Bonell Sarah, Wilson Michael J, Griffiths Scott, Rice Simon M, Seidler Zac E
Orygen, Parkville, VIC 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3010, Australia.
Orygen, Parkville, VIC 3052, Australia; Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3010, Australia.
Body Image. 2023 Jun;45:94-104. doi: 10.1016/j.bodyim.2023.02.005. Epub 2023 Mar 1.
Queer men (i.e., men who are not heterosexual; sexual minority men) are disproportionately affected by negative body image - they experience greater body dissatisfaction are more likely to develop eating disorders than heterosexual men. While existing literature has examined individual-level predictors of negative body image for queer men, less is known about why queer men as a group are disproportionately affected by negative body image. By synthesising existing theoretical frameworks, research, policy, and media reporting, this narrative review moves towards an understanding of systemic-level negative body image for queer men. Through the lens of hegemonic masculinity, we explain how systemic experiences of stigma work to inform unattainable appearance standards for queer men, and how these standards then contribute to pervasive negative body image concerns among this community. Next, we describe how systemic stigma works to exacerbate negative health outcomes for queer men with body image concerns. Finally, we present a synthesized model of the processes outlined in this review, articulate testable predictions for future studies, and describe practical implications that could be widely employed to improve body image for queer men. Our review is the first to propose a comprehensive explanation of systemic negative body image for queer men.
男同性恋者（即非异性恋男性；性少数群体男性）受负面身体形象的影响尤为严重——他们比异性恋男性更容易对自己的身体感到不满，也更容易患上饮食失调症。虽然现有文献研究了男同性恋者负面身体形象的个体层面预测因素，但对于男同性恋者作为一个群体为何受负面身体形象影响尤为严重，我们却知之甚少。通过综合现有的理论框架、研究、政策和媒体报道，本叙述性综述旨在理解男同性恋者在系统层面的负面身体形象。通过霸权男性气质的视角，我们解释了耻辱感的系统性体验如何导致男同性恋者形成无法企及的外表标准，以及这些标准如何导致该群体普遍存在负面身体形象问题。接下来，我们描述了系统性耻辱感如何加剧有身体形象问题的男同性恋者的负面健康结果。最后，我们提出了一个综合模型，概括了本综述中所述的过程，明确了对未来研究可检验的预测，并描述了可广泛应用于改善男同性恋者身体形象的实际意义。我们的综述首次对男同性恋者在系统层面的负面身体形象提出了全面解释。
