Riley N M, Bild D E, Cooper L, Schreiner P, Smith D E, Sorlie P, Thompson J K
Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute, Bethesda, MD, USA.
Am J Epidemiol. 1998 Dec 1;148(11):1062-8. doi: 10.1093/oxfordjournals.aje.a009583.
It has been suggested that the prevalence of obesity in black women is high partly because self-image in black women is not strongly dependent on body size. To determine associations between self-image, body size, and dieting behavior among black women, the authors assessed an Appearance Evaluation Subscale (AES) score (range, 1-5), a Body Image Satisfaction (BIS) score (range, 2-11), and reported dieting behavior in a population-based sample of 1,143 black women aged 24-42 years from the fourth follow-up examination (1992-1993) of the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Lower AES and BIS scores indicate poorer self-image and lower body size satisfaction, respectively. After adjustment for age, education, smoking, and physical activity, women in the lowest, middle, and highest tertiles of body mass index (weight (kg)/height (m)2) had mean AES scores of 3.7, 3.3, and 2.9, respectively (p < 0.001), and mean BIS scores of 7.8, 6.7, and 5.9, respectively (p < 0.001). After additional control for body mass index as a continuous variable, both AES and BIS scores were inversely related to ever dieting, current dieting, and previous weight loss of 10 pounds (4.5 kg) or more in all tertiles of body mass index. These results suggest that among black women, a higher body mass index is associated with poorer self-image and lower body size satisfaction and that these perceptions may be an avenue to promoting weight control.
有人认为，黑人女性肥胖率较高，部分原因是黑人女性的自我形象并不强烈依赖于体型。为了确定黑人女性的自我形象、体型和节食行为之间的关联，作者在基于人群的1143名年龄在24至42岁的黑人女性样本中，评估了外貌评价子量表（AES）得分（范围为1至5）、身体形象满意度（BIS）得分（范围为2至11），并报告了节食行为。这些数据来自青年成年人冠状动脉风险发展研究（CARDIA研究）的第四次随访检查（1992 - 1993年）。较低的AES和BIS得分分别表明自我形象较差和对体型的满意度较低。在对年龄、教育程度、吸烟和身体活动进行调整后，体重指数（体重（千克）/身高（米）²）处于最低、中间和最高三分位数的女性，其平均AES得分分别为3.7、3.3和2.9（p < 0.001），平均BIS得分分别为7.8、6.7和5.9（p < 0.001）。在将体重指数作为连续变量进行额外控制后，在所有体重指数三分位数中，AES和BIS得分均与曾经节食、当前节食以及之前体重减轻10磅（4.5千克）或更多呈负相关。这些结果表明，在黑人女性中，较高的体重指数与较差的自我形象和较低的体型满意度相关，并且这些认知可能是促进体重控制的一个途径。
