Are All Minority Women Equally Buffered from Negative Body Image? Intra-Ethnic Moderators of the Buffering Hypothesis

Peer Ethnicity as a Mediator in the Relationship Between Ethnic Identity and Body Appreciation in Black College-Aged Women

Strong ethnic identity is recognized as a protective factor against body image concern and eating pathology in Black women as they tend to hold cultural values in line with an acceptance of a variety of body shapes and sizes. Reinforcement of these cultural ideals may occur via same-race peer relationships. The current study examined the mediating role of same-race versus other-race peers in the relationship between ethnic identity and body appreciation in Black women. Participants were 139 Black undergraduate women (Mage = 18.94 years, MBMI = 25.33) who completed validated measures of ethnic identity and body appreciation and reported on the ethnic makeup of their friends. We conducted mediation analysis examining the role of same-race peers on the relationship between ethnic identity and body appreciation. Same-race peers mediated the relationship between ethnic identity and body appreciation, where having a greater percentage of friends increased both ethnic identity and body appreciation in Black women. The influence of same-race peers should be considered in the development of culturally informed prevention and intervention efforts for eating pathology in Black women.

Primping, performing, and policing: Social media use and self-sexualization among U.S. White, Black, and Asian-American adolescent girls

Objectification theorists argue that routine sexual objectification, experienced interpersonally and via the media, encourages women and adolescent girls to value their external appearance and sexiness above other bodily experiences and competencies. Commonly, tests of this theory have linked exposure to sexualizing media content (i.e., TV, music videos, social media) to self-objectification and subsequently to consequences such as disordered eating among predominantly White samples. Do these analyses extend to U.S. girls of color and to broader well-being consequences? Using structural equation modeling, we tested theorized connections among 884 adolescent girls aged 13-18, including 391 White girls, 248 Black girls, and 245 Asian American girls. Participants completed surveys assessing their use of several social media platforms, social media engagement, self-sexualization, mental health symptoms, self-esteem, and body shame. We also examined age, racial identity, and racial composition of peer group as moderators. The model worked as expected for the full sample, with social media use and engagement predicting greater self-sexualization, which in turn was associated with diminished well-being. However, the model fit was worse for the White girls than for girls of color, and some constructs operated differently. Implications for future research with girls and possible media interventions are discussed.

Racial identity differences in pathways from sociocultural and objectification constructs to body satisfaction: The U.S. Body Project I

Racial minority men and women face a wide variety of appearance-related pressures, including ones connected to their cultural backgrounds and phenotypic features associated with their identity. These body image concerns exist within a larger context, wherein racial minorities face pressures from multiple cultures or subcultures simultaneously to achieve unrealistic appearance ideals. However, limited research has investigated racial differences in the relationships between theorized sociocultural risk factors and body image in large samples. This study tests pathways from an integrated sociocultural model drawing on objectification theory and the tripartite influence model to three key body image outcomes: appearance evaluation, body image quality of life, and face image satisfaction. These pathways were tested using multigroup structural equation modeling in a national sample of White, Black, Hispanic, and Asian men and women (ns = 205-4797 per group). Although many hypothesized associations were similar in strength across groups, race moderated some of the pathways between sociocultural pressures (media, peer, family), internalization of appearance ideals (thin-ideal, muscular/athletic), appearance surveillance, and body image outcomes. Findings support the likely role of both shared and specific risk factors for body image outcomes, suggesting avenues for tailoring adapted interventions in order to target culturally-salient risk factors.

A complex conceptualization of beauty in Latinx women: A mixed methods study

Latinx women face a myriad of unique pressures to meet unrealistic standards of beauty that are not captured in the dominant, Eurocentric framework of beauty and body image in the U.S. The majority of the extant body image literature represents the experiences of White women and overlooks salient body areas that women of color may experience dissatisfaction with. The present researchers employed a convergent-parallel mixed methods design to examine demographic differences as well as the lived experiences of Latinx women's relationship with beauty and their bodies. Quantitative results from 118 participants revealed that Latinx women with an annual income< 60k (54.2%) reported a higher discrepancy between their actual and ideal buttock size compared to Latinx women with an annual income> 60k (45.8%). Furthermore, a thematic analysis revealed four emergent themes that reflected the unique perceptions and lived experiences of 98 Latinx women's experiences with body image. Findings may assist clinicians working with Latinx women, as they will be able to better understand and integrate relevant cultural aspects of body dissatisfaction when working with Latinx clients.

Intergenerational Association of Maternal Obesity and Child Peer Victimization in the United States

Drawing on the intergenerational stress proliferation theory, the courtesy stigma thesis, and the buffering ethnic culture thesis, this study examines the association between maternal obesity and child's peer victimization and whether this association varies for white and black children. Based on longitudinal data from a nationally representative sample of mother-child pairs in the U.S. Panel Study of Income Dynamics Child Development Supplement, negative binomial models show that maternal obesity is associated with increased frequency of peer victimization, even after controlling for family socioeconomic status, child weight status, health status, self-esteem, and demographic characteristics. The association was significant only for white children. Given the developmental significance of child peer relations and the social disparities in obesity, future studies need to explicitly test causal mechanisms underlying the association to decide whether obesity may function as a family stressor (versus an individual stressor) that contributes to the intergenerational reproduction of inequality.

Asian American Women’s Body Image Experiences

The purpose of our study was to explore Asian American women’s body image experiences from an intersectional framework. Utilizing grounded theory methodology, we sought to understand how gender and race intersect with unique experiences of oppression to contribute to body dissatisfaction among Asian American women. Twenty Asian American undergraduate women born in the United States participated in semi-structured interviews. The core category “body image” was composed of attitudes and perceptions about body weight, shape, and size; facial features (e.g., eye size); and skin complexion or tone. Five categories emerged that informed the body image experiences of Asian American women: (1) navigating cultural beauty norms, (2) experiences of sexism and racism, (3) parental influences, (4) peer influences, and (5) identity management processes. Each of these categories appeared to have both positive and negative consequences for appearance evaluation, ranging from self-consciousness to confidence. Participants also described coping strategies for managing these experiences. We encourage psychologists and clinicians to consider culture-specific beauty standards for Asian American women as well as salient racial and cultural factors (e.g., perceived discrimination and biculturative stress) that may influence body image beliefs. Our results offer a new model for understanding Asian American women’s body dissatisfaction as rooted in experiences of racism and sexism. Online slides for instructors who want to use this article for teaching are available on PWQ' s website at http://journals.sagepub.com/page/pwq/suppl/index

Should women be "All About That Bass?": Diverse body-ideal messages and women's body image

While most body image research emphasizes the thin ideal, a wider variety of body-ideal messages pervade U.S. popular culture today, including those promoting athleticism or curves. Two studies assessed women's reactions to messages conveying thin, athletic, and curvy ideals, compared to a control message that emphasized accepting all body types. Study 1 (N=192) surveyed women's responses to these messages and found they perceived body-acceptance and athletic messages most favorably, curvy messages more negatively, and thin messages most negatively. Further, greatest liking within each message category came from women who identified with that body type. Study 2 (N=189) experimentally manipulated exposure to these messages, then measured self-objectification and body satisfaction. Messages promoting a body-ideal caused more self-objectification than body-acceptance messages. Also, athletic messages caused more body dissatisfaction than thin messages. Together, these findings reveal the complexity of women's responses to diverse messages they receive about ideal bodies.

Contextual care of the patient following weight-loss surgery: Relational views and maintenance activities of couples

BACKGROUND AND PURPOSE

Weight-loss surgery (WLS) is a popular means toward achieving weight loss. Numerous studies report on the psychological and physical benefits of the procedure. Patients who have supportive others often demonstrate improved outcomes as compared to those who may not have support. The present study examines relationship maintenance activities that may contribute to a couple's positive adjustment following WLS, along with relational views that may modify and evolve as patients continue to lose weight.

METHOD

Eleven heterosexual couples in which the female had WLS participated in in-depth, semistructured interviews. A deductive method of analysis was used to categorize relationship maintenance activities; an inductive method was used to examine relational views.

CONCLUSIONS

Six types of relationship maintenance activities proved beneficial following WLS: (1) openness, (2) assurances, (3) food/meals as shared tasks, (4) joint activities, (5) antisocial, and (6) affection. In describing their relational views, participants spoke to the increasing independence, confidence, and self-focus of those who had had WLS. A persistent fat identity was also reported.

IMPLICATIONS FOR PRACTICE

The findings can provide advanced practice nurses and other clinicians additional insight into, and strategies to assist, couples who have experienced, or will experience, WLS within their relationship.

"That's who I am: a fat person in a thin body": weight loss, negative self-evaluation, and mitigating strategies following weight loss surgery

OBJECTIVE

To explore negative self-evaluation following weight loss surgery (WLS).

METHODS

In-depth interviews were conducted with 11 women who had WLS. Thematic analysis was conducted through an iterative process, allowing categories and themes to emerge. To ensure rigor, two coders analyzed the data. Data were collected until thematic saturation was achieved.

RESULTS

All participants reported health as the motivation for WLS. Overall sentiment regarding WLS was positive. However, negative self-evaluation was reported and includes the following: (a) body-image distortion; (b) body-image dissatisfaction, including excessive skin; and (c) perceived stigma. Mitigating strategies include the following: (a) utilizing markers of progress to increase assimilation of a new identity as a thinner person, and (b) reflecting on the former self as a time of decreased quality of life.

IMPLICATIONS FOR PRACTICE

Nurse practitioners and other clinicians treat and counsel patients on obesity and obesity-related morbidity, and may need to discuss WLS with patients who are either contemplating it or have already undergone it. The findings from the present study can provide clinicians insight into the possible psychological effects of WLS-associated weight loss. Bringing possible negative self-evaluative effects into open discussion can help optimize patient care and healthcare results.

Nobody's perfect: a qualitative examination of African American maternal caregivers' and their adolescent girls' perceptions of body image

Using semi-structured interviews, we explored African American maternal caregivers' and their adolescent girls' (N=25 dyads) perceptions about the adolescent's body using Grounded Theory. Caregivers and adolescent girls (Mage=13.42) were asked what the adolescent girls liked most/least about their bodies and how peers and media may affect adolescent girls' perceptions. While some adolescent girls reported overall body satisfaction, others described features they would like to change. Belief in God, body acceptance, and appreciation for average/moderate features helped the adolescent girls maintain their positive body image. The body-related messages that adolescent girls received from caregivers and peers included compliments, pressure to lose weight, teasing, and advice. Adolescent girls also reported being either influenced by or skeptical of the images presented in the media. Programs that promote caregiver-adolescent communication about body perceptions and that build on the adolescent girls' media skepticism may prove useful for their health-related attitudes and behaviors.

Disordered Eating Among Asian/Asian American Women

Sociocultural models of eating disorders emphasize the role of internalization of media standards of beauty in eating pathology but rarely examine (a) how racial and cultural factors may be related to women of color’s tendency to endorse Western media beauty ideals or (b) these women’s risk of developing body dissatisfaction and disordered eating issues. This study of Asian/Asian American women ( N = 587) investigated the roles of perceived racial discrimination, ethnic identity, and racial/ethnic teasing in relation to self-esteem, internalization of Western standards of beauty, and body dissatisfaction as predictors of disordered eating in a structural model. Results indicated that, when controlling for body mass, perceived racial discrimination, ethnic identity, and racial/ethnic teasing significantly predicted disordered eating and its correlate variables through direct and indirect links. The findings suggest racial and cultural factors may complement sociocultural models in understanding disordered eating issues among Asian/Asian American women.

"I am not a skinny toothpick and proud of it": Latina adolescents' ethnic identity and responses to mainstream media images

Using a quasi-experimental design, 118 Latina girls, ages 13-18, viewed five color photographs of White women. Girls viewed either images of sexualized women or images of non-sexualized women. After viewing the images, girls were asked to complete the sentence stem, "I am…" 20 times. Thirty percent of girls spontaneously described their ethnicity in one of their sentence completions. Spontaneous use of ethnicity was taken as an indicator of the salience of ethnic identity. Among girls who viewed sexualized, thin-ideal White media images, spontaneously using an ethnic descriptor was related to more positive descriptions of one's own body and appearance. Analyses supported the premise that ethnic identity may act as a protective factor, buffering Latina girls from the negative effects of viewing sexualized, thin-ideal White media images.

The importance of campaign saliency as a predictor of attitude and behavior change: A pilot evaluation of social marketing campaign Fat Talk Free Week

Fat Talk Free Week (FTFW), a social marketing campaign designed to decrease self-disparaging talk about body and weight, has not yet been evaluated. We conducted a theory-informed pilot evaluation of FTFW with two college samples using a pre- and posttest design. Aligned with the central tenets of the Elaboration Likelihood Model (ELM), we investigated the importance of FTFW saliency as a predictor of fat talk behavior change. Our analytic sample consisted of 118 female participants (83% of original sample). Approximately 76% of the sample was non-Hispanic White, 14% Asian, and 8% Hispanic. At baseline, more than 50% of respondents reported engaging in frequent self fat talk; at posttest, this number dropped to 34% of respondents. Multivariable regression models supported campaign saliency as the single strongest predictor of a decrease in self fat talk. Our results support the social diffusion of campaign messages among shared communities, as we found significant decreases in fat talk among campaign attenders and nonattenders. FTFW may be a promising short-term health communication campaign to reduce fat talk, as campaign messages are salient among university women and may encourage interpersonal communication.

Ageism and body esteem: associations with psychological well-being among late middle-aged African American and European American women

OBJECTIVES

Social expectancy theory posits that cultural values shape how individuals perceive and evaluate others, and this influences how others evaluate themselves. Based on this theory, ageism may shape older individuals' self-evaluations. Given the cultural focus on beauty and youth, perceptions of age discrimination may be associated with lower body esteem, and this may be associated with poor psychological well-being. Because discrimination has been associated with poor health, and perceptions of health can affect body perceptions, subjective health status may also contribute to lower body esteem.

METHOD

These associations are assessed in a structural equation model for 244 African American and European American women in their early 60s.

RESULTS

Perceptions of age discrimination and body esteem were associated with lower psychological well-being for both ethnic groups. Body esteem partially mediated the association between age discrimination and psychological well-being among European American women but not among African American women.

DISCUSSION

Age-related discrimination is one source of psychological distress for older adults, though ageism's associations with body esteem, health, and psychological well-being vary significantly for European American and African American women. Examining body perceptions and health in the contexts of ageism and ethnicity is necessary when considering the psychological well-being of older women.

“It Shouldn’t Stick Out from Your Bikini at the Beach”

Women’s and men’s bodies and sexuality can be understood as socially situated and socially produced. This means they are affected by, and developed in relation to, patterned sociocultural meanings and representations. We aim here to understand a recently emergent, and potentially gendered, body practice—pubic hair removal—by examining the meanings people ascribe to pubic hair and its removal. Extending the widespread hairless bodily norm for Anglo/Western women, pubic hair removal is an apparently rapidly growing phenomenon. Men, too, are seemingly practicing pubic hair removal in significant numbers, raising the question of to what extent pubic hair removal should be understood as a gendered phenomenon. What we do not yet know is what people’s understandings and perceptions of pubic hair are, and how they make sense of its removal. Using a qualitative survey, the current study asked a series of questions about pubic hair and its removal, both in general and related to men’s and women’s bodies. In total, 67 participants (100% response rate; 50 female; mean age 29, diverse ethnically, predominantly heterosexual) completed the survey. Thematic analysis identified five key themes in the way people made sense of pubic hair and pubic hair removal that related to choice, privacy, physical attractiveness, sexual impacts, and cleanliness. Meanings around pubic hair and its removal were not consistently gendered, but it was still situated as more of an issue for women. With potential impacts on sexual and psychological well-being, sexuality education provides an important venue for discussing, and questioning, normative ideas about pubic hair.

Do you see what I see?: An exploration of inter-ethnic ideal body size comparisons among college women

The present study explored African American (n=16) and European American (n=19) college women's ideal body size perceptions for their own and the other ethnic group along with reasons behind their selections. Respondents completed an ethnically-neutral figure rating scale and then participated in ethnically-homogenous focus groups. European Americans mostly preferred a curvy-thin or athletic ideal body while most African American students resisted notions of a singular ideal body. European Americans suggested that African Americans' larger ideal body sizes were based on greater body acceptance and the preferences of African American men. African Americans used extreme terms when discussing their perceptions of European Americans' thin idealization, celebrity role models, and weight management behaviors. African Americans' perceptions of European Americans' body dissatisfaction were also attributed to the frequent fat talk they engaged in. Implications for promoting the psychosocial well-being of ethnically-diverse emerging adult females attending college are discussed.

'Use what God has given me': difference and disparity in breast reconstruction

African-American women are significantly less likely to undergo postmastectomy breast reconstruction compared to white women in the USA. These observed differences have been interpreted as evidence of a healthcare disparity. The current study examines breast reconstruction decision-making among African-American women, locating reconstruction decisions in a context of culture, racial inequality and biomedicalisation. Semi-structured interviews were conducted with 27 African-American women who underwent mastectomy for breast cancer to add patient-centred perspectives to existing conceptualisations of racial/ethnic differences in reconstruction. Participants were socio-demographically diverse, and resided in the New York metropolitan area. Data analysis was informed by grounded theory. Spiritually and culturally informed body ethics often guided surgery decisions. Participants expressed reservations about breast implants, preferring autologous procedures that use 'what God has given'. For some, breast reconstruction restored a sense of normalcy after cancer; others challenged an imperative to reconstruct. Several participants redirected our focus on access to reconstruction toward access to alternatives, noting the low reimbursement for prostheses, or their unavailability in patients' skin tones. We suggest that a framework of 'stratified biomedicalization' better addresses the complexities of race, class and gender that inform preference, access and recommendations for breast reconstruction, and focuses attention on access to high and low-tech interventions.

Black/white differences in perceived weight and attractiveness among overweight women

Numerous studies have reported that Black women are more satisfied with their bodies than White women. The buffering hypothesis suggests that aspects of Black culture protect Black women against media ideals that promote a slender female body type; therefore, Black women are expected to exhibit higher body esteem than White women. To test this hypothesis, the current study aimed to assess the influence of race on weight perception, perceived attractiveness, and the interrelations between body mass index (BMI) and perceived attractiveness among overweight and obese women. Participants were 1,694 respondents of Wave IV of the National Longitudinal Study on Adolescent Health (M = 28.89 years). Black (n = 531) or White (n = 1163) obese or overweight women were included in the current study. As expected, Black women reported lower perceived weight and higher attractiveness than White women, despite higher body mass for Black women. Furthermore, race moderated the relationship between BMI and perceived attractiveness; for White women, a negative relationship existed between BMI and attractiveness, whereas for Black women, BMI and attractiveness were not related. The study findings provide further support for the buffering hypothesis, indicating that despite higher body mass, overweight Black women are less susceptible to thin body ideals than White women.

A Model Linking Diverse Women’s Child Sexual Abuse History With Sexual Risk Taking

The purpose of our study was to examine the role that child sexual abuse may play in body surveillance and sexual risk behaviors among undergraduate women. First, a measured variable path analysis was conducted, which assessed the relations among a history of child sexual abuse, body surveillance, and sexual risk behaviors. Furthermore, body shame, sexual self-efficacy, and alexithymia were examined as intervening variables. Second, a multigroup path analysis was conducted comparing the hypothesized models applied to data from 556 ethnically diverse women. Within the overall model, results revealed that a history of child sexual abuse and body surveillance were not related to one another, but both variables were directly related to sexual risk behaviors. Moreover, body shame mediated the relationship between body surveillance and alexithymia, and alexithymia mediated the relationship between body shame and sexual self-efficacy. Child sexual abuse history was related directly with body shame and alexithymia. Results from the multigroup path analysis revealed that the model was invariant between African American and White women, although one difference emerged: body surveillance significantly predicted alexithymia in White, but not African American, women. Furthermore, White, Asian/Pacific Islander, and Hispanic/Latina women demonstrated more body shame than African American women, and White women endorsed higher levels of sexual self-efficacy than African American and Asian/Pacific Islander women. Counseling interventions that seek to decrease alexithymic symptoms, body surveillance, and body shame, while also increasing sexual self-efficacy, seem especially warranted.

Psychosocial Influences on Bisexual Women’s Body Image

Research on body image has focused almost exclusively on heterosexual women and lesbians, leaving bisexual women’s experiences largely ignored. The present study sought to gain an understanding of psychosocial factors (including sexual prejudice, romantic relationship history, lesbian, gay, bisexual, and transgender [LGBT] communities, and feminist identity) that may contribute to bisexual women’s experiences of body image. The authors conducted semistructured interviews with six bisexual women and used interpretative phenomenological analysis to analyze the results. This analysis resulted in four themes: bisexual women’s desire to accept their bodies in a context of societal objectification; the influence of dominant sexuality and gender binaries that leave bisexual women feeling invisible; the protective role of LGBT communities and feminist identification in helping them resist the thin ideal; and the positive and the negative influences of romantic relationships with men and women. Results highlight the importance of validating sexual identity and promoting feminist identification and inclusion within an LGBT community for bisexual women. Future research might further explore the role of feminist communities and romantic relationships in bisexual women’s body satisfaction and should include the experiences of bisexual women from diverse backgrounds. Editor's Note: Findings for the present study must be considered along with the discussion across the accompanying set of three reflection papers: Yost and Chmielewski (2013); Wilkinson and Kitzinger (2013); and Crawford (2013).

Weight gain prevention among black women in the rural community health center setting: the Shape Program

BACKGROUND

Nearly 60% of black women are obese. Despite their increased risk of obesity and associated chronic diseases, black women have been underrepresented in clinical trials of weight loss interventions, particularly those conducted in the primary care setting. Further, existing obesity treatments are less effective for this population. The promotion of weight maintenance can be achieved at lower treatment intensity than can weight loss and holds promise in reducing obesity-associated chronic disease risk. Weight gain prevention may also be more consistent with the obesity-related sociocultural perspectives of black women than are traditional weight loss approaches.

METHODS/DESIGN

We conducted an 18-month randomized controlled trial (the Shape Program) of a weight gain prevention intervention for overweight black female patients in the primary care setting. Participants include 194 premenopausal black women aged 25 to 44 years with a BMI of 25-34.9 kg/m2. Participants were randomized either to usual care or to a 12-month intervention that consisted of: tailored obesogenic behavior change goals, self-monitoring via interactive voice response phone calls, tailored skills training materials, 12 counseling calls with a registered dietitian and a 12-month YMCA membership.Participants are followed over 18 months, with study visits at baseline, 6-, 12- and 18-months. Anthropometric data, blood pressure, fasting lipids, fasting glucose, and self-administered surveys are collected at each visit. Accelerometer data is collected at baseline and 12-months.At baseline, participants were an average of 35.4 years old with a mean body mass index of 30.2 kg/m2. Participants were mostly employed and low-income. Almost half of the sample reported a diagnosis of hypertension or prehypertension and 12% reported a diagnosis of diabetes or prediabetes. Almost one-third of participants smoked and over 20% scored above the clinical threshold for depression.

DISCUSSION

The Shape Program utilizes an innovative intervention approach to lower the risk of obesity and obesity-associated chronic disease among black women in the primary care setting. The intervention was informed by behavior change theory and aims to prevent weight gain using inexpensive mobile technologies and existing health center resources. Baseline characteristics reflect a socioeconomically disadvantaged, high-risk population sample in need of evidence-based treatment strategies.

TRIAL REGISTRATION

The trial is registered with clinicaltrials.gov NCT00938535.

Media Exposure, Body Dissatisfaction, and Disordered Eating in Middle-aged Women

The primary aim of our study was to examine the influence of media exposure on body dissatisfaction and disordered eating in middle-aged women. A sample of 101 women, aged between 35 and 55 years, completed questionnaire measures of media exposure, thin-ideal internalization, social comparison, appearance investment, aging anxiety, body dissatisfaction, and disordered eating. Television, but not magazine exposure, was positively related to body dissatisfaction and disordered eating. In contrast, both television and magazine exposure were positive correlates of all four proposed media-processing variables (internalization, social comparison, appearance investment, and aging anxiety), which were themselves positive correlates of both body dissatisfaction and disordered eating. Structural equation modelling revealed that the influence of media exposure was fully mediated by the proposed media processes. The analyses also indicated that our proposed sociocultural model of disordered eating provided a reasonably good fit to the data, suggesting that sociocultural theory can be extended to women of middle-age. An important practical implication of this finding is that strategies aimed at challenging and minimizing these media processes may reduce some of the negative impact of media exposure in middle-aged women.

Dual conversations: body talk among young women and their social contacts

In this article, we explore an area little researched within the literature on body dissatisfaction: the content and functions of body talk. We interviewed 60 diverse, college-educated women aged 18 to 30 in the urban United States about how social contacts talked about their bodies. Half the women, and by their reports, half their contacts (N = 295) endorsed some ideal body, most often the thin model. The other half favored a "healthy," "average" range in body size, shape, and/or appearance. Excepting family members, contacts gave mostly positive comments about women's bodies or appearance, or made no comments. Many critiqued their own bodies, however, as did nearly half the women participants. We suggest that these women exempted others, but not themselves, from critical body surveillance, rendering contestation of the ideal theoretical. We also suggest that the parallel airing of self-criticism repeatedly circulated through speech, if not through practice, the imperative to regulate one's own gendered body toward unattainable normativity.

“It’s a Comparison Thing, Isn’t It?”

Women’s feelings about their body and their appearance are an important aspect of their lives, yet little is known about the ways in which partner relationships shape these feelings. There has been some debate about whether or not same-sex relationships offer protection to nonheterosexual (lesbian and bisexual) women from potentially harmful social appearance pressures, but there has been little empirical exploration of this issue. We contribute to the debate by presenting findings from a British qualitative study based on interviews with 15 nonheterosexual women talking about their feelings about their bodies and their appearance in the context of partner relationships. These accounts were analyzed using a phenomenologically oriented form of thematic analysis (TA) and seven main themes were generated. The women suggested that same-sex relationships were both positive and negative influences in shaping their feelings about their body and appearance, highlighting the complexity of this issue. However, positive descriptions of empathy toward body and appearance concerns as well as diversity within same-sex attractions suggest that same-sex relationships have the potential to encourage women to feel happier with their bodies. This analysis also suggests that the theoretical debate is too simplistic and that a synthesized explanation should be explored in future research.

Body Guilt

Two studies investigated body guilt (i.e., feeling regret and remorse over how the body looks and a desire for reparative action to “fix” the body) within the framework of objectification theory among predominantly White British undergraduate women. In Study 1 ( N = 225), participants completed self-report measures of interpersonal sexual objectification, self-surveillance, body shame, body guilt, and eating restraint. Path analyses indicated support for the inclusion of body guilt in the objectification model, with body shame and body guilt fully mediating the relationship between self-surveillance and eating restraint. In Study 2 ( N = 85), participants reported higher body guilt, self-surveillance, body shame, and eating restraint when self-objectification was situationally activated, compared to the activation of body empowerment or a neutral condition. Path analyses in the second study replicated the objectification model from Study 1 with a state measure of self-objectification. These findings suggest that women also feel guilt (in addition to shame) about their bodies when attention is directed toward their physical appearance and wish to “correct” their body via disordered eating. Acknowledging women’s feelings of guilt in relation to not meeting restrictive beauty standards furthers our understanding of women’s experience of objectification and provides an additional target for reducing women’s mental health risks.

The Relationship Between Maladaptive Eating Behaviors and Racial Identity Among African American Women in College

Research on eating disorders has shown that European American women suffer from eating disorders and body image dissatisfaction more than African American women. However, recent meta-analyses suggest these differences may be decreasing and that some African American women may be particularly susceptible to body dissatisfaction and eating disorder symptoms. The present study investigated the relationship between racial identity, body image, and eating behaviors among African American women in college. Participants ( n = 85, Mage = 20.44 years) completed self-report measures of body image, eating behaviors, and racial identity. Results revealed that self-hatred of African American group membership was associated with many negative psychological outcomes. Furthermore, body image dissatisfaction mediated the relationship between self-hatred and maladaptive eating behaviors. Results are discussed in terms of the risk factors that may lead to the development of eating disorder symptoms among African American women.

“If You’re Fat, Then I’m Humongous!”

Fat talk (women speaking negatively about the size and shape of their bodies) is a phenomenon that both reflects and creates body dissatisfaction. Our study investigated the content, frequency, and impact of fat talk among college women. Participants (168 female students at a Midwestern U.S. university) completed online surveys containing fat talk-specific questions and measures of body dissatisfaction and thin-ideal internalization. Most participants reported engaging in fat talk with one third reporting frequent or very frequent fat talk. Evidence indicated a strong third-person effect wherein participants thought they engaged in fat talk less than other college women. Self-reported frequency of fat talk was associated with greater body dissatisfaction and internalization of the thin-ideal but not body mass index (BMI). Despite the association between fat talk and body dissatisfaction, over half of the participants reported that they believe fat talk makes them feel better about their bodies. The most common response to fat talk was denial that the friend was fat, most typically leading to a back-and-forth conversation where each of two healthy weight peers denies the other is fat while claiming to be fat themselves. Results are discussed in terms of the ways in which fat talk may act as an injunctive norm, reinforcing women’s body-related distress.

Sex during menstruation: Race, sexual identity, and women’s accounts of pleasure and disgust

While much research has addressed negativity surrounding women’s menstruation, surprisingly little research has interrogated the relationship between menstruation and sexuality. This study used inductive thematic analysis of qualitative interviews with 40 women across a range of age, race and sexual orientation backgrounds to examine women’s experiences with sex during menstruation. Results showed that, while 25 women described negative reactions — and two described neutral reactions — 13 women described positive reactions to menstrual sex. Negative responses cohered around four themes: women’s discomfort and physical labor to clean ‘messes’, overt partner discomfort, negative self-perception and emotional labor to manage partner’s disgust. Positive responses cohered around two themes: physical and emotional pleasure from sex while menstruating, and rebellion against anti-menstrual attitudes. Notable race and sexual identity differences appeared, as white women and bisexual or lesbian-identified women described positive feelings about menstrual sex more than women of color or heterosexual women. Bisexual women with male partners described more positive reactions to menstrual sex than did heterosexual women with male partners, implying that heterosexual identity related to negative menstrual sex attitudes more than heterosexual behavior. Those with positive menstrual sex attitudes also enjoyed masturbation more than others. Implications for sexual identity and racial identity informing body practices, partner choice affecting women’s body affirmation, and women’s resistance against common cultural ideas about women’s bodies as ‘disgusting’ were addressed.

Appearance Investment and Everyday Interpersonal Functioning: An Experience Sampling Study

Several studies have shown that body satisfaction affects interpersonal functioning. However, few have studied the specific interpersonal correlates of another important body image dimension, appearance investment—that is, the importance a woman places on appearance. We used an experience sampling design with PDA (personal digital assistant) devices to assess how 92 college women's appearance investment is related to perceptions of everyday social interactions and to investigate the association of these perceptions with mood and self-esteem. For 1 week, participants completed electronic diaries of their mood, self-esteem, and perceptions of one-on-one interactions. High appearance investment was associated with a stronger relationship between perceived communion of the interaction and negative mood and self-esteem. Notably, highly appearance-invested women did not report differences in average momentary levels of perceived communion or agency in interactions, negative mood, or self-esteem when compared to women with lower appearance investment. In contrast, women with low body satisfaction reported lower average perceptions of communion and self-esteem as well as higher average negative mood compared to women with higher body satisfaction, but no relationships among perceptions and self-esteem and mood were found. Thus, self-esteem and negative mood in women high in appearance investment might be contingent on perceptions of communion in interactions, even though they appear to have average levels of mood and self-esteem in general. This mood and self-esteem contingency could predispose appearance-invested women to psychological distress or eating pathology.