Baptiste-Roberts Kesha, Gary Tiffany L, Bone Lee R, Hill Martha N, Brancati Frederick L
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Patient Educ Couns. 2006 Feb;60(2):194-200. doi: 10.1016/j.pec.2005.01.004.
To assess current, desired and best body image in the opposite sex and examine correlates of body image dissatisfaction.
We conducted a cross-sectional analysis at baseline of 185 (141 women, 44 men) African Americans with type 2 diabetes in Project Sugar 1, a randomized controlled trial of primary care-based interventions to improve diabetic control.
Women had a significantly lower desired body image compared to their current body image (BMI approximately 27.7 versus approximately 35.3). Men preferred a body image for women that was similar to the body image that women desired for themselves (BMI approximately 28.3 versus approximately 27.7). Significant correlates of body image dissatisfaction included self-perception of being overweight and attempting weight-loss (P < 0.05).
Among overweight and obese African-American women with diabetes, it is important to first address an individual's perceived body image, perceived risk of disease, desired body image, and weight-loss perceptions. In addition to the aesthetic benefits of weight-loss, there is a need to focus on the health benefits in order to intervene among African Americans with diabetes.
评估对异性当前、期望和最佳身体形象的看法，并研究身体形象不满的相关因素。
在“糖项目1”中，我们对185名（141名女性，44名男性）患有2型糖尿病的非裔美国人进行了基线横断面分析，该项目是一项基于初级保健干预措施以改善糖尿病控制的随机对照试验。
与当前身体形象相比，女性期望的身体形象明显更低（体重指数约为27.7，而当前约为35.3）。男性偏好的女性身体形象与女性自己期望的身体形象相似（体重指数约为28.3，而女性期望的约为27.7）。身体形象不满的显著相关因素包括自我感觉超重和尝试减肥（P < 0.05）。
在超重和肥胖的非裔美国糖尿病女性中，首先解决个体对自身身体形象的认知、疾病感知风险、期望的身体形象和减肥观念很重要。除了减肥带来的美学益处外，还需要关注健康益处，以便对患有糖尿病的非裔美国人进行干预。
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