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Body images and obesity risk among Black females: A review of the literature

  • Published:
Annals of Behavioral Medicine

Abstract

The prevalence of obesity among Black women has reached epidemic proportions. Some researchers have suggested that the body images of Black females may contribute to their high risk for obesity by inhibiting motivation for weight control. While a number of empirical studies have examined the body images of Black females, findings are complex and at times, inconsistent. For example, some studies show that Black females consider over-weight bodies more attractive, while other studies show that Black females prefer normal-weight bodies. Divergent findings may be due, in part, to the multidimensional nature of body image. Inconsistencies may also be due to differences between the Black females sampled. Methodological problems, including the use of measures that have not been validated among Black females, the use of various weight-for-height standards, and the inconsistent analyses of or lack of physiological data, also may contribute to conflicting results. This review addresses the complexity of body image findings among a heterogeneous Black female population and the relationship between their body images and obesity risk. Implications for effective obesity treatment programs and suggestions for improvements in future body image studies are also discussed.

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References

  1. Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL: Increasing prevalence of overweight among U.S. adults. The National Health and Nutrition Examination Surveys, 1960 to 1991.Journal of the American Medical Association. 1994,272:205–211.

    Article  PubMed  CAS  Google Scholar 

  2. Kumanyika SK: Diet and nutrition as influences on the morbidity/ mortality gap.Annals of Epidemiology. 1993,3:154–158.

    Article  PubMed  CAS  Google Scholar 

  3. Kumanyika S: Obesity in minority populations: An epidemiologic assessment.Obesity Research. 1994,2:166–182.

    PubMed  CAS  Google Scholar 

  4. Burke GL, Savage PJ, Manolio TA, et al: Correlates of obesity in young Black and White women: The CARDIA Study.American Journal of Public Health. 1992,82:1621–1625.

    PubMed  CAS  Google Scholar 

  5. Bureau of the Census:1990 Census of Population: Social & Economic Characteristics. Washington, DC: U.S. Government Printing Office, 1994.

    Google Scholar 

  6. Sobal J, Stunkard AJ: Socioeconomic status and obesity: A review of the literature.Psychological Bulletin. 1989,105:260–275.

    Article  PubMed  CAS  Google Scholar 

  7. Freedman AM: Amid ghetto hunger, many more suffer eating wrong foods.Wall Street Journal 18 December 1990, A1, A6.

    Google Scholar 

  8. Rand CS, Kuldau JM: The epidemiology of obesity and self-defined weight problem in the general population: Gender, race, age, and social class.International Journal of Eating Disorders. 1990,9:329–343.

    Article  Google Scholar 

  9. Wadden TA, Stunkard AJ, Rich L, et al: Obesity in Black adolescent girls: A controlled clinical trial of treatment by diet, behavior modification, and parental support.Pediatrics. 1990,85:345–352.

    PubMed  CAS  Google Scholar 

  10. Rucker CE, Cash TF: Body images, body-size perceptions, and eating behaviors among African-American and White college women.International Journal of Eating Disorders. 1992,12:291–299.

    Article  Google Scholar 

  11. Bruch H: Anorexia nervosa and its differential diagnosis.Journal of Nervous and Mental Disease. 1966,141:555–566.

    Google Scholar 

  12. Garfinkel PE, Goldbloom D, Davis R, et al: Body dissatisfaction in bulimia nervosa: Relationship to weight and shape concerns and psychological functioning.International Journal of Eating Disorders. 1992,11:151–161.

    Article  Google Scholar 

  13. Garner DM, Garfinkel PE, Schwartz D, Thompson M: Cultural expectations of thinness in women.Psychological Reports. 1980,47:483–491.

    PubMed  CAS  Google Scholar 

  14. Cohn LD, Adler NE, Irwin Jr. C, et al: Body-figure preferences in male and female adolescents.Journal of Abnormal Psychology. 1987,96:276–279.

    Article  PubMed  CAS  Google Scholar 

  15. Fallon AE, Rozin P: Sex differences in perceptions of desirable body shape.Journal of Abnormal Psychology. 1985,94:102–105.

    Article  PubMed  CAS  Google Scholar 

  16. Klesges RC: An analysis of body image distortions in a non-patient population.International Journal of Eating Disorders. 1983,2:35–41.

    Article  Google Scholar 

  17. Rodin J, Silberstein L, Striegel-Moore R: Women and weight: A normative discontent. In Sonderegger TB (ed),Psychology and Gender. Nebraska Symposium on Motivation 1984. Lincoln, NE: University of Nebraska Press, 1985, 267–307.

    Google Scholar 

  18. Allan JD, Mayo K, Michel Y: Body size values of White and Black women.Research in Nursing & Health. 1993,16:323–333.

    Article  CAS  Google Scholar 

  19. Parker S, Nichter M, Nichter M, et al: Body image and weight concerns among African-American and White adolescent females: Differences that make a difference.Human Organization. 1995,54:103–114.

    Google Scholar 

  20. Brown PJ, Konner M: An anthropological perspective on obesity.Annals of the New York Academy of Sciences. 1987,499:29–46.

    Article  PubMed  CAS  Google Scholar 

  21. Knowler WC, Pettitt DJ, Bennett PH, et al: Diabetes mellitus in the Pima Indians: Genetic and evolutionary considerations.American Journal of Physical Anthropology. 1983,62:107–114.

    Article  PubMed  CAS  Google Scholar 

  22. Powell AD, Kahn AS: Racial differences in women’s desires to be thin.International Journal of Eating Disorders. 1995,17:191–195.

    Article  PubMed  CAS  Google Scholar 

  23. Andersen AE, Hay A: Racial and socioeconomic influences in anorexia nervosa and bulimia.International Journal of Eating Disorders. 1985,4:479–487.

    Article  Google Scholar 

  24. Dolan B: Cross-cultural aspects of anorexia nervosa and bulimia: A review.International Journal of Eating Disorders. 1991,10:67–79.

    Article  Google Scholar 

  25. Garfinkel PE, Garner DM:Anorexia Nervosa: A Multidimensional Perspective. New York: Brunner/Mazel, 1982.

    Google Scholar 

  26. Kumanyika S, Wilson JF, Guilford-Davenport M: Weight-related attitudes and behaviors of Black women.Journal of the American Dietetic Association. 1993,93:416–422.

    Article  PubMed  CAS  Google Scholar 

  27. Akan GE, Grilo C: Sociocultural influence on eating attitudes and behaviors, body image, and psychological functioning: A comparison of African-American, Asian-American, and Caucasian college women.International Journal of Eating Disorders. 1995,18:181–187.

    Article  PubMed  CAS  Google Scholar 

  28. Huenemann RL, Shapiro LR, Hampton MC, Mitchell BW: A longitudinal study of gross body composition and body conformation and their association with food and activity in a teen-age population: Views of teen-age subjects on body conformation, food, and activity.American Journal of Clinical Nutrition. 1966,18:325–338.

    PubMed  CAS  Google Scholar 

  29. Morbidity and Mortality Weekly Report: Body weight perceptions and selected weight management goals and practices of high school students—United States 1990.Morbidity and Mortality Weekly Review. 1991,40:741–750.

  30. Mossavar-Rahmani Y, Pelto GH, Ferris AM, Allen LH: Determinants of body size perceptions and dieting behavior in a multiethnic group of hospital staff women.Journal of the American Dietetic Association. 1996,96:252–256.

    Article  PubMed  CAS  Google Scholar 

  31. Serdula MK, Collins ME, Williamson DF, et al: Weight control practices of U.S. adolescents and adults.Annals of Internal Medicine. 1993,119:667–671.

    PubMed  CAS  Google Scholar 

  32. Phinney JS: When we talk about American ethnic groups, what do we mean.American Psychologist. 1996,51:918–927.

    Article  Google Scholar 

  33. Abrams KK, Allen LR, Gray JJ: Disordered eating attitudes and behaviors, psychological adjustment, and ethnic identity: A comparison of Black and White female college students.International Journal of Eating Disorders. 1993,14:49–57.

    Article  PubMed  CAS  Google Scholar 

  34. Harris SM: Racial differences in predictors of college women’s body image attitudes.Women & Health. 1994,21:89–104.

    Article  CAS  Google Scholar 

  35. Harris SM: Family, self, and sociocultural contributions to body-image attitudes of African-American women.Psychology of Women Quarterly. 1995,19:129–145.

    Article  Google Scholar 

  36. Kavanaugh A: Reliability and validity of the Racial Identiy Attitudes Scale (RIAS). Unpublished manuscript, 1994, Northwestern University Medical School.

  37. Harris MB, Walters LC, Waschull S. Gender and ethnic differences in obesity-related behaviors and attitudes in a college sample.Journal of Applied Social Psychology. 1991,21:1545–1566.

    Article  Google Scholar 

  38. Story M, French SA, Resnick MD, Blum RW: Ethnic/racial and socioeconomic differences in dieting behaviors and body image perceptions in adolescent.International Journal of Eating Disorders 1995,18:173–179.

    Article  PubMed  CAS  Google Scholar 

  39. Flynn KF, Fitzgibbon ML: Body image ideals of low-income African-American mothers and their preadolescent daughters.Journal of Youth and Adolescence. 1996,25:615–630.

    Article  Google Scholar 

  40. Thomas VG: Body-image satisfaction among Black women.Journal of Social Psychology. 1989,129:107–112.

    Google Scholar 

  41. Thomas VG, James MD: Body image, dieting tendencies, and sex role traits in urban Black women.Sex Roles. 1988,18:523–529.

    Article  Google Scholar 

  42. Kemper KA, Sargent RG, Drane JW, Valois RF, Hussey JR: Black and White females’ perceptions of ideal body size and social norms.Obesity Research. 1994,2:117–126.

    PubMed  CAS  Google Scholar 

  43. Stevens J, Kumanyika SK, Keil JE: Attitudes toward body size and dieting: Differences between elderly Black and White women.American Journal of Public Health. 1994,84:1322–1325.

    PubMed  CAS  Google Scholar 

  44. Wilson DB, Sargent R, Dias J: Racial differences in selection of ideal body size by adolescent females.Obesity Research. 1994,2:38–43.

    PubMed  CAS  Google Scholar 

  45. Dawson D: Ethnic differences in female overweight: Data from the 1985 National Health Interview Survey.American Journal of Public Health. 1988,78:1326–1329.

    PubMed  CAS  Google Scholar 

  46. Levinson R, Powell B, Stellman LC: Social location, significant others, and body image among adolescents.Social Psychology Quarterly. 1986,49:330–337.

    Article  Google Scholar 

  47. Dolce JJ, Thompson JK, Register A, Spana RE: Generalization of body size distortion.International Journal of Eating Disorders. 1987,6:401–408.

    Article  Google Scholar 

  48. Ruff GA, Barrios BA: Realistic assessment of body image.Behavioral Assessment. 1986,8:237–252.

    Google Scholar 

  49. Thompson JK, Penner LA, Altabe MN: Procedures, problems, and progress in the assessment of body images. In Cash TF, Pruzinsky T (eds)Body Images: Development, Deviance, and Change. New York: Guilford Press. 1990, 21–48.

    Google Scholar 

  50. Garner DM, Olmstead MP, Polivy J: Development and validation of a multidimentional eating disorder inventory for anorexia nervosa and bulimia.International Journal of Eating Disorders. 1983,2:15–35.

    Article  Google Scholar 

  51. Cash TF, Winstead BA, Janda LH: Body image survey report: The great American shape-up.Psychology Today. 1986,20:30–44.

    Google Scholar 

  52. Secord PF, Jourard SM: The appraisal of body-cathexis: Body-cathexis and the self.Journal of Consulting Psychology. 1953,17:343–347.

    Article  PubMed  CAS  Google Scholar 

  53. Cooper PJ, Taylor MJ, Cooper Z, Fairburn CG: The development and validation of the Body Shape Questionnaire.International Journal of Eating Disorders. 1987,6:485–494.

    Article  Google Scholar 

  54. Cash TF, Lewis RJ, Keeton WP: Development and validation of the Body-Image Automatic Thoughts Questionnaire: A measure of body-related conditions. Southeastern Psychological Association, Atlanta, GA, 1987.

    Google Scholar 

  55. Collins ME: Body figure perceptions and preferences among preadolescent children.International Journal of Eating Disorders. 1991,10:199–208.

    Article  Google Scholar 

  56. Altabe M, Thompson JK: Clinical correlates of body image discrepancy indices. Unpublished Manuscript, 1990, University of South Florida.

  57. Casper RC, Offer D: Weight and dieting concerns in adolescents, fashion or symptom.Pediatrics. 1990,86:384–390.

    PubMed  CAS  Google Scholar 

  58. Desmond SM, Price JH, Hallinan C, Smith D: Black and White adolescents’ perceptions of their weight.Journal of School Health. 1989,59:353–358.

    Article  PubMed  CAS  Google Scholar 

  59. Brown KM, Schreiber GB, McMahon RP, Crawford P, Ghee KL: Maternal influences on body satisfaction in Black and White girls aged 9 and 10: The NHLBI Growth and Health Study (NGHS).Annals of Behavioral Medicine. 1995,17:213–220.

    Google Scholar 

  60. Stunkard AJ, Sorensen T, Schulsinger F: Use of the Danish Adoption Register for the study of obesity and thinness. In Kety SS, Rowland LP, Sidman RL, Matthysse SW (eds),Genetics of Neurological and Psychiatric Disorders. New York: Raven Press, 1983, 115–120.

    Google Scholar 

  61. Williamson DA, Kelley ML, Davis CJ, Ruggiero L, Blouin DC: Psychopathology of eating disorders: A controlled comparison of bulimic, obese, and normal subjects.Journal of Consulting and Clinical Psychology. 1985,53:161–166.

    Article  PubMed  CAS  Google Scholar 

  62. Bell C, Kirkpatrick SW, Rinn RC: Body image of anorexic, obese, and normal females.Journal of Clinical Psychology. 1986,42:431–439.

    Article  PubMed  CAS  Google Scholar 

  63. Haimovitz D, Lansky LM, O’Reilly P: Fluctuations in body satisfaction across situations.International Journal of Eating Disorders. 1993,13:77–84.

    Article  PubMed  CAS  Google Scholar 

  64. Singh D: Body fat distribution and perception of desirable female body shape by young Black men and women.International Journal of Eating Disorders. 1994,16:289–294.

    Article  PubMed  CAS  Google Scholar 

  65. Harrison GG: Height-weight tables.Annals of Internal Medicine. 1985,103:989–994.

    PubMed  CAS  Google Scholar 

  66. Kumanyika S: Obesity in Black women.Epidemiologic Reviews. 1987,9:31–50.

    PubMed  CAS  Google Scholar 

  67. Stewart AL, Brook RH: Effect of being overweight.American Journal of Public Health. 1983,73:171–178.

    Article  PubMed  CAS  Google Scholar 

  68. Brownell KD: Obesity: Understanding and treating a serious, prevalent, and refractory disorder.Journal of Consulting and Clinical Psychology. 1982,50:820–840.

    Article  PubMed  CAS  Google Scholar 

  69. Rowland ML: Self-reported weight and height.American Journal of Clinical Nutrition. 1990,52:1125–1133.

    PubMed  CAS  Google Scholar 

  70. National Center for Health Statistics:Plan and Operation of the National Health and Nutrition Examination Survey, 1976–80. Washington, DC: U.S. Public Health Service, 1981.

    Google Scholar 

  71. Metropolitan Life Insurance Company: 1983 Metropolitan height and weight tables.Statistical Bulletin. 1983,64:1–9.

    Google Scholar 

  72. Build Study 1979. Chicago: Society of Actuaries and Association of Life Insurance Medical Directors of America, 1980.

  73. Massara EB, Stunkard AJ: A method of quantifying cultural ideals of beauty and the obese.International Journal of Obesity. 1979,3:149–152.

    PubMed  CAS  Google Scholar 

  74. Lawrence CM, Thelen MH: Body image, dieting, and self-concept: Their relation in African-American and Caucasian children.Journal of Clinical Child Psychology. 1995,24:41–48.

    Article  Google Scholar 

  75. Manson JE, Willett WC, Stampfer MJ, et al: Body weight and mortality among women.New England Journal of Medicine. 1995,333:677–685.

    Article  PubMed  CAS  Google Scholar 

  76. Gartside P, Khoury P, Glueck C: Determinants of high-density lipoprotein cholesterol in Blacks and Whites: The second National Health and Nutrition Examination Survey.American Heart Journal. 1984,108:641–653.

    Article  PubMed  CAS  Google Scholar 

  77. Burton L: Teenage childbearing as an alternative life-course strategy in multigenerational Black families.Human Nature. 1990,1:123–143.

    Article  Google Scholar 

  78. Brownell KD: Dieting and the search for the perfect body: Where physiology and culture collide.Behavior Therapy. 1991,22:1–12.

    Article  Google Scholar 

  79. Striegel-Moore RH, Silberstein LR, Rodin J: Toward an understanding of risk factors for bulimia.American Psychologist. 1986,41:246–263.

    Article  PubMed  CAS  Google Scholar 

  80. Rodin J: Cultural and psychosocial determinants of weight concerns.Annals of Internal Medicine. 1993,119:643–645.

    PubMed  CAS  Google Scholar 

  81. Hill J, Dorton J, Sykes MN, Digirolamo M: Reversibility of dietary obesity is influenced by its duration and severity.International Journal of Obesity. 1989,13:711–722.

    PubMed  CAS  Google Scholar 

  82. Frisancho AR, Flegel PN: Elbow breadth as a measure of frame size for U.S. males and females.American Journal of Clinical Nutrition. 1983,37:311–314.

    PubMed  CAS  Google Scholar 

  83. Yancey A: Black and proud of our bodies.Heart and Soul. 1996,Dec–Jan:44–49.

    Google Scholar 

  84. Ikeda JP: Effective weight loss strategies for Black women.Journal of the American Dietetic Association. 1993,93:1252.

    Article  PubMed  CAS  Google Scholar 

  85. Rosen EF, Brown A, Braden J, et al: African-American males prefer a larger female body silhouette than do Whites.Bulletin of the Psychonomic Society. 1993,31:599–601.

    Google Scholar 

  86. Franzoi SL, Shields SA: The Body Esteem Scale: Multidimensional structure and sex differences in a college population.Journal of Personality Assessment. 1984,48:173–178.

    Article  PubMed  CAS  Google Scholar 

  87. Offer D, Ostrov E, Howard KI.The Adolescent: A Psychological Self-Portrait. New York: Basic Books, 1981.

    Google Scholar 

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  1. Department of Psychiatry and Behavioral Sciences, Northwestern University Medical School, 303 East Ohio Avenue, Suite 550, 60611, Chicago, IL

    Kristin J. Flynn & Marian Fitzgibbon

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  1. Kristin J. Flynn
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  2. Marian Fitzgibbon
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We thank Walter Burke, Ph.D., Richard Carroll, Ph.D., Mary Avellone, Ph.D., and the anonymous reviewers for their helpful comments on earlier drafts of this manuscript.

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Flynn, K.J., Fitzgibbon, M. Body images and obesity risk among Black females: A review of the literature. ann. behav. med. 20, 13–24 (1998). https://doi.org/10.1007/BF02893804

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