PERCEIVED BODY IMAGE AND ITS RELATIONSHIP WITH BODY MASS INDEX, SELF-ESTEEM, BODY CHANGE STRATEGY, AND SOCIAL NETWORK USAGE AMONG RURAL ADOLESCENTS IN SARAWAK, MALAYSIA

  • WON LIANG TUNG Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, Malaysia
  • MD MIZANUR RAHMAN 1Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Samarahan, Sarawak, Malaysia
Keywords: Body image, Body change strategy, Self-esteem, Social network usage, Sarawak, Malaysia

Abstract

Body image is a complex and multifaceted construct with multiple associated factors determining its perception among adolescents. This study aimed to determine the perceived body image and its relationship with body mass index, self-esteem, body change strategy, and social network usage among rural adolescents. This study was a cross-sectional study design using a multistage random sampling technique to select adolescents aged 10 to 19 years. A total of 318 adolescents’ data were collected using a self-administered questionnaire. Data analysis was done using SPSS version 22.0 with a p-value of <0.05 was considered statistically significant. The mean (SD) age of adolescents was 14.6 (2.7) years with a male and female ratio of 1.09:1. The mean score (SD) of perceived body image was 3.63 (0.87). Multiple linear regression analysis revealed that gender, body mass index, and strategy to increase weight could predict perceived body image among adolescents. However, self-esteem did not correlate with perceived body image. Although, the body image dissatisfaction level was low among rural adolescents compared to other studies in Malaysia. However, it can still pose a threat to adolescents’ health if not addressed accordingly.

References

Grogan S. Body Image: Understanding Body Dissatisfaction in Men, Women and Children: Third Edition.; 2017.

Thompson K. The (mis)measurement of body image: ten strategies to improve assessment for applied and research purposes. Body Image. 2004;1(1):7-14. doi:10.1016/S1740-1445(03)00004-4

Cash T. Multidimensional Body–Self Relations Questionnaire (MBSRQ). In: Wade T, ed. Encyclopedia of Feeding and Eating Disorders. Springer Singapore; 2016:1-4. doi:10.1007/978-981-287-087-2_3-1

Markey C. Invited Commentary: Why Body Image is Important to Adolescent Development. J Youth Adolesc. 2010;39(12):1387-1391. doi:10.1007/s10964-010-9510-0

Clay D, Vignoles V, Dittmar H. Body Image and Self‐Esteem Among Adolescent Girls: Testing the Influence of Sociocultural Factors. J Res Adolesc. 2005; 15:451-477. doi:10.1111/j.1532-7795.2005. 00107.x

Bratland-Sanda S, Sundgot-Borgen J. Symptoms of eating disorders, drive for muscularity and physical activity among Norwegian adolescents. Eur Eat Disord Rev. 2012;20(4):287-293. doi:10.1002/erv.1156

Hoffmann S, Warschburger P. Weight, shape, and muscularity concerns in male and female adolescents: Predictors of change and influences on eating concern. Int J Eat Disord. 2017;50(2):139-147. doi:10.1002/eat.22635

Jankauskiene R, Baceviciene M. Body Image Concerns and Body Weight Overestimation Do Not Promote Healthy Behaviour: Evidence from Adolescents in Lithuania. Int J Env Res Public Health. 2019;16(5). doi:10.3390/ijerph16050864

McCreary D, Sasse D. An exploration of the drive for muscularity in adolescent boys and girls. J Am Coll Health. 2000;48(6):297-304. doi:10.1080/07448480009596271

Zhang Y, Wang Z, Wang M, Xie L. Prevalence of thinness among children and adolescents in Shandong, China. Eur J Nutr. 2016;55(2):809-813. doi:10.1007/s00394-015-0902-5

Mooney E, Farley H, Strugnell C. A qualitative investigation into the opinions of adolescent females regarding their body image concerns and dieting practices in the Republic of Ireland (ROI). Appetite. 2009;52(2):485-491. doi:10.1016/j.appet.2008.12.012

Cheah WL, Hazmi H, Chang CT. Disordered eating and body image issues and their associated factors among adolescents in urban secondary schools in Sarawak, Malaysia. Int J Adolesc Med Health. 2017;29(2). doi:10.1515/ijamh-2015-0044

Farah Wahida Z, Mohd Taib MN, Abu Saad H. Physical activity, eating behaviour and body image perception among young adolescents in Kuantan, Pahang, Malaysia. Malays J Nutr. 2011;17(3):325-336.

Japil A, Mustapha M, Guan TE. Body Dissatisfaction among Male and Female Adolescents. 2018;1:1-7.

Khor GL, Mohd Shariff Z, Phan YY, Ang M, Maznah B, Abdul Karim N. Perceptions of body image among Malaysian male and female adolescents. Singapore Med J. 2009;50(3):303-311.

Omar Dev R, Permal V, Omar Fauzee MS. Rural urban differences in body image perception, body mass index and dieting behaviour among Malay Adolescent Malaysian schoolgirls. Eur J Sci Res. 2009;34:69-82.

Soo KL, Mohd Shariff Z, Mohd Taib MN, Abu Samah B. Eating behaviour, body image, and self-esteem of adolescent girls in Malaysia. Percept Mot Ski. 2008;106(3):833-844. doi:10.2466/pms.106.3.833-844

Maezono J, Hamada S, Sillanmaki L, et al. Cross-cultural, population-based study on adolescent body image and eating distress in Japan and Finland. Scand J Psychol. 2019;60(1):67-76. doi:10.1111/sjop.12485

Allen D, Belcher H, Young A, Gibson LW, Colantuoni E, Trent M. BMI, Body Image, Emotional Well-Being and Weight-Control Behaviors in Urban African American Adolescents. Int J Child Health Nutr. 2016;5(3):55-104.

del Mar Bibiloni M, Pich J, Pons A, Tur J. Body image and eating patterns among adolescents. BMC Public Health. 2013;13:1104. doi:10.1186/1471-2458-13-1104

Cruz-Saez S, Pascual A, Wlodarczyk A, Echeburua E. The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents. J Health Psychol. Published online August 11, 2018:1359105317748734. doi:10.1177/1359105317748734

Gaddad P, Pemde HK, Basu S, Dhankar M, Rajendran S. Relationship of physical activity with body image, self esteem sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. J Fam Med Prim Care. 2018;7(4):775-779. doi:10.4103/jfmpc.jfmpc_114_18

Lee J, Lee Y. The association of body image distortion with weight control behaviors, diet behaviors, physical activity, sadness, and suicidal ideation among Korean high school students: a cross-sectional study. BMC Public Health. 2016;16:39. doi:10.1186/s12889-016-2703-z

Mitchison D, Hay P, Griffiths S, et al. Disentangling body image: The relative associations of overvaluation, dissatisfaction, and preoccupation with psychological distress and eating disorder behaviors in male and female adolescents. Int J Eat Disord. 2017;50(2):118-126. doi:10.1002/eat.22592

Schuck K, Munsch S, Schneider S. Body image perceptions and symptoms of disturbed eating behavior among children and adolescents in Germany. Child Adolesc Psychiatry Ment Health. 2018;12:10. doi:10.1186/s13034-018-0216-5

Wichstrøm L, von Soest T. Reciprocal relations between body satisfaction and self-esteem: A large 13-year prospective study of adolescents. J Adolesc. 2016;47:16-27. doi:10.1016/j.adolescence.2015.12.003

Kaewpradub N, Kiatrungrit K, Hongsanguansri S, Pavasuthipaisit C. Association Among Internet Usage, Body Image and Eating Behaviors of Secondary School Students. Shanghai Arch Psychiatry. 2017;29(4):208-217. doi:10.11919/j.issn.1002-0829.216092

Rezali FW, Chin YS, Mohd Yusof BN. Obesity-related behaviors of Malaysian adolescents: a sample from Kajang district of Selangor state. Nutr Res Pract. 2012;6(5):458-465. doi:10.4162/nrp.2012.6.5.458

World Health Organization. Body mass index - BMI. Accessed May 28, 2020. http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi

Kantanista A, Krol-Zielinska M, Borowiec J, Osinski W. Is underweight Associated with more Positive Body Image? Results of a Cross-Sectional Study in Adolescent Girls and Boys. Span J Psychol. 2017;20:E8. doi:10.1017/sjp.2017.4

Abdul Latiff A, Muhamad J, Abdul Rahman R. Body image dissatisfaction and its determinants among young primary-school adolescents. J Taibah Univ Med Sci. 2018;13(1):34-41. doi:10.1016/j.jtumed.2017.07.003

Canpolat BI, Orsel S, Akdemir A, Ozbay H. The relationship between dieting and body image, body ideal, self-perception, and body mass index in Turkish adolescents. Int J Eat Disord. 2005;37(2):150-155. doi:10.1002/eat.20081

Rosenberg M. The association between self-esteem and anxiety. J Psychiatr Res. 1962;1:135-152. doi:10.1016/0022-3956(62)90004-3

Makinen M, Puukko-Viertomies L-R, Lindberg N, Siimes M, Aalberg V. Body dissatisfaction and body mass in girls and boys transitioning from early to mid-adolescence: additional role of self-esteem and eating habits. BMC Psychiatry. 2012;12:35. doi:10.1186/1471-244X-12-35

Singh M, Ashok L, Binu VS, Parsekar S, Bhumika TV. Adolescents and Body Image: A Cross Sectional Study. Indian J Pediatr. 2015;82(12):1107-1111. doi:10.1007/s12098-015-1768-5

Morin A, Maiano C, Marsh H, Janosz M, Nagengast B. The Longitudinal Interplay of Adolescents’ Self-Esteem and Body Image: A Conditional Autoregressive Latent Trajectory Analysis. Multivar Behav Res. 2011;46(2):157-201. doi:10.1080/00273171.2010.546731

Paxton S, Neumark-Sztainer D, Hannan P, Eisenberg M. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin Child Adolesc Psychol. 2006;35(4):539-549. doi:10.1207/s15374424jccp3504_5

Tiggemann M. Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image. 2005;2(2):129-135. doi:10.1016/j.bodyim.2005.03.006

Paxton S, Eisenberg M, Neumark-Sztainer D. Prospective predictors of body dissatisfaction in adolescent girls and boys: A five-year longitudinal study. Dev Psychol. 2006;42:888-899. doi:10.1037/0012-1649.42.5.888

Oxford Learners Dictionaries. Social-networking. Accessed August 14, 2020. https://www.oxfordlearnersdictionaries.com/definition/english/social-networking?q=social+networking

Derenne J, Beresin E. Body Image, Media, and Eating Disorders-a 10-Year Update. Acad Psychiatry J Am Assoc Dir Psychiatr Resid Train Assoc Acad Psychiatry. 2018;42(1):129-134. doi:10.1007/s40596-017-0832-z

de Vries D, Peter J, de Graaf H, Nikken P. Adolescents’ Social Network Site Use, Peer Appearance-Related Feedback, and Body Dissatisfaction: Testing a Mediation Model. J Youth Adolesc. 2016;45(1):211-224. doi:10.1007/s10964-015-0266-4

Ho S, Lee E, Liao Y. Social Network Sites, Friends, and Celebrities: The Roles of Social Comparison and Celebrity Involvement in Adolescents’ Body Image Dissatisfaction. Soc Media Soc. 2016;2(3):2056305116664216. doi:10.1177/2056305116664216

McCabe M, Ricciardelli L. Body image and body change techniques among young adolescent boys. Eur Eat Disord Rev. 2001;9:335-347. doi:10.1002/erv.389

Moore D. Body image and eating behavior in adolescent girls. Am J Child. 1988;142(10):1114-1118. doi:10.1001/archpedi.1988.02150100108038

Mellor D, Ricciardelli L, McCabe M, Yeow J, Mamat N, Hapidzal N. Psychosocial Correlates of Body Image and Body Change Behaviors Among Malaysian Adolescent Boys and Girls. Sex Roles. 2010;63:386-398. doi:10.1007/s11199-010-9812-4

Department of Statistics Malaysia. Population Distribution and Basic Demographic Characteristics.; 2010.

Ricciardelli L, McCabe M. Psychometric evaluation of the Body Change Inventory: An assessment instrument for adolescent boys and girls. Eat Behav. 2002;3(1):45-59. doi:10.1016/S1471-0153(01)00044-7

Li L, Yn L, Huey T, et al. Construct Validity and Reliability of Rosenberg Self-Esteem Scale-Malay (RSES-M) Among Upper Secondary School Students in Malaysia. Malays J Med Health Sci. 2019;15(2):32-38.

Hair J, Anderson R, Babin B, Black W. Multivariate Data Analysis. 7th edition. Pearson Education Inc.; 2009.

Cooper J. Introduction to Data Management. Statistical Associates Publishers; 2015. http://www.statisticalassociates.com/datamanagement.pdf

IBM SPSS. IBM SPSS Statistics for Windows. IBM SPSS; 2013.

Sharma A. Understanding Mahalanobis Distance And Its Use Cases. Analytics India Magazine. Published July 10, 2018. Accessed June 10, 2019. https://www.analyticsindiamag.com/understanding-mahalanobis-distance-and-its-use-cases/

McCabe M, Fuller-Tyszkiewicz M, Mellor D, Ricciardelli L, Skouteris H, Mussap A. Body satisfaction among adolescents in eight different countries. J Health Psychol. 2011;17:693-701. doi:10.1177/1359105311425274

Uba I, Yaacob SN, Juhari R, Talib MA. Effect of Self-Esteem on the Relationship between Depression and Bullying among Teenagers in Malaysia. Asian Soc Sci. 2010;6(12):p77. doi:10.5539/ass.v6n12p77

McCabe M, Ricciardelli L, Holt K. Are there different sociocultural influences on body image and body change strategies for overweight adolescent boys and girls? Eat Behav. 2010;11(3):156-163. doi:10.1016/j.eatbeh.2010.01.005

McCabe M, Ricciardelli L. Sociocultural influences on body image and body changes among adolescent boys and girls. J Soc Psychol. 2003;143(1):5-26. doi:10.1080/00224540309598428

Santarossa S, Woodruff S. #SocialMedia: Exploring the Relationship of Social Networking Sites on Body Image, Self-Esteem, and Eating Disorders. Soc Media Soc. 2017;3(2):2056305117704407. doi:10.1177/2056305117704407

Nederhof A. Methods of coping with social desirability bias: A review. Eur J Soc Psychol. 1985;15(3):263-280. doi:10.1002/ejsp.2420150303

Published
2021-04-24
How to Cite
LIANG TUNG, W., & MD MIZANUR RAHMAN. (2021). PERCEIVED BODY IMAGE AND ITS RELATIONSHIP WITH BODY MASS INDEX, SELF-ESTEEM, BODY CHANGE STRATEGY, AND SOCIAL NETWORK USAGE AMONG RURAL ADOLESCENTS IN SARAWAK, MALAYSIA. Malaysian Journal of Public Health Medicine, 21(1), 198-207. https://doi.org/10.37268/mjphm/vol.21/no.1/art.781