American Journal of Epidemiology Vol. 148, No. 11: 1062-1068
Copyright © 1998 by The Johns Hopkins University School of Hygiene and Public Health
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Relation of Self-Image to Body Size and Weight Loss Attempts in Black Women
The CARDIA Study
1Division of Epidemiology and Clinical Applications, National Heart, Lung, and Blood Institute Bethesda, MD
2Division of Epidemiology, School of Public Health, University of Minnesota Minneapolis, MN
3Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham Birmingham, AL
4Department of Psychology, College of Arts and Sciences, University of South Florida Tampa, FL
It has been suggested that the prevalence of obesity in black women is high partly because self-image in black women is not strongly depandent 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 weihgt 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. Am J Epidemiol 1998; 148: 1062-8.
blacks; body constitution; body image; body mass index; self concept; weight loss; weight perception; women
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