Goonapienuwala Bimba L, Agampodi Suneth B., Kalupahana Nishan S., Siribaddana Sisira
Rajarata University, Sri Lanka,
Ceylon Med J. 2019 Sep 30;64(3):82-90. doi: 10.4038/cmj.v64i3.8950.
Adolescents have high vulnerability for body image distortions which may result in many psychological and physical problems.
This study aimed to determine body image perception and dissatisfaction among rural schooling adolescents in Sri Lanka.
Adolescents (aged 13-16 years) were selected using probability-based sampling framework. Self-administered figure rating scale was used to assess perceived current (PCBS) and ideal (IBS) body size and body discrepancy score (BDS = PCBS – IBS). Pubertal stage was assessed with pubertal development scale. Anthropometry was done according to WHO guidelines.
Of 3128 students studied, 47.8% were boys. Median PCBS was 4 (inter quartile range 1) for boys and 4 (2) for girls. Boys aspire a larger body size compared to girls and the respective median IBS were 5 (0) and 4 (1). More boys (70.4%, n = 1053) than girls (66.4%, n = 1084) were dissatisfied about their current body size; χ2 = 5.5, df = 1, p < 0.05. Overweight students recorded higher PCBS and were more dissatisfied with their body size when compared to others. Nearly half of boys and 29.6% girls wanted to have a larger body size than their current. The main influencing factor of body dissatisfaction was body mass index.
Body dissatisfaction is evident even among rural adolescents, affecting boys more than girls. Many students show a desire to have a larger body size than their current. This study also provides valid and reliable tools to assess body dissatisfaction and pubertal development in Sinhala speaking adolescents.
青少年极易出现身体意象扭曲，这可能会导致许多心理和生理问题。
本研究旨在确定斯里兰卡农村在校青少年的身体意象认知及不满情况。
采用基于概率的抽样框架选取青少年（年龄在13至16岁之间）。使用自我管理的体型评定量表来评估当前感知体型（PCBS）和理想体型（IBS）以及体型差异分数（BDS = PCBS - IBS）。通过青春期发育量表评估青春期阶段。人体测量按照世界卫生组织的指南进行。
在研究的3128名学生中，47.8%为男生。男生的PCBS中位数为4（四分位间距为1），女生为4（2）。与女生相比，男生期望更大的体型，各自的IBS中位数分别为5（0）和4（1）。对当前体型不满意的男生（70.4%，n = 1053）多于女生（66.4%，n = 1084）；χ2 = 5.5，自由度 = 1，p < 0.05。与其他人相比，超重学生的PCBS更高，对自己的体型更不满意。近一半的男生和29.6%的女生希望拥有比当前更大的体型。身体不满的主要影响因素是体重指数。
即使在农村青少年中，身体不满也很明显，对男生的影响大于女生。许多学生表示希望拥有比当前更大的体型。本研究还提供了有效且可靠的工具，用于评估说僧伽罗语青少年的身体不满和青春期发育情况。
