Williams Cylie, Graham Kristin, Griffiths Ian, Wakefield Suzanne, Banwell Helen
School of Primary and Allied Health, Monash University, Frankston, Victoria, Australia.
Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
PLoS One. 2025 May 14;20(5):e0323719. doi: 10.1371/journal.pone.0323719. eCollection 2025.
To explore the correlations/relationships between foot posture, equity and diversity, employment, and time in Barbie Land.
A retrospective audit of the Barbie population (or their data from online catalogues) using a customised FEET system. That is Foot posture (flat or equinus); Equity (diversity and inclusion (EDI)); Employment (fashion vs employed); and Time period (decade of manufacture).
Barbie Land (Online Barbie catalogues of doll types).
2750 Barbies and friends who lived in Barbie Land between 1959 to June 2024.
Over time there was a decreased prevalence in equinus foot posture from 100% in the first time period to 40% in the last. Barbie's flat foot posture had a very strong positive correlation with employment (r = 0.89, 95% Confidence Interval (95%CI) = 0.50 to 1.29), and time point (r = 0.85, 95%CI = 0.40 to 1.31), while equinus foot posture had a very strong positive correlation with fashion (r = 0.99, 95%CI = 0.87 to 1.11). Similarly, equity (diversity) had a very strong positive correlation with fashion (r = 0.98, 95%CI = 0.82 to 1.15), and strong positive correlation with employment (r = 0.79, 95%CI = 0.26 to 1.33).
Barbie's equinus foot posture is directly related to her high heel wearing. Barbie models her footwear choice based on task demands, being flat footed and wearing flat shoes when she needs to work on her feet, be physically active or more stable. Given Barbie is known to reflect societal norms, we contend this is most likely true for most high-heel wearers. While Barbie has moved with the times, it appears footwear health messaging about high heel wearing needs to catch up. Health professionals castigating high heels through public messaging, should remember that emphasising health benefits consistently drives positive behaviour change, over highlighting negative consequences. Barbie clearly makes sensible determinations regarding her body autonomy; high heel wearers should have that same ability.
探讨芭比世界中足部姿势、公平与多样性、就业情况以及时间之间的关联。
使用定制的FEET系统对芭比群体（或其在线商品目录中的数据）进行回顾性审计。即足部姿势（扁平足或马蹄足）；公平（多样性与包容性（EDI））；就业情况（时尚相关与就业）；以及时间段（生产年代）。
芭比世界（芭比娃娃类型的在线商品目录）。
1959年至2024年6月期间生活在芭比世界的2750个芭比娃娃及其朋友。
随着时间推移，马蹄足姿势的患病率从第一个时间段的100%降至最后一个时间段的40%。芭比的扁平足姿势与就业情况（r = 0.89，95%置信区间（95%CI）= 0.50至1.29）以及时间点（r = 0.85，95%CI = 0.40至1.31）呈非常强的正相关，而马蹄足姿势与时尚（r = 0.99，95%CI = 0.87至1.11）呈非常强的正相关。同样，公平（多样性）与时尚（r = 0.98，95%CI = 0.82至1.15）呈非常强的正相关，与就业情况（r = 0.79，95%CI = 0.26至1.33）呈强正相关。
芭比的马蹄足姿势与她穿高跟鞋直接相关。芭比根据任务需求来选择鞋类，当她需要站立工作、进行体育活动或保持更稳定时，会是扁平足并穿平底鞋。鉴于芭比被认为反映了社会规范，我们认为这对大多数高跟鞋穿着者来说很可能也是如此。虽然芭比与时俱进，但关于穿高跟鞋的鞋类健康信息似乎还需跟上。通过公共信息谴责高跟鞋的健康专业人士应记住，持续强调健康益处比突出负面后果更能推动积极的行为改变。芭比显然对自己的身体自主权做出了明智的决定；高跟鞋穿着者也应有同样的能力。
