hundred thirty-eight sexually active women completed an online survey measuring age, sexual relationship status, BMI, gender of sexual partners, and engagement in sexual behaviors in the previous 4 weeks. Logistic regression analyses were conducted to determine whether BMI predicted engagement in behaviors after controlling for age and sexual relationship variables. Results: Participant age ranged from 18 to 56 years (M = 30.4, SD = 7.8). Participants were predominantly in exclusive sexual relationships (62.9%, n = 146) with men (82.8%, n = 197). Mean BMI for the sample was 29.33 (SD = 9.28). Participation in self-masturbation, masturbating a partner, performing oral sex on a partner, receiving oral sex from a partner, and penile–vaginal intercourse were not predicted by BMI after controlling for age and partner variables. Conclusions: BMI did not impact sexual repertoire during the previous 4 weeks, with the exception of an increased odds ratio for penile–anal intercourse (OR = 1.06; 95% CI [1.02, 1.10]). Researchers and practitioners working with women should not assume limitations on women's sexual repertoires because of larger body size.     

Sexual Body Image and Its Correlates: A Population-Based Study of Finnish Women and Men

ABSTRACT

Sexual body image was examined in a population-based sample of 9,532 Finnish men and women, age 18 to 49 years. More than one half of women and men were satisfied with their genitals, one half of the women were satisfied with their breasts. Higher levels of genital satisfaction were related to higher frequencies of sexual behavior and better sexual function for both genders. For men, penis size satisfaction was associated with lower levels of premature ejaculation and better erectile function. Sexual body image was related to overall perceived attractiveness, for women a higher body mass index was related to satisfaction with breast size. Having children was negatively related to women's sexual body image, abortions and miscarriages likewise. Limitations of the study and clinical implications of the findings are discussed.     

Perceptions of Body Image

Abstract

Perception of body image is an important component of self-concept and self-esteem. It has significant influence on work performance, a sense of physical attractiveness and incidents of health problems, such as anorexia. Negative perceptions of others by employees and supervisors can lead to violations of the Americans with Disabilities Act.     

Gender,Sexual Affect,and Motivations for Internet Pornography Use

ABSTRACT

The Internet has substantially changed the way society consumes pornographic material and as become the most popular venue for this sexual purpose. However, researchers have paid little attention to why people use pornographic material online. Arguing that the use of Internet pornography is a motivated behavior meant to obtain what one wants to see, this study attempts to identify specific motivations for Internet pornography use. In addition, this study analyzes how gender and sexual affect—positive or negative—are associated with motivations for Internet pornography use. Overall, 321 undergraduate students including males and females responded to an online questionnaire. Findings show that motivations behind Internet pornography use can be broken down into four factors—relationship, mood management, habitual use, and fantasy. Males revealed far stronger motivations than females; and those with more erotophilic tendencies were more likely than those with more erotophobic tendencies to be motivated to use Internet pornography for all four motivational factors. The implications of the findings are discussed.     

Pornography,erotica, and attitudes toward women: The effects of repeated exposure

It is a widespread belief that pornography causes negative attitudes toward women, but tests of this belief are contradictory. A large body of research has studied the effect of violent pornography on behavior, but the effects of erotica and violence have often been confounded. Thus, the relationship between pornography and attitudes toward women was assessed in two correlational studies, and the effect of (nonviolent) erotica on attitudes towards women was tested experimentally. The dependent measure was the score on a questionnaire measuring attitudes toward women and women's issues. The questionnaire possessed high reliability; factor analysis indicated a single general factor. Participants included 184 psychology students and 20 patrons at an “adult” theater. Multiple linear regressions indicated that hours of viewing pornography was not a reliable predictor of attitudes toward women in either sample. Patrons of the adult theater, who viewed more pornography, had more favorable attitudes toward women than male or female college students. In Study 3, 75 students were randomly assigned to watch four hours of erotica or four hours of psychology films over five consecutive days. Power analysis indicated a strong test. Manipulation checks showed a difference in students’ perception of the erotic nature of the videos, but attitudes toward women were not influenced by type of video.     

Body Satisfaction and Sexual Health in Dutch Female University Students

Studies in the field of body image have primarily addressed its negative aspects, such as body dissatisfaction. The present study focused instead on women who are satisfied with their bodies and on how body satisfaction relates to sexual health. A sample of 319 Dutch female university students completed an online survey that included items about body image evaluation, body image investment, overweight preoccupation, body image affect during sexual activity, sexual frequency, sexual functioning, and sexual self-esteem. We found that the level of body dissatisfaction was minimal in our sample. The majority reported neutral or mildly positive body evaluations, and in 30% of the sample these evaluations were clearly positive. Comparisons between women who reported positive versus neutral body evaluations showed that the body-satisfied women had lower body mass indexes (BMIs) and reported less body image investment, less overweight preoccupation, and less body self-consciousness during sexual activity. With regard to sexual health, they reported higher sexual self-esteem and better sexual functioning. Furthermore, we found that body image self-consciousness was negatively associated with sexual functioning, sexual self-esteem, and frequency of sexual activity with a partner. Body satisfaction did not account for a portion of the relationship of body self-consciousness during sexual activity with sexual health.     

Differences in Emerging-Adult Women's Body Image and Sexuality Outcomes According to BMI and Dating Status

ABSTRACT. Emerging adulthood is a crucial time for the development of body image and sexuality concerns among women. We collected self-reported data from 184 women to determine possible differences according to body mass index (BMI) classification and dating status. Multivariate analyses of variance and follow-up univariate analyses of variance were conducted to determine differences in body image and sexuality outcomes according to both BMI (normal weight vs. overweight) and dating status (dating vs. not dating) as well as interaction effects of BMI and dating status. First, results indicated differences between normal-weight and overweight women for body satisfaction, body self-consciousness, and body image avoidance. Overweight women had lower satisfaction, higher self-consciousness, and more avoidance. Differences were also found between women who were dating and those who were not dating for body satisfaction and self-consciousness: Women not dating had lower satisfaction and higher self-consciousness. Second, whereas results indicated that women of varying BMIs did not differ on sexuality outcomes, differences were found according to dating status for sexual attitudes, esteem, and self-schema, such that women not dating had more conservative sexual attitudes, less sexual esteem, and lower self-schemas. No significant interaction effects were found.     

Educational Differences in Adolescents' Sexual Health: A Pervasive Phenomenon in a National Dutch Sample

Educational level is strongly associated with age of first intercourse and risk of unintended pregnancies. This study examined these associations in a large representative sample of Dutch adolescents and also included associations of educational level with other sexual health aspects. Adolescents aged 12 to 25 (3,926 boys and 3,915 girls) completed an online questionnaire that included measures of romantic and sexual experience; the evaluation of their sexual debut; the risk of sexually transmitted infections (STIs) and pregnancy; and sexual attitudes, satisfaction, self-efficacy, knowledge, victimization, and functioning. The results showed that adolescents on a vocational track or who completed fewer years of education were more at risk of several adverse sexual health outcomes than adolescents on an academic track. They had their first sexual experiences at an earlier age; evaluated these experiences less favorably; had less sexual health knowledge and fewer refusal skills; and had a higher risk of unintended pregnancy, STIs, and victimization. Possible explanations for these consistent differences are discussed. Sex education and services should pay specific and targeted attention to less educated young people and tailor their efforts specifically to the needs, characteristics, and realities of this group.     

台湾大学生身体意象知觉落差研究

拥有正向的身体意象才易维持身心健康,对台湾大学生身体意象知觉落差的现状研究发现:四成的大学生存在身体意象知觉落差;性别、身心状况、学习满意度对大学生身体意象知觉落差有显著影响。身体意象是重要的公共与教育议题,了解影响大学生身体意象知觉落差因素,不仅有助于个人的自我正确认知,也有助于学校防治策略的制定。     

Sexual Abuse and Sexual Functioning in a Chronic Pelvic Pain Sample

ABSTRACT

Sexual abuse, particularly childhood sexual abuse, has been linked to chronic pelvic pain and to sexual dysfunction, though the sexual functioning of survivors of sexual abuse has not been studied in a chronic pain population. Sixty-three women with chronic pelvic pain completed measures of sexual function, sexual abuse, and pain. Using an index of the extent of sexual abuse experiences in childhood and adolescence/adulthood, higher scores were related to lower rates of sexual activity, less satisfaction with orgasm and feelings of closeness with sexual partners, and greater severity of and interference from pain. Findings point to the importance of controlling for relationship status in analyses of long-term effects of sexual abuse and of assessing chronic pelvic pain patients for histories of sexual abuse using measures that address the extent or severity of abuse.     

Battling Body Image: Confessions of a Health Educator

As a college health educator, the author knows much about healthy behaviors. In spite of this, however, the author discusses finding herself struggling with the same problems of body image that her students express. With a variety of influences tied to negative body image, it is important that college health professionals create a plan of action for reducing the negative effects of such influences. The author proposes that health professionals take a more active role in combating body image problems by using 3 important strategies: incorporating body image into basic health curricula and classes, focusing research efforts on intervention, and exploring the use of advocacy to initiate change at the societal level.     

Relationship Between Body Image and Body Mass Index in College Men

Objective and Participants: The authors examined cognitive and affective dimensions of body image of a randomized sample of 188 college men on the basis of body mass index (BMI). Methods: They conducted chi-square tests and ANOVAs to determine differences between 4 BMI groups (underweight, normal weight, overweight, and obese) on demographics and body image measures. Results: The authors found significant differences in regard to total body image (p < .001), weight or shape concern (p < .001), and body dissatisfaction (p < .001). BMI was significantly correlated with negative body image. Overweight and obese participants reported significantly higher levels of negative body image than did normal- and underweight participants. Overweight participants reported significantly higher weight and shape concerns than did underweight, normal-weight, and obese participants. In regard to body dissatisfaction, underweight, overweight, and obese participants reported significantly higher levels of body dissatisfaction than that reported by normal-weight participants. Conclusions: BMI may be an important factor in identifying potential body image disorders in college-aged men.     

Limited Role of Body Satisfaction and Body Image Self-Consciousness in Sexual Frequency and Satisfaction in Pregnant Women

This cross-sectional study examined the role of maternal body image and body image self-consciousness in sexual satisfaction and intercourse frequency during pregnancy when controlling for satisfaction with partnership. Pregnant women in their third trimester of pregnancy (N = 150) participated in the study. Body image was measured by the Body Areas Satisfaction Scale (BASS) and Body Image Self-Consciousness Scale (BISC), while relationship satisfaction was measured by different subscales of the Perceived Quality of Marital Relationship (PQMR) Scale. Sexual satisfaction was also measured by one of the subscales of the PQMR (Intimate Relationship). The sexual behavior questionnaire comprised questions about frequency of sexual intercourse, desire, and other aspects of sexual functioning as well as the reasons that might prevent women from having intercourse during pregnancy. Findings suggested that satisfaction with body image and body image self-consciousness were related to sexual satisfaction. Nevertheless, other aspects of partnership, such as communication, appeared to be much more important predictors of sexual satisfaction than body image variables. The best predictor of sexual frequency was fear that intercourse might harm the fetus. Implications for education about sexuality issues in pregnancy are discussed.     

A Comparison of Sexual Behaviors and Attitudes,Self-Esteem,Quality of Life,and Drug Use Among Pornography Actors and a Matched Sample

ABSTRACT

The present study compared the self-reports of 105 porn actors to a sample of men matched on age, ethnicity, and marital status. Comparisons were conducted on sexual behaviors and attitudes, self-esteem, quality of life, and drug use. Porn actors’ first sex was at an earlier age, they had more sexual partners and a higher enjoyment of sex, they were more concerned about catching a sexually transmitted disease, and they were less likely to use a condom during a first-time sexual encounter compared with the matched sample, although there were no differences in incidence of childhood sexual abuse. In terms of psychological characteristics, porn actors had higher levels of self-esteem and quality-of-life indicators. Lastly, male performers were more likely to have used five different types of drugs compared with the comparison group during their lifetime and were more likely to have used marijuana during the past 6 months. These findings provide mixed support for stereotypes concerning male porn actors.     

Toward a Relational Understanding of Objectification,Body Image,and Preventive Sexual Health

There is a wealth of empirical support for objectification theory. Researchers have suggested an extension to the theory that includes risky sexual behaviors as a consequence of body shame. However, there are no known studies that place the association between body image and sexual behavior in the context of the interpersonal sexual relationship. The current study was grounded in objectification theory and relational cultural theory and sought to better understand how negative self-objectification, body appreciation, relationship quality, and preventive sexual health behaviors are related. An online survey was conducted with 399 emerging adult women in the Midwest, and the proposed model was tested using structural equation modeling (SEM). The results suggest that, among this sample, negative self-objectification was indirectly related to preventive sexual health behaviors through body appreciation alone and through both body appreciation and relationship quality. Implications for clinical practice and future research are discussed.     

A Preliminary Study of Body Image and HIV Sexual Risk Behavior in Black Gay and Bisexual Men: Implications for HIV Prevention

Nearly three decades since the onset of the AIDS epidemic, Black gay and bisexual men (BGBM) experience increasingly disproportionate rates of HIV and AIDS in the United States. The aim of this exploratory research investigation was to examine the relationship between body image and HIV sexual risk behavior in a community-based sample of 481 BGBM in the New York metropolitan area. Multivariable analyses demonstrated that men with a negative body image were less likely to use condoms during anal intercourse with a male sexual partner as compared to those respondents with a positive body image. These findings pose considerable implications for the influence of body image on HIV sexual risk behavior in BGBM.     

Heavenly Monsters: The Politics of the Male Body in the Naked Issue of Attitude Magazine

The male body in contemporary gay culture is subordinated to distinct aesthetic and ethical norms that reflect an all-male idolization of the young, muscular, smooth, and transcendent physique. The queer body is manipulated in different techniques including daily work at the gym, diet, hair supplement/removal, tanning, and dying. Liberating the body from heteronormative oppression does not necessarily guarantee the liberation of the (gay) body from other powerful systems that produce and commercialize body fascism. This article problematizes these body politics and economy of identity focusing on the naked issue of Attitude (October 1999), a six-year-old British life-style glossy magazine. This analysis mainly focuses on the illuminating interview with five gay men who express their intimate feelings and criticize the body worship in the gay media: an over-weight man, a skinny man, a psoriasis sufferer, an old and heavily tattooed and pierced man, and a bodybuilder who works as an escort.     

The Development and Validation of a Scale to Measure Attitudes Toward Women's Genitals

ABSTRACT

Sexual behaviors may be related to or influenced by a range of factors including individuals' attitudes toward women's genitals. To date, however, no reliable and valid measure exists with which researchers or clinicians can assess individuals' attitudes toward women's genitals. The purpose of this study was to develop a reliable and valid scale to measure attitudes toward women's genitals and to test its predictive capacity.

The process of developing the Attitudes Toward Women's Genitals Scale (ATWGS) was conducted in three phases: (1) elicitation, which involved a comprehensive literature review and surveys completed by 370 men and women; (2) development, review, and revision of an initial item pool; and (3) survey administration and psychometric analysis, which involved an initial survey administration to 604 men and women and a second administration, for the purposes of establishing temporal stability of the scale, to 16 individuals. The final ATWGS resulted in a 10-item scale that exhibited sufficient internal consistency (Cronbach's alpha = 0.848) and convergent validity, as it was correlated at 0.429 with the five-item Sexual Opinion Survey. The ATWGS also showed evidence of predictive capacity in that women's scale scores differed significantly based on their history of cunnilingus, gynecological care, vibrator use, and orgasm. For men, there were significant ATWGS score differences based on their experience with cunnilingus. Also, men scored significantly higher on the ATWGS than did women (p < .001), indicating more positive attitudes. The ATWGS was found to exhibit evidence of sufficient reliability, validity, and predictive capacity.     

Eating Disorders and Body Image of Undergraduate Men

Eating disorders and body dissatisfaction among undergraduate men are less documented and researched than are eating disorders and body dissatisfaction among undergraduate women. Objective and Participants: In this study, the authors examined these issues in undergraduate men to identify similarities and differences between this population and undergraduate women. Methods: In a random sample of undergraduates, the authors categorized respondents by gender and by presence or absence of an eating disorder. The authors compared undergraduate men with an eating disorder with (1) undergraduate women with an eating disorder and (2) undergraduate men without an eating disorder. Results: The patterns of responses suggest that undergraduate men with an eating disorder are preoccupied with body shape and tone but not necessarily with losing weight. Conclusions: The authors discuss implications for future prevention as well as clinical and research efforts based on male symptoms within the diagnostic category of bulimia nervosa and eating disorder, not otherwise specified.     

Sexual Orientation Moderates the Effect of Gender on Body Satisfaction: Results From a National Probability Sample

Body image concerns typically affect women more so than men, but there is reason to believe that this pattern may depend on sexual orientation. The present study examined differences in levels of body satisfaction among men and women who identified as heterosexual, plurisexual (bisexual and pansexual), gay, and lesbian, using data from a large-scale national probability sample from New Zealand (N = 17,005). As expected, heterosexual men reported higher body satisfaction than heterosexual women. Gay and plurisexual men reported lower body satisfaction than heterosexual men. Gay men also reported lower body satisfaction than lesbian women, and did not differ significantly from heterosexual and plurisexual women. Ratings of heterosexual, plurisexual, and lesbian women’s body satisfaction did not differ significantly. Results held when adjusting for a range of demographic covariates (including age and BMI), and highlight the importance of examining the psychological and health outcomes associated with poor body image among gay men. These findings emphasize the relevance of sexual orientation in understanding men’s body image-related issues.