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老年男性的身体意象研究:65 岁及以上的男性如何感知、体验和应对身体衰老。

An examination of older men's body image: How men 65 years and older perceive, experience, and cope with their aging bodies.

机构信息

School of Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada.

School of Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Body Image. 2020 Sep;34:27-37. doi: 10.1016/j.bodyim.2020.04.005. Epub 2020 May 19.

DOI:10.1016/j.bodyim.2020.04.005
PMID:32442879
Abstract

We examined how older men perceived, experienced, and coped with age-related changes to their appearance, body function, and health. Data from semi-structured interviews with 28 men aged 65-83 living in a large urban Canadian city and diverse in ethnocultural background (European, East Asian, and South Asian) and sexual orientation (heterosexual and gay) were analyzed through a reflexive thematic analysis. Four overarching themes were constructed from the participants' accounts. Participants were ambivalent about their aging bodies; they were concerned about certain changes to their bodies, yet concurrently grateful for their retained health and body function. The men stressed the need to accept age-related body changes through pragmatism, awareness of challenging body-related cognitions and emotions without overidentification or suppression, and adjustments to expectations and activities. Participants engaged in upward and downward social comparisons to assess their aging bodies in relation to others and to their younger selves. Weight concerns were prominent. The men worried about their weight, with particular attention to their stomach, and were physically active and ate a healthy diet to manage their weight. This study contributes to body image theorizing by including older diverse men and can inform interventions aiming to enhance men's later life psychological adjustment.

摘要

我们研究了老年男性如何感知、体验和应对与年龄相关的外貌、身体功能和健康变化。研究数据来自于对 28 名居住在加拿大大城市的 65-83 岁男性进行的半结构化访谈,他们在种族文化背景(欧洲、东亚和南亚)和性取向(异性恋和同性恋)方面存在多样性。通过反思性主题分析对这些数据进行了分析。参与者的叙述构建了四个总体主题。参与者对自己衰老的身体持矛盾态度;他们对自己身体的某些变化感到担忧,但同时又对自己保持的健康和身体功能心存感激。男性强调需要通过实用主义来接受与年龄相关的身体变化,即意识到与身体相关的认知和情绪的挑战,但不要过度认同或压抑,同时还要调整期望和活动。参与者进行了向上和向下的社会比较,以评估自己的衰老身体与他人和年轻时的自己相比的情况。体重问题尤为突出。男性担心自己的体重,尤其是腹部的体重,并积极运动和健康饮食来控制体重。这项研究通过纳入不同种族的老年男性,丰富了身体意象理论,可为旨在增强男性晚年心理适应的干预措施提供信息。

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