Abstract
Previous studies have identified gay men as a high-risk population for body image disturbances. However, little research has examined the mental health impact of gay men’s physical appearance concerns in the context of other major life domains. The present study addressed this gap by investigating how mental health outcomes (satisfaction with life, self-esteem, positive well-being, and psychological distress) were associated with satisfaction with and importance of physical appearance, work, family relationships, friendships, health and fitness, and sex life among Australian gay men aged 18–39. The possible moderating role of intimate relationship status was also examined. Results from an online survey revealed that greater satisfaction with physical appearance, work, family, and friendships all had similar positive associations with mental health. However, more importance placed on physical appearance was more consistently associated with poorer mental health compared with the subjective importance of other domains. Findings also indicated the associations between physical appearance satisfaction and life satisfaction, and between physical appearance importance and positive well-being, were weaker for those in relationships. Thus, physical appearance matters in gay men’s lives, but was only one factor when considered in the broader context of other life areas that contributed to overall well-being. These findings suggest the need for a nuanced and contextualized understanding of how physical appearance concerns fit into gay men’s lives.
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References
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
Australian Bureau of Statistics. (2014). Australian health survey: Biomedical results for nutrients 2011–2012 (Cat. No. 4364.0). Retrieved from http://www.abs.gov.au.
Beals, K. P., Peplau, L. A., & Gable, S. L. (2009). Stigma management and well-being: The role of perceived social support, emotional processing, and suppression. Personality and Social Psychology Bulletin, 35, 867–879. doi:10.1177/0146167209334783.
Biss, W. J., & Horne, S. G. (2005). Sexual satisfaction as more than a gendered concept: The roles of psychological well-being and sexual orientation. Journal of Constructivist Psychology, 18, 25–38. doi:10.1080/10720530590523044.
Blashill, A. J. (2010). Elements of male body image: Prediction of depression, eating pathology and social sensitivity among gay men. Body Image, 7, 310–316. doi:10.1016/j.bodyim.2010.07.006.
Boisvert, J. A., & Harrell, W. A. (2009). Homosexuality as a risk factor for eating disorder symptomatology in men. Journal of Men’s Studies, 17, 210–225. doi:10.3149/jms.1703.210.
Bowling, N. A., Eschleman, K. J., & Wang, Q. (2010). A meta-analytic examination of the relationship between job satisfaction and subjective well-being. Journal of Occupational and Organizational Psychology, 83, 915–934. doi:10.1348/096317909X478557.
Brown, T. A., & Keel, P. K. (2013). The impact of relationships, friendships, and work on the association between sexual orientation and disordered eating in men. Eating Disorders, 21, 342–359. doi:10.1080/10640266.2013.797825.
Detrie, P. M., & Lease, S. H. (2007). The relation of social support, connectedness, and collective self-esteem to the psychological well-being of lesbian, gay, and bisexual youth. Journal of Homosexuality, 53, 173–199. doi:10.1080/00918360802103449.
Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71–75. doi:10.1207/s15327752jpa4901_13.
Drummond, M. J. (2005). Men’s bodies: Listening to the voices of young gay men. Men and Masculinities, 7, 270–290. doi:10.1177/1097184X04271357.
Duncan, D. (2007). Out of the closet and into the gym: Gay men and body image in Melbourne, Australia. Journal of Men’s Studies, 15, 331–346. doi:10.3149/jms.1503.331.
Elizur, Y., & Ziv, M. (2001). Family support and acceptance, gay male identity formation, and psychological adjustment: A path model. Family Process, 40, 125–144. doi:10.1111/j.1545-5300.2001.4020100125.x.
Feldman, M. B., & Meyer, I. H. (2007). Eating disorders in diverse lesbian, gay, and bisexual populations. International Journal of Eating Disorders, 40, 218–226. doi:10.1002/eat.20360.
Gil, S. (2007). Body image, well-being and sexual satisfaction: A comparison between heterosexual and gay men. Sexual and Relationship Therapy, 22, 237–244. doi:10.1080/14681990600855042.
Goldfried, M. R., & Goldfried, A. P. (2001). The importance of parental support in the lives of gay, lesbian, and bisexual individuals. Journal of Clinical Psychology, 57, 681–693. doi:10.1002/jclp.1037.
Hosking, W. (2013). Agreements about extra-dyadic sex in gay men’s relationships: Exploring differences in relationship quality by agreement type and rule-breaking behavior. Journal of Homosexuality, 60, 711–733. doi:10.1080/00918369.2013.773819.
Hunt, C. J., Gonsalkorale, K., & Nosek, B. A. (2012). Links between psychosocial variables and body dissatisfaction in homosexual men: Differential relations with the drive for muscularity and the drive for thinness. International Journal of Men’s Health, 11, 127–136. doi:10.3149/jmh.1102.127.
Jankowski, G. S., Diedrichs, P. C., & Halliwell, E. (2014a). Can appearance conversations explain differences between gay and heterosexual men’s body dissatisfaction? Psychology of Men & Masculinity, 15, 68–77. doi:10.1037/a0031796.
Jankowski, G. S., Fawkner, H., Slater, A., & Tiggemann, M. (2014b). “Appearance potent”? A content analysis of UK gay and straight men’s magazines. Body Image, 11, 474–481. doi:10.1016/j.bodyim.2014.07.010.
Jones, W. R., & Morgan, J. F. (2010). Eating disorders in men: A review of the literature. Journal of Public Mental Health, 9, 23–31. doi:10.5042/jpmh.2010.0326.
Judge, T. A., & Watanabe, S. (1993). Another look at the job satisfaction-life satisfaction relationship. Journal of Applied Psychology, 78, 939. doi:10.1037/0021-9010.78.6.939.
Kane, G. D. (2010). Revisiting gay men’s body image issues: Exposing the fault lines. Review of General Psychology, 14, 311. doi:10.1037/a0020982.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32, 959–976. doi: 10.1017/S0033291702006074.
Levesque, M. J., & Vichesky, D. R. (2006). Raising the bar on the body beautiful: An analysis of the body image concerns of homosexual men. Body Image, 3, 45–55. doi:10.1016/j.bodyim.2005.10.007.
Lyons, A., & Hosking, W. (2014). Prevalence and correlates of sexual partner concurrency among Australian gay men aged 18-39 years. AIDS and Behavior, 18, 801–809. doi:10.1007/s10461-013-0613-y.
Lyons, A., Pitts, M., & Grierson, J. (2013). Factors related to positive mental health in a stigmatized minority: An investigation of older gay men. Journal of Aging and Health, 25, 1159–1181. doi:10.1177/0898264313495562.
Martins, Y., Tiggemann, M., & Kirkbride, A. (2007). Those speedos become them: The role of self-objectification in gay and heterosexual men’s body image. Personality and Social Psychology Bulletin, 33, 634–647. doi:10.1177/0146167206297403.
McArdle, K. A., & Hill, M. S. (2009). Understanding body dissatisfaction in gay and heterosexual men: The roles of self-esteem, media, and peer influence. Men and Masculinities, 11, 511–532. doi:10.1177/1097184X07303728.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674. doi:10.1037/0033-2909.129.5.674.
Morrison, M. A., Morrison, T. G., & Sager, C. L. (2004). Does body satisfaction differ between gay men and lesbian women and heterosexual men and women? A meta-analytic review. Body Image, 1, 127–138. doi:10.1016/j.bodyim.2004.01.002.
Nye, S., & Cash, T. F. (2006). Outcomes of a manualized cognitive-behavioral body image therapy with eating disordered women treated in a private clinical practice. Eating Disorders, 14, 31–40. doi:10.1080/10640260500403840.
Pachankis, J. E., & Hatzenbuehler, M. L. (2013). The social development of contingent self-worth in sexual minority young men: An empirical investigation of the “Best Little Boy in the World” hypothesis. Basic and Applied Social Psychology, 35, 176–190. doi:10.1080/01973533.2013.764304.
Peplau, L. A., Frederick, D. A., Yee, C., Maisel, N., Lever, J., & Ghavami, N. (2009). Body image satisfaction in heterosexual, gay, and lesbian adults. Archives of Sexual Behavior, 38, 713–725. doi:10.1007/s10508-008-9378-1.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
Russell, C. J., & Keel, P. K. (2002). Homosexuality as a specific risk factor for eating disorders in men. International Journal of Eating Disorders, 31, 300–306. doi:10.1002/eat.10036.
Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sanchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23, 205–213. doi:10.1111/j.1744-6171.2010.00246.x.
Siever, M. D. (1994). Sexual orientation and gender as factors in socioculturally acquired vulnerability to body dissatisfaction and eating disorders. Journal of Consulting and Clinical Psychology, 62, 252–260. doi:10.1037/0022-006X.62.2.252.
Smith, A., Lyons, A., Ferris, J., Richters, J., Pitts, M., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex and Marital Therapy, 37, 104–115. doi:10.1080/0092623X.2011.560531.
Steele, C. M. (1988). The psychology of self-affirmation: Sustaining the integrity of the self. Advances in Experimental Social Psychology, 21, 261–302.
Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., … Stewart-Brown, S. (2007). The Warwick-Edinburgh mental well-being scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5, 63. doi: 10.1186/1477-7525-5-63.
Tiggemann, M., Martins, Y., & Kirkbride, A. (2007). Oh to be lean and muscular: Body image ideals in gay and heterosexual men. Psychology of Men & Masculinity, 8, 15. doi:10.1037/1524-9220.8.1.15.
Yelland, C., & Tiggemann, M. (2003). Muscularity and the gay ideal: Body dissatisfaction and disordered eating in homosexual men. Eating Behaviors, 4, 107–116. doi:10.1016/S1471-0153(03)00014-X.
Acknowledgments
This research was supported by funding from by the Australian Government Department of Health and Ageing. Some of the analyses reported in this article were also reported in the third author’s Graduate Diploma in Psychology research thesis. The authors would like to thank the men who participated in the survey, Matthew Poole for his research assistance, and Trent Farrell, Brian Mustanski, and three anonymous reviewers for helpful comments on an earlier version of this article.
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Hosking, W., Lyons, A. & van der Rest, B. The Mental Health Impact of Physical Appearance Concerns in the Context of Other Life Domains Among Australian Gay Men. Arch Sex Behav 46, 1453–1464 (2017). https://doi.org/10.1007/s10508-016-0791-6
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DOI: https://doi.org/10.1007/s10508-016-0791-6