Gross Susan M, Gary Tiffany L, Browne Dorothy C, LaVeist Thomas A
Morgan-Hopkins Center for Health Disparities Solutions, Program in Public Health, Morgan State University, USA.
J Natl Med Assoc. 2005 Dec;97(12):1608-19.
This study's purpose was to identify gender differences in body size awareness and perceived impact of weight on social interactions and risk for disease among young African-American adults. A cross-sectional survey of 318 African-American graduating seniors from a historically black college or university (HBCU) was conducted. Data were collected on anthropometrics, body image, ideal weight, perceived risk for disease due to weight, and impact of weight on social interactions. Only 39% of males who were overweight perceived themselves as overweight compared with 68% of overweight females. Eighty percent of females and 63% of males expressed some body size dissatisfaction. Fewer obese males (38%) perceived a risk for disease due to their weight compared with obese females (64%), p<0.01. Males perceived greater impact than females of their weight on social interactions, with extremely obese males perceiving the greatest impact. Perceived risk for disease due to weight was related to body mass index, family weight history, body awareness and income, but not body size satisfaction. Findings suggest gender differences in the self-perception of body size, accuracy of body size perception, and understanding of acceptable weight ranges. Awareness of acceptable weight ranges and consequences of overweight needs to be raised.
本研究的目的是确定年轻非裔美国成年人在身体尺寸认知、体重对社交互动的感知影响以及疾病风险方面的性别差异。对一所历史悠久的黑人学院或大学(HBCU)的318名非裔美国应届毕业生进行了横断面调查。收集了人体测量学、身体形象、理想体重、因体重导致的疾病感知风险以及体重对社交互动的影响等数据。超重男性中只有39%认为自己超重,而超重女性中这一比例为68%。80%的女性和63%的男性表示对自己的身体尺寸有些不满意。与肥胖女性(64%)相比,较少肥胖男性(38%)认为自己的体重会带来疾病风险,p<0.01。男性认为体重对社交互动的影响比女性更大,极度肥胖的男性感知到的影响最大。因体重导致的疾病感知风险与体重指数、家族体重史、身体认知和收入有关,但与身体尺寸满意度无关。研究结果表明,在身体尺寸的自我认知、身体尺寸感知的准确性以及对可接受体重范围的理解方面存在性别差异。需要提高对可接受体重范围以及超重后果的认识。