An Examination of Influences on Body Dissatisfaction Among Asian American College Females: Do Family,Media, or Peers Play a Role?

Abstract

Objective: The etiology of body dissatisfaction and its correlates (eg, disordered eating) among ethnic minorities is generally unknown. The purpose of this study was to replicate the tripartite model of influence in an Asian American college female sample in order to examine this relationship. Participants: Participants were 80 undergraduate Asian American females between the ages of 18 and 25. Methods: Participants completed a survey that included the Tripartite Influence Scale, Body Parts Satisfaction Scale, and Sociocultural Attitudes towards Appearance Questionnaire–3. Results: Mediation analyses indicated that thin-ideal internalization fully mediated the relationship between media influence and body dissatisfaction and partially mediated the relationship between peer influence and body dissatisfaction. Family influence did not significantly predict body dissatisfaction. Conclusions: Asian American college females experience body dissatisfaction through mechanisms that have not been examined in detail. These factors must be considered when creating targeted health promotion strategies and developing best practices for eating disorder assessment and treatment protocols at university health centers.     

Improving body image and sexual health behaviors among college women

ABSTRACT

Objective: To conduct a pilot test to determine if the Body Project, an eating disorder prevention program, was able to reduce risky sexual behaviors. Participants: Twenty college-age women ages 18–21 (in March, 2015) who endorsed both body image dissatisfaction and previous or current sexual activity. Methods: Participants were randomized to the Body Project or psychoeducational control group, and completed baseline, post-test, and 6-month follow-up measures assessing body image concerns, eating behaviors, and sexual behaviors and attitudes. Results: An intervention manipulation check demonstrated that body image variables were in expected directions, though were not significant by group. There was a significant interaction across group and time for “unanticipated sexual encounters,” which decreased in the Body Project group. Conclusions: This pilot study supports the feasibility of using an eating disorder prevention program to reduce other risky behaviors, specifically risky sexual behaviors.     

The Relationship Between Romantic Partner Support Styles and Body Image Disturbance

ABSTRACT

American women have long been affected by perceptions of beauty being described as the thin female idealizing standards far below the standards for what is considered the ideal body weight. Women have also been strongly influenced by their partners and the opinions that are expressed. To explore this concept further, 170 females were assessed to determine whether romantic partner social support could be a predictor of female body image and eating disturbances. Of the 117 participants that met full criteria for the project, the measures for figure rating preferences, eating disturbance, and body image dissatisfaction were investigated. Along with these indicators, intimate bonding, self-esteem, stress, general social support, and romantic partner support were also collected. Statistical results supported that higher body image dissatisfaction was inversely related to the perception of lower levels of romantic partner support. In addition, esteem support was predictive of female body image disturbance, with no support style being predictive of female eating disturbance. Therefore, findings in this study highlight that receiving support from a romantic partner and general support from other intimates can be directly related to report levels of body image disturbance and anxiety associated with physical appearance. Results are presented to assist evidence-based practice efforts stressing the need to identify and foster all possible types of supportive communication used within intimate relationships.     

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.     

The role of emotion dysregulation in the association between subjective social status and eating expectancies among college students

Abstract

Objective: Research suggests that college is a risky period for changes in eating behavior and beliefs. Although social health determinants relate to health behavior changes, research has not explored subjective social status, one’s societal standing, in terms of eating expectancies among college students. The present study examined the emotion dysregulation in association between subjective social status and eating expectancies among college students. Participants: Participants were a diverse sample of 1,589 college students (80.4% females; M_age?=?22.2?years, SD?=?5.27) from an urban university. Results: Results showed a significant indirect association of subjective social status via emotion dysregulation in relation to expectancies of eating to help manage negative affect, to alleviate boredom, and to lead to feeling out of control. Conclusion: These findings provide evidence that college students with lower subjective social status may have a higher risk for dysregulated emotions, and consequently, expressing maladaptive eating expectancies.     

Prevention of shape and weight concerns among college students: An examination of education status variables

Objective: The current study examined whether overlooked aspects of the postsecondary student experience predicted individuals’ body-related concerns, beyond the influence of demographic factors that have upheld explanatory power in past research. Participants: Undergraduate and graduate students (n?=?3,259) took part in the multi-institute Healthy Bodies Study during the 2015 academic year. Method: Participants completed an online survey that assessed their undergraduate/graduate statuses, academic majors, extracurricular involvements, and body-related concerns. Hierarchical multiple regression analyses were run to answer primary study questions. Results: Gender, body mass index (BMI), undergraduate/graduate student status, being a male graduate student, major, and extracurricular activities predicted shape concern (SC), weight concern (WC), and whether these concerns increased since students began at their universities. The addition of the student-specific variables uniquely contributed to the variance in body-related concerns. Conclusions: Further research on the body-related discontent of the identified student groups should be conducted to elucidate potential campus-based treatment targets.     

Evaluative concerns and personal standards perfectionism as predictors of body dissatisfaction in Asian and European American female college students

ABSTRACT

Objectives: The present study examined perfectionism (viz, evaluative concerns and personal standards) and ethnicity as predictors of body dissatisfaction in female college students. Participants: Participants were 298 female college students sampled by December of 2013. Methods: A self-report survey with measures of body dissatisfaction, perfectionism, and demographics was conducted. Results: Regression analyses indicated that evaluative concerns perfectionism (ECP) was a significant predictor of body dissatisfaction. The inclusion of ethnicity was found to further augment the prediction model. Moreover, we found support for an ECP × Ethnicity interaction effect in predicting body dissatisfaction. Specifically, among high-ECP female students, European Americans, compared with Asian Americans, reported the highest level of body dissatisfaction. Conclusion: High ECP represents a potential marker of body dissatisfaction in female college students. However, the presence of high ECP is a more critical predictor of body dissatisfaction in European American female students, compared with Asian American female students.     

Model for an Employee Wellness Project

Abstract

A pilot project designed to assess the feasibility and effectiveness of a health-related employee assistance program was implemented at the University of South Carolina. One hundred interested participants were randomly selected from university faculty and administrative staff. The project utilized the following methods: 1) psychophysical tests including health risk appraisals, health knowledge levels, physical activity assessments, psychological batteries of tests, and biophysical data obtained through a treadmill stress test, percent body fat, blood analysis, blood pressure, and pulmonary function; 2) individual health consultants who served to inform, model, and encourage participants to practice healthful behaviors; 3) group programs related to self-care/wellness promotion techniques; 4) mass media contact to repeat and reinforce healthful behaviors; 5) wellness-oriented social activities, such as fun runs, meatless covered dish dinners, etc.

Results of the project included statistically significant pre/post change in weight, percent body fat, physical activity scores, health knowledge levels, pulmonary function, and self-esteem.

The positive, enthusiastic group attitude and sustained project involvement all suggest the effectiveness of the model as an employee health intervention program.     

The Influence of Tobacco Countermarketing Ads on College Students’ Knowledge,Attitudes, and Beliefs

Abstract

Objective: To determine which antitobacco messages were perceived effective in changing college students’ knowledge, attitudes, and beliefs about tobacco use. Participants: College students (n = 1,020) were surveyed before and after viewing 4 30-second antitobacco advertisements in 1 of 3 theme categories—social norms, health consequences, or tobacco industry manipulation. Methods: An independent samples t test was used to test for differences in the mean responses to the knowledge, attitude, and belief questions at posttest by smoking status and gender. Results: Health consequences ads significantly increased overall knowledge and negative attitudes and beliefs. Conclusion: Findings from this study may help health educators who work in college settings and other young adult settings to include media messages as part of a comprehensive tobacco control program.     

Are there differences in gender,race, and age regarding body dissatisfaction?

ABSTRACT

The purpose of this study was to examine any differences that may exist among demographic variables such as gender, age, and race in regard to internalization of society and media messages leading to body dissatisfaction that may lead to disordered eating behaviors such as preoccupation with weight, dieting, and eating restraint. A total of 324 participants completed the demographic questionnaire, the Multidimensional Body Self Relations Questionnaire, the Sociocultural Attitudes Towards Appearance Questionnaire for women, the Sociocultural Attitudes Towards Appearance Questionnaire-Revised-Male-Version for men, and Rotter’s Internal-External (I-E) Locus of Control Scale. The results of this study found, as predicted, that Caucasians reported higher internalization, higher body dissatisfaction, and higher preoccupation with weight, dieting, and eating restraint than African Americans. This study showed no differences regarding men’s and women’s internalization or body dissatisfaction but did reveal that women reported higher preoccupation with weight, dieting, and eating restraint than men. Regarding age, this study found that age did not predict internalization, body dissatisfaction, or preoccupation with weight, dieting, and eating restraint.     

Body dissatisfaction,neuroticism, and female sex as predictors of calorie-tracking app use amongst college students

ABSTRACT

Objective: This study investigated body dissatisfaction, neuroticism, and sex as potential predictors of calorie-tracking app usage amongst undergraduate college students. Participants: College students (N = 491) were recruited from a large northeastern university in October 2015. Methods: Participants completed an online survey asking about their sex, body dissatisfaction, neuroticism, and use of apps that track calories. Results: Analyses revealed that female sex and body dissatisfaction—but not neuroticism—were direct predictors of calorie-tracking app usage. Analyses also provided support for a causal sequence wherein neuroticism and body dissatisfaction mediate, in serial, the relationship between female sex and calorie-tracking app usage. Conclusions: The results from this study suggest that female college students are more likely to use calorie-tracking apps—a phenomenon which may be attributable to their higher levels of neuroticism and subsequent increased body dissatisfaction.     

A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women

Objective: As eating disorders (EDs) often emerge during college, managing EDs would ideally integrate prevention and treatment. To achieve this goal, an efficient tool is needed that detects clinical symptoms and level of risk. This study evaluated the performance of a screen designed to identify individuals at risk for or with an ED. Participants: Five hundred forty-nine college-age women. Methods: Participants completed a screen and diagnostic interview. Results: Using parsimonious thresholds for ED diagnoses, screen sensitivity ranged from 0.90 (anorexia nervosa) to 0.55 (purging disorder). Specificity ranged from 0.99 (anorexia nervosa) to 0.78 (subthreshold binge eating disorder) compared to diagnostic interview. Moderate to high area under the curve values were observed. The screen had high sensitivity for detecting high risk. Conclusions: The screen identifies students at risk and has acceptable sensitivity and specificity for identifying most ED diagnoses. This tool is critical for establishing stepped care models for ED intervention.     

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.     

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88 years (SD = 16.68 years) and on their college team for 2.10 years (SD = 1.03 years). Methods: Participants completed a demographic and weight background questionnaire, Questionnaire for Eating Disorder Diagnoses, and the Bulimia Test-Revised. Results: The authors classified participants as eating disordered (n = 4, 2.0%), symptomatic (n = 52, 25.5%), and asymptomatic (n = 148, 72.5%). Few participants engaged in binge eating; most used exercise, as opposed to vomiting, dieting, laxatives, or diuretics, to control their weight. Conclusions: Female athletes suffer from eating disorders, and most experience symptom levels that are subclinical but problematic.     

Patterns of Compensatory Behaviors and Disordered Eating in College Students

Abstract. Objective: The current study investigated rates of endorsement of eating-related compensatory behaviors within a college sample. Participants: This sample included male and female students (N = 1,158). Methods: Participants completed the Eating Disorder Examination Questionnaire (EDE-Q). The study defined 3 groups of students: those who did not endorse purging behaviors, those who endorsed only exercise, and those who endorsed laxative use or vomiting. Rates of related eating disorder risk variables were compared across the 3 groups. Results: Almost half of college students reported utilizing exercise as a compensatory strategy over the past 28 days. Those reporting compensatory exercise did not differ from other community and college samples on EDE-Q subscales. Conclusions: Findings suggest that college students report significant rates of compensatory exercise, and those who report exercise as their only compensatory behavior also report relatively low levels of eating disorder risk.     

Crisis on campus: Eating disorder intervention from a developmental-ecological perspective

ABSTRACT

Objective: The purpose of this article is to review a crisis intervention using the developmental-ecological protocol (Collins and Collins, 2005) with a college student presenting with symptomatology of an active eating disorder. Participants: Participants included University Wellness Center employees responding to the crisis. Methods: Methods include an informal review of the crisis intervention response and application of the ABCDE developmental-ecological crisis model. Results: Results reported include insight into crisis intervention when university counseling and health center is not available as resources. Conclusions: ABCDE Developmental-ecological model recommendations for university faculty and staff are included.     

Peer,social media,and alcohol marketing influences on college student drinking

Objective: To investigate how alcohol marketing and peers may promote college students' alcohol use through social media. Participants: College students (N = 682) aged 18 to 22 years from a large Southern university completed paper surveys in April 2014. Methods: Structural equation modeling was used to investigate relationships among variables as well as moderation by gender and race. Results: Drinking behavior was directly related to perceived norms and attitudes toward alcohol that develop, in part, from direct and indirect interactions with their online and offline peers, as well as engagement with alcohol-related content on social media. Gender and ethnicity moderated some effects. Conclusions: College student drinking is influenced by friends' alcohol-related content posted on social networking sites and by greater engagement with traditional and online alcohol marketing. College campus alcohol misuse interventions should include components to counter peer influences and alcohol marketing on social media.     

Real-life closeness of social media contacts and depressive symptoms among university students

ABSTRACT

Objective: To examine the association between degree of real-life closeness of social media (SM) contacts and depressive symptoms. Participants: Students ages 18–30 (N = 1124) were recruited in August 2016. Methods: Participants completed an online survey assessing SM use and depression. We used multivariable logistic regression to assess associations between real-life closeness of SM contacts and depressive symptoms. Results: After controlling for covariates, each 10% increase in the proportion of SM friends with whom participants had no face-to-face relationship was associated with a 9% increase in odds of depressive symptoms (AOR = 1.09; 95% CI = 1.05–1.13). However, each 10% increase in the proportion of SM friends with whom participants had a close face-to-face relationship was associated with a 7% decrease in depressive symptoms (AOR = 0.93; 95% CI = 0.89–0.97). Conclusions: Having no in-person relationship with SM contacts is associated with increased depressive symptoms; however, having close in-person relationships with SM contacts is associated with decreased depressive symptoms.     

Longitudinal Evaluation of Peer Health Education on a College Campus: Impact on Health Behaviors

Objective: The authors investigated the longitudinal impact of peer health education on the health behaviors of undergraduate students pertaining to alcohol and drug use, eating and nutrition, and sexual health. Participants: From fall 2003 to spring 2006, the authors annually administered a Web-based survey to a cohort of 2,000 randomly selected undergraduate students. Results: Students who had contact with peer health educators were significantly more likely over time than other students to report less alcohol consumption and fewer related negative consequences. Results also show that students who had contact with peer health educators initially endorsed engaging in unhealthy weight management and fat talk behaviors during their first year but decreased these unhealthy behaviors by their third year. No significant differences in sexual health behaviors were found. Conclusions: Results indicate that peer health educators play an important role in promoting healthy behaviors in the areas of alcohol and drug use and in eating and nutrition.     

Exploring College Students’ Use of General and Alcohol-Related Social Media and Their Associations With Alcohol-Related Behaviors

Abstract

Objective: Alcohol marketers have increasingly moved their advertising efforts into digital and social media venues. As a result, the purpose of this study is to investigate associations between students’ use of social media, their exposure to alcohol marketing messages through social media, and their alcohol-related beliefs and behaviors. Participants: Public and private university students (N = 637) participated November and December 2011 and April 2012. Methods: College students completed online surveys to measure their exposure to social and online media generally, as well as their alcohol-related digital media use and alcohol use. Results: Use of social media related to alcohol marketing predicted alcohol consumption and engaging in risky behaviors, whereas the use of social media more generally did not. Conclusions: Students’ use of alcohol-related social media–marketing content associates with their problem drinking. Results have implications for alcohol abuse reduction efforts targeted at college students and suggest the importance of considering social, cultural, and cognitive factors in campaign planning and design.