Adams Ingrid K Richards, Odei James B, Wright Kathy D, Figueroa Wilson, Nickerson Michika R, Leson Suzanne, Agboola Oluwaseyi, Yildiz Vedat O
College of Food, Agricultural, and Environmental Sciences, The Ohio State University Extension, Columbus, OH, 43201, USA.
Medical Dietetics, School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, 453 W. 10th Ave., Atwell Hall 306 D, Columbus, OH, 43210, USA.
J Racial Ethn Health Disparities. 2025 Jun 23. doi: 10.1007/s40615-025-02519-1.
This pilot study examined sex differences in body image constructs among African American (AAs) adults and their association with self-rated health (SRH).
A cross-sectional study was conducted, where participants were recruited through advertisements and snowball sampling techniques. A battery of questionnaires measured demographic data, SRH, and body image constructs. Percent body fat and body mass index were collected using the BOD POD(R). Descriptive statistics, parametric tests, binary logistics, and linear regressions were performed with regression models adjusted for age, income, BMI, and education.
The majority (n = 54, 75.00%) of participants rated their health as good (40.28%) or very good/excellent (34.72%). Significant positive associations were observed between self-rated health, appearance evaluation, and appearance satisfaction. In univariate and multivariable models, for a one-unit increase in appearance evaluation score, participants had 3.85-fold (p = 0.003) and 3.71-fold (p = 0.037) odds of rating their health as good/excellent compared to rating their health as poor/fair, respectively. A significant negative association was observed between self-rated health and self-classified weight.
Some aspects of body image constructs differed among African American males and females. Understanding these differences can help health professionals develop targeted interventions to promote positive health behaviors within this population. Mixed method studies are recommended to explore these differences further.
本试点研究调查了非裔美国成年人身体意象结构的性别差异及其与自评健康状况（SRH）的关联。
开展了一项横断面研究，通过广告和滚雪球抽样技术招募参与者。一系列问卷测量了人口统计学数据、自评健康状况和身体意象结构。使用BOD POD(R)收集体脂百分比和体重指数。进行了描述性统计、参数检验、二元逻辑回归和线性回归，并对年龄、收入、体重指数和教育程度进行了回归模型调整。
大多数（n = 54，75.00%）参与者将自己的健康状况评为良好（40.28%）或非常好/优秀（34.72%）。在自评健康状况、外表评价和外表满意度之间观察到显著的正相关。在单变量和多变量模型中，外表评价得分每增加一个单位，与将健康状况评为差/一般相比，参与者将健康状况评为良好/优秀的几率分别为3.85倍（p = 0.003）和3.71倍（p = 0.037）。在自评健康状况和自我分类体重之间观察到显著的负相关。
非裔美国男性和女性在身体意象结构的某些方面存在差异。了解这些差异有助于卫生专业人员制定有针对性的干预措施，以促进该人群的积极健康行为。建议采用混合方法研究进一步探索这些差异。
