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Acculturation and eating disorder symptomatology in Black men and women

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Abstract

Objective: We assessed the prevalence of eating disorder symptoms in Black South African men and also explored their possible links with acculturation. Method: The Eating Disorders Inventory (EDI) and the South African Acculturation Scale (SAAS) were administered to a sample of undergraduate students consisting of 50 Black women, 50 Black men and 50 White men. Results: The Black men had significantly higher scores than the White men on the psychological subscales of the EDI, and higher than cut-off scores on perfectionism, interpersonal distrust and maturity fears subscales. There were marginal racial differences in the average acculturation scores, whereas gender appeared to have a variable effect on acculturation attitudes. Specific acculturation strategies were found to be differentially associated with the EDI subscales. The association between acculturation and eating disorder symptoms in Black men was significantly higher than that in White men. Discussion: Our results indicate that there is a higher prevalence of eating disorder pathology in Black men than in White men. This lends support to the possible association between acculturation and eating disorders, and challenges the assumption that non-Western individuals — and Black men in particular — are protected from body image disturbances and disordered eating patterns.

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References

  1. Garner D.M., Garfinkel P.E., Schwartz D., Thompson M.: Cultural expectations of thinness in women. Psychol. Rep., 47, 483–491, 1980.

    Article  PubMed  CAS  Google Scholar 

  2. Hsu L.K.G.: The gender gap in eating disorders: Why are the eating disorders more common among women? Clin. Psychol. Rev., 9, 393–407, 1989.

    Article  Google Scholar 

  3. Rucker C.E., Cash T.F.: Body image, body size perceptions, and eating behaviors among African-American and White college women. Int. J. Eat. Disord., 12, 291–299, 1992.

    Article  Google Scholar 

  4. Striegel-Moore R.H., Silberstein L.R., Rodin J.: Toward an understanding of risk factors for bulimia. Am. Psychol., 41, 246–263, 1986.

    Article  PubMed  CAS  Google Scholar 

  5. Furnham A., Baguma P.: Cross-cultural differences in the evaluation of male and female body shapes. Int. J. Eat. Disord., 15, 81–89, 1994.

    Article  PubMed  CAS  Google Scholar 

  6. Tiggemann M., Pickering A.S.: Role of television in adolescent women’s body dissatisfaction and drive for thinness. Int. J. Eat. Disord., 20, 199–203, 1996.

    Article  PubMed  CAS  Google Scholar 

  7. Becker A.E., Hamburg P.: Culture, the media and eating disorders. Harv. Rev. Psychiatry, 4, 163–167, 1996.

    Article  PubMed  CAS  Google Scholar 

  8. Brownell K.: Dieting and the search for the perfect body: Where physiology and culture collide. Behav. Res. Ther., 22, 1–12, 1991.

    Article  Google Scholar 

  9. Brumberg J.J.: Fasting girls: The emergence of anorexia nervosa as a modern disease. Cambridge, MA., Harvard University Press, 1988.

    Google Scholar 

  10. Orbach S.: Hunger strike: The anorectic’s struggle as a metaphor for our age. London, Faber and Faber, 1986.

    Google Scholar 

  11. Schwartz D.M., Thompson M.G., Johnson C.L.: Anorexia nervosa and bulimia: The socio-cultural context. Int. J. Eat. Disord., 1, 20–36, 1986.

    Article  Google Scholar 

  12. Hsu L.K.G.: Are eating disorders becoming more common in Blacks? Int. J. Eat. Disord., 6, 113–124, 1987.

    Google Scholar 

  13. Pike K.M., Dohm F.A., Striegel-Moore R.H., Wilfley D.E., Fairburn C.G.: A comparison of black and white women with binge eating disorder. Am. J. Psychiatry, 158, 1455–1460, 2001.

    Article  PubMed  CAS  Google Scholar 

  14. Thomas V.G., James M.D.: Body image, dieting tendencies, and sex role traits in urban Black women. Sex Roles, 18, 523–529, 1988.

    Article  Google Scholar 

  15. Nasser M.: Culture and weight consciousness. London, Routledge, 1997.

    Book  Google Scholar 

  16. Henriques G.R., Calhoun L.G., Cann A.: Ethnic differences in women’s body satisfaction: An experimental investigation. J. Soc. Psychol., 136, 689–697, 1996.

    Article  PubMed  CAS  Google Scholar 

  17. Rand C.S.W., Kuldau J.M.: The epidemiology of obesity and self-identified weight problems in the general population: Gender, race, age and social class. Int. J. Eat. Disord., 9, 329–343, 1990.

    Article  Google Scholar 

  18. Story M., French S.A., Resnick M., Blum R.W.: Ethnic/racial differences in dieting behaviours and body image perceptions in adolescents. Int. J. Eat. Disord., 18, 173–179, 1995.

    Article  PubMed  CAS  Google Scholar 

  19. Le Grange D., Telch C.F., Tibbs J.: Eating attitudes and behaviours in 1435 South African Caucasian and Non-Caucasian college students. Am. J. Psychiatry, 155, 250–254, 1998.

    PubMed  Google Scholar 

  20. Hooper M.S., Garner D.M.: Application of the Eating Disorders Inventory to a sample of Black, White and mixed race schoolgirls in Zimbabwe. Int. J. Eat. Disord., 5, 161–168, 1986.

    Article  Google Scholar 

  21. Wassenaar D.R., Le Grange D., Winship J., Lachenicht L.: The prevalence of eating disorder pathology in a cross-ethnic population of female students in South Africa. Eur. Eat. Dis. Rev., 8, 225–236, 2000.

    Article  Google Scholar 

  22. Szabo C.P., Le Grange D.: Eating disorders and the politics of identity: The South African experience. In: Nasser M., Katzman M., Gordon R. (Eds.), Eating disorders: The new sociocultural debate. New York, Brunner-Routledge, 2001, pp. 24–39.

    Google Scholar 

  23. Szabo C.P., Hollands C.: Factors influencing eating attitudes in secondary-school girls in South Africa — a preliminary study. S. Afr. Med. J., 87, 531–534, 1997.

    PubMed  CAS  Google Scholar 

  24. Carlat D.J., Camargo C.A.: Review of bulimia nervosa in males. Am. J. Psychiatry, 148, 831–842, 1991.

    PubMed  CAS  Google Scholar 

  25. Andersen A.E., Hay A.: Racial and socioeconomic influences in anorexia nervosa and bulimia. Int. J. Eat. Disord., 4, 479–487, 1985.

    Article  Google Scholar 

  26. Furukawa T.: Weight changes and eating attitudes of Japanese adolescents under acculturative stresses: A prospective study. Int. J. Eat. Disord., 11, 71–79, 1994.

    Article  Google Scholar 

  27. Barry D.T., Garner D.M.: Eating concerns in East Asian immigrants: Relationships between acculturation, self-construal, ethnic identity, gender, psychological functioning and eating concerns. Eating Weight Disord., 6, 90–98, 2001.

    CAS  Google Scholar 

  28. Berry J.W.: Social and cultural change. In: Triandis H., Brislin R. (Eds.), Handbook of crosscultural psychology: Social change. Boston, Allyn & Bacon, 1980, pp. 211–223.

    Google Scholar 

  29. Sodowsky G.R., Lai E.W.M., Plake B.S.: Moderating effects of socio-cultural variables on acculturation attitudes of Hispanics and Asian Americans. J. Couns. Dev., 70, 194–204, 1991.

    Article  Google Scholar 

  30. Berry J.W.: Immigration, acculturation and adaptation. Appl. Psychol., 46, 5–34, 1997.

    Google Scholar 

  31. Bulik C.M.: Eating disorders in immigrants: Two case reports. Int. J. Eat. Disord., 6, 133–141, 1987.

    Article  Google Scholar 

  32. Castillo R.: Culture and mental illness. Pacific Grove, Brooks/Cole, 1997.

    Google Scholar 

  33. Root M.: Disordered eating in women of colour. Sex Roles, 22, 525–536, 1990.

    Article  Google Scholar 

  34. Silber T.: Anorexia nervosa in Blacks and Hispanics. Int. J. Eat. Disord., 5, 121–128, 1986.

    Article  Google Scholar 

  35. Wassenaar D.R., Pillay A.L., Descoins S., Goltman M., Naidoo P.: Patterns of suicide in Pietermaritzburg 1982-1996: Race, gender and seasonality. In: Schlebusch L., Bosch B. (Eds.), Suicidal Behaviour. Durban, University of Natal, 2000, pp. 97–111.

    Google Scholar 

  36. Wassenaar D.R., van der Veen M.B.W., Pillay A.L.: Women in cultural transition: Suicidal behaviour in South African Indian women. Suicide and Lifethreatening Behavior, 28, 82–93, 1998.

    CAS  Google Scholar 

  37. Brodie D.A., Slade P.D., Riley V.J.: Sex differences in body image perceptions. Percept. Mot. Skills, 72, 73–74, 1991.

    Article  PubMed  CAS  Google Scholar 

  38. Fallon A., Rozin P.: Sex differences in perception of desirable body shape. J. Abnorm. Psychol., 94, 102–105, 1985.

    Article  PubMed  CAS  Google Scholar 

  39. Cash T.F., Winstead B.A., Janda L.H.: The great American shape-up. Psychol. Today, 20, 30–37, 1986.

    Google Scholar 

  40. Carlat D.J., Camargo C.A., Herzog D.B.: Eating disorders in males: A report on 135 patients. Am. J. Psychiatry, 154, 1127–1132, 1997.

    PubMed  CAS  Google Scholar 

  41. Olivardia R., Pope H.G., Mangweth B., Hudson J.I.: Eating disorders in college men. Am. J. Psychiatry, 152, 1279–1285, 1995.

    PubMed  CAS  Google Scholar 

  42. Tanofsky M.B., Wilfley D.E., Spurrell E.B., Welch R.: Comparison of men and women with binge eating disorder. Int. J. Eat. Disord., 21, 49–54, 1997.

    Article  PubMed  CAS  Google Scholar 

  43. Williamson I., Hartley P.: British research into the increasing vulnerability of young gay men to eating disturbance and body dissatisfaction. Eur. Eat. Dis. Rev., 6, 160–170, 1998.

    Article  Google Scholar 

  44. Davis C., Katzman M.A.: Perfection as acculturation: Psychological correlates of eating problems in Chinese male and female students living in the United States. Int. J. Eat. Disord., 25, 65–70, 1999.

    Article  PubMed  CAS  Google Scholar 

  45. Kempa M.L., Thomas A.J.: Culturally sensitive assessment and treatment of eating disorders. Eat. Dis. J. Treat. Prev., 8, 17–30, 2000.

    Article  Google Scholar 

  46. Stephens N.M., Schumaker J.F., Sibiya T.E.: Eating disorders and dieting behaviour among Australian and Swazi university students. J. Soc. Psychol., 139, 153–158, 1999.

    Article  PubMed  CAS  Google Scholar 

  47. Garner D.M., Olmsted M.P., Polivy J.: Development and validation of a multidimensional eating disorder inventory for anorexia and bulimia. Int. J. Eat. Disord., 2, 15–34, 1983.

    Article  Google Scholar 

  48. Garner D.M., Olmsted M.P.: Manual for Eating Disorder Inventory (EDI). USA, Psychological Assessment Resources, Inc., 1984.

    Google Scholar 

  49. Berry J.W.: Acculturation and differentiation. In: Berry J.W. (Ed.), Human ecology and cognitive style. New York, Sage Publications, 1976, pp. 171–197.

    Google Scholar 

  50. Berry J.W., Trimble J.E., Olmedo E.L.: Assessment of acculturation. In: Loner W.J., Berry J.W. (Eds.), Field methods and cross-cultural research. Beverley Hills, Sage Publications, 1986, pp. 291–324.

    Google Scholar 

  51. Helms J.E.: Black and White racial identity: Theory, research and practice. New York, Greenwood Press, 1990.

    Google Scholar 

  52. SPSS-X.: User’s Manual. New York, McGraw- Hill, 1983.

    Google Scholar 

  53. Korf G.J., Schoeman J.B.: Applicability of Milliones’ DIB-C model in the South African context. S. Afr. J. Psychol., 26, 212–220, 1996.

    Google Scholar 

  54. Berry J.W.: Acculturation: A comparative analysis of alternate forms. In: Samuda R.J., Woods S.L. (Eds.), Perspectives in immigrant and minority education. Lanham, Md., University Press, pp. 65–78.

  55. Stevens G., Lockhat R.: Coca-cola Kids — Reflections on Black adolescent identity development in post-apartheid South Africa. S. Afr. J. Psychol., 24, 250–255, 1997.

    Google Scholar 

  56. Fairburn C.G., Beglin S.J.: Assessment of eating disorders: Interview or self-report questionnaire? Int. J. Eat. Disord., 16, 363–370, 1994.

    PubMed  CAS  Google Scholar 

  57. Beglin S.J., Fairburn C.G.: Evaluation of a new instrument for the detection of eating disorders in community samples. Psychiatry Rev., 44, 191–201, 1992.

    CAS  Google Scholar 

  58. Striegel-Moore R.H., Schreiber G.B., Lo A., Crawford P., Obarzanek E., Rodin J.: Eating disorder symptoms in a cohort of 11 to 16-year-old Black and White girls: The NHLBI Growth and Health study. Int. J. Eat. Disord., 27, 49–66, 2000.

    Article  PubMed  CAS  Google Scholar 

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Marais, D.L., Wassenaar, D.R. & Kramers, A.L. Acculturation and eating disorder symptomatology in Black men and women. Eat Weight Disord 8, 44–54 (2003). https://doi.org/10.1007/BF03324988

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