Hurston Jamaiica S, Worthy Charlita C, Huefner Eliza A, Sayed Mariam S, Dubose Christopher W, Mabundo Lilian S, Horlyck-Romanovsky Margrethe F, Younger-Coleman Novie, Sumner Anne E
Diabetes, Endocrinology and Diabetes Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
Department of Health and Nutrition Sciences, Brooklyn College, City University of New York, New York, NY, USA.
Diabetes Metab Syndr Obes. 2024 Sep 3;17:3279-3293. doi: 10.2147/DMSO.S474956. eCollection 2024.
Body image affects health practices. With acculturation superimposed on globalization, 21st century body size preferences of African immigrants, one of the fasting growing populations in the United States, are unknown. Therefore, in African immigrants living in America we assessed: 1) body size preference; and 2) body size dissatisfaction.
Participants chose two silhouettes from the Stunkard Figure Rating Scale: one for body size preference and one for perceived body size. Each silhouette corresponds to a BMI category: (a) Underweight: 1 and 2; (b) Normal weight: 3 and 4; (c) Overweight: 5, 6 and 7; (d) Obesity: 8 and 9. Dissatisfaction was defined as the difference between silhouette numbers for perceived and preferred body size.
Characteristics of the 412 participants were: women: 42% (174/412), age 40±11y (mean±SD), range 20-69 y, BMI 27.9±4.6, range 19.5-47.3 kg/m. As a body size of preference, no one (0/412) chose obese silhouettes. Normal weight silhouettes were chosen as their body size of preference by 75% (131/174) of women and 60% (143/238) of men. Overweight silhouettes were chosen as their preferred body size by 11% (19/174) of women and 26% (62/238) of men. Combining normal and overweight silhouettes into one group, 86% (150/174) of women and 86% (205/238) of men preferred to be either normal or overweight. Underweight silhouettes were preferred by 14% (24/174) of women and 14% (33/238) of men. Dissatisfaction because body size was too large occurred in 78% (135/174) of women and 53% (126/238) of men. Dissatisfaction because body size was too small occurred in 6% (11/174) of women and 16% (38/238) of men.
African immigrants prefer body sizes which are normal or overweight. However, and presumably attributable to the combined influence of globalization and acculturation, a worrisome fraction of African immigrants favor an underweight silhouette.
身体意象影响健康行为。随着文化适应叠加在全球化之上,21世纪美国快速增长的人口群体之一——非洲移民的体型偏好尚不明确。因此,我们对生活在美国的非洲移民进行了评估:1)体型偏好;2)对体型的不满。
参与者从斯坦卡德体型评定量表中选择两个轮廓:一个代表体型偏好,另一个代表感知到的体型。每个轮廓对应一个BMI类别:(a)体重过轻:1和2;(b)正常体重:3和4;(c)超重:5、6和7;(d)肥胖:8和9。不满定义为感知到的体型轮廓数与偏好的体型轮廓数之差。
412名参与者的特征为:女性占42%(174/412),年龄40±11岁(均值±标准差),范围20 - 69岁,BMI为27.9±4.6,范围19.5 - 47.3kg/m²。作为偏好的体型,没有人(0/412)选择肥胖轮廓。75%(131/174)的女性和60%(143/238)的男性选择正常体重轮廓作为他们偏好的体型。11%(19/174)的女性和26%(62/238)的男性选择超重轮廓作为他们偏好的体型。将正常和超重轮廓归为一组,86%(150/174)的女性和86%(205/238)的男性更喜欢正常或超重的体型。14%(24/174)的女性和14%(33/238)的男性更喜欢体重过轻的轮廓。78%(135/174)的女性和53%(126/238)的男性因体型过大而不满。6%(11/174)的女性和16%(38/238)的男性因体型过小而不满。
非洲移民更喜欢正常或超重的体型。然而,可能归因于全球化和文化适应的综合影响,有相当一部分非洲移民青睐体重过轻的轮廓,这令人担忧。