Centre for Applied Psychology, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia; Research School of Psychology, College of Medicine, Biology and Environment, Australian National University, Canberra, Australian Capital Territory, Australia; Melbourne School of Psychological Sciences, Faculty of Medicine, Dentistry and Health Sciences, Melbourne, Victoria, Australia.
School of Medicine, Department of Psychiatry, University of California, San Francisco, San Francisco, California.
J Adolesc Health. 2017 Jul;61(1):77-82. doi: 10.1016/j.jadohealth.2017.01.016. Epub 2017 Apr 4.
Body dissatisfaction is strongly associated with quality of life impairment among both male and female adults, and the strength of this relationship is comparable between the sexes. Whether this is the case among adolescents, however, is unclear.
Adolescent girls (n = 1,135) and boys (n = 531) aged 12-18 years were recruited from secondary schools located in the Australian Capital Territory, Australia. Students completed a survey that included measures of body dissatisfaction, eating disorder symptoms, and psychosocial health- and physical health-related quality of life.
Girls reported higher levels of dissatisfaction than boys for each of the 12 body features assessed. The strength of the adverse associations between body dissatisfaction and quality of life impairment did not, however, differ by sex, and this was the case for both physical health-related and psychosocial quality of life domains. For both girls and boys, associations between body dissatisfaction and both quality of life impairment persisted after controlling for eating disorder symptoms, body mass index, and other covariates.
While levels of body dissatisfaction remain higher in girls than in boys, the adverse impact of body dissatisfaction on adolescents' quality of life does not appear to differ by sex. This impact entails impairment in both physical health and psychosocial quality of life domains and does not appear to be accounted for by an association between body dissatisfaction and eating disorder pathology. The findings support the need to conceive of body dissatisfaction as a public health concern in its own right.
身体不满与成年男女的生活质量受损密切相关，这种关系在两性之间的强度相当。然而，这种情况在青少年中是否存在还不清楚。
从澳大利亚首都领地的中学招募了 1135 名年龄在 12 至 18 岁的少女和 531 名男孩。学生们完成了一项调查，其中包括对身体不满、饮食失调症状以及与身心健康和身体健康相关的生活质量的衡量。
女孩对所评估的 12 个身体特征中的每一个都报告了比男孩更高水平的不满。然而，身体不满与生活质量受损之间的不良关联的强度并没有因性别而异，这在身心健康和心理社会健康相关的生活质量领域都是如此。对于女孩和男孩来说，在控制饮食失调症状、体重指数和其他协变量后，身体不满与生活质量受损之间的关联仍然存在。
虽然女孩的身体不满程度仍然高于男孩，但身体不满对青少年生活质量的不良影响似乎与性别无关。这种影响涉及身心健康和心理社会健康相关生活质量领域的受损，并且似乎与身体不满和饮食失调病理之间的关联无关。这些发现支持将身体不满视为自身的公共卫生问题的必要性。
