Social cure model: testing the link between identity centrality and body appreciation in diverse sexual orientation and gender identity groups.


Journal

International journal for equity in health
ISSN: 1475-9276
Titre abrégé: Int J Equity Health
Pays: England
ID NLM: 101147692

Informations de publication

Date de publication:
18 Sep 2024
Historique:
received: 26 04 2024
accepted: 05 09 2024
medline: 19 9 2024
pubmed: 19 9 2024
entrez: 18 9 2024
Statut: epublish

Résumé

The level of experienced sociocultural pressure to have an idealized body can vary depending on a person's gender identity and sexual orientation. The current study explored whether differences in levels of body appreciation among people with different sexual orientations and gender identities vary because of differing levels of experienced pressure by in-group members and varying levels of experienced hostile behaviors because of their looks or body. Thereby, the study tests the social cure model, according to which high levels of identity centrality are associated with better mental health. An online cross-sectional questionnaire study was conducted with 1,587 people (51.3% cisgender women, 39.3% cisgender men, 9.5% non-binary; 52.9% identified as heterosexual, 27.7% identified as bisexual/pansexual, 11.2% identified as gay/lesbian, 8.2% identified as asexual/demi/queer; M Non-binary persons reported lower levels of body appreciation than did cisgender men and sexual minority persons reported lower levels of body appreciation than did heterosexual persons. Furthermore, sexual minority persons experienced more hostile behaviors directed towards them because of their looks or body than did heterosexual persons. Similarly, non-binary persons experienced more hostile behaviors than did men. Non-binary persons were subjected to lower levels of in-group pressure than were men. Gay/lesbian persons and asexual persons were subjected to lower levels of in-group pressure than were heterosexual persons. More hostile behaviors and stronger in-group pressure were related to lower body appreciation. In cisgender women and men indirect links revealed associations between strong identity centrality and low levels of body appreciation through the mediator of high in-group pressure. Data in sexual minority individuals or non-binary persons supported the social cure model, according to which persons can find support and validation for their looks and body from in-group members. In cisgender women and men, strong identification as a woman or man can be related to stronger in-group pressure and in turn to lower body appreciation.

Sections du résumé

BACKGROUND BACKGROUND
The level of experienced sociocultural pressure to have an idealized body can vary depending on a person's gender identity and sexual orientation. The current study explored whether differences in levels of body appreciation among people with different sexual orientations and gender identities vary because of differing levels of experienced pressure by in-group members and varying levels of experienced hostile behaviors because of their looks or body. Thereby, the study tests the social cure model, according to which high levels of identity centrality are associated with better mental health.
METHODS METHODS
An online cross-sectional questionnaire study was conducted with 1,587 people (51.3% cisgender women, 39.3% cisgender men, 9.5% non-binary; 52.9% identified as heterosexual, 27.7% identified as bisexual/pansexual, 11.2% identified as gay/lesbian, 8.2% identified as asexual/demi/queer; M
RESULTS RESULTS
Non-binary persons reported lower levels of body appreciation than did cisgender men and sexual minority persons reported lower levels of body appreciation than did heterosexual persons. Furthermore, sexual minority persons experienced more hostile behaviors directed towards them because of their looks or body than did heterosexual persons. Similarly, non-binary persons experienced more hostile behaviors than did men. Non-binary persons were subjected to lower levels of in-group pressure than were men. Gay/lesbian persons and asexual persons were subjected to lower levels of in-group pressure than were heterosexual persons. More hostile behaviors and stronger in-group pressure were related to lower body appreciation. In cisgender women and men indirect links revealed associations between strong identity centrality and low levels of body appreciation through the mediator of high in-group pressure.
CONCLUSIONS CONCLUSIONS
Data in sexual minority individuals or non-binary persons supported the social cure model, according to which persons can find support and validation for their looks and body from in-group members. In cisgender women and men, strong identification as a woman or man can be related to stronger in-group pressure and in turn to lower body appreciation.

Identifiants

pubmed: 39294616
doi: 10.1186/s12939-024-02268-3
pii: 10.1186/s12939-024-02268-3
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

185

Subventions

Organisme : Medizinische Universität Innsbruck
ID : MUI-START, Project 2022-1-2

Informations de copyright

© 2024. The Author(s).

Références

Grogan S. Body image: understanding body dissatisfaction in men, women and children. New York: Routledge; 2016.
doi: 10.4324/9781315681528
Tylka TL, Wood-Barcalow NL. The body appreciation Scale-2: item refinement and psychometric evaluation. Body Image. 2015;12:53–67. https://doi.org/10.1016/j.bodyim.2014.09.006 .
doi: 10.1016/j.bodyim.2014.09.006 pubmed: 25462882
McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004;56(6):675–85. https://doi.org/10.1016/S0022-3999(03)00129-6 .
doi: 10.1016/S0022-3999(03)00129-6 pubmed: 15193964
He J, Sun S, Zickgraf HF, Lin Z, Fan X. Meta-analysis of gender differences in body appreciation. Body Image. 2020;33:90–100. https://doi.org/10.1016/j.bodyim.2020.02.011 .
doi: 10.1016/j.bodyim.2020.02.011 pubmed: 32151993
Swami V, Tran US, Stieger S, Aavik T, Ranjbar HA, Adebayo SO, Afhami R, Ahmed O, Aimé A, Akel M, et al. Body appreciation around the world: measurement invariance of the body appreciation Scale-2 (BAS-2) across 65 nations, 40 languages, gender identities, and age. Body Image. 2023;46:449–66. https://doi.org/10.1016/j.bodyim.2023.07.010 .
doi: 10.1016/j.bodyim.2023.07.010 pubmed: 37582318
He J, Sun S, Lin Z, Fan X. Body dissatisfaction and sexual orientations: a quantitative synthesis of 30 years research findings. Clin Psychol Rev. 2020. https://doi.org/10.1016/j.cpr.2020.101896 . 81:Artcile 101896.
doi: 10.1016/j.cpr.2020.101896 pubmed: 32835956
Muzi L, Nardelli N, Naticchioni G, Mazzeschi C, Baiocco R, Lingiardi V. Body uneasiness and dissatisfaction among lesbian, gay, bisexual, and heterosexual persons. Sex Res Social Policy. 2023;20:1288–303. https://doi.org/10.1007/s13178-023-00805-3 .
doi: 10.1007/s13178-023-00805-3
Mahon C, Fitzgerald A, O’Reilly A, McDermott C, O’Connor C, Dooley B. An exploratory investigation of body esteem, body dissatisfaction and body change behaviours in sexual minority young adults from a risk and protective perspective. Psychol Sex. 2023;14(2):351–70. https://doi.org/10.1080/19419899.2022.2130084 .
doi: 10.1080/19419899.2022.2130084
Dahlenburg SC, Gleaves DH, Kavanagh PS, Hutchinson AD. Internalization of a thin ideal and body dissatisfaction in lesbian and heterosexual women: testing a moderated mediation model. Psychol Sex Orientat Gend Divers 2023:Advance online publication. https://doi.org/10.1037/sgd0000688
Linardon J, McClure Z, Tylka TL, Fuller-Tyszkiewicz M. Body appreciation and its psychological correlates: a systematic review and meta-analysis. Body Image. 2022. https://doi.org/10.1016/j.bodyim.2022.07.003 . 42:287 – 96.
doi: 10.1016/j.bodyim.2022.07.003 pubmed: 36113280 pmcid: 9933246
Jetten J, Haslam SA, Cruwys T, Greenaway KH, Haslam C, Steffens NK. Advancing the social identity approach to health and well-being: progressing the social cure research agenda. Eur J Soc Psychol. 2017;47(7):789–802. https://doi.org/10.1002/ejsp.2333 .
doi: 10.1002/ejsp.2333
Hinton JDX, de la Piedad Garcia X, Kaufmann LM, Koc Y, Anderson JR. A systematic and meta-analytic review of identity centrality among LGBTQ groups: an assessment of psychosocial correlates. J Sex Res. 2022;59(5):568–86. https://doi.org/10.1080/00224499.2021.1967849 .
doi: 10.1080/00224499.2021.1967849 pubmed: 34448656
Gerrard O, Galli N, Santurri L, Franklin J. Examining body dissatisfaction in college men through the exploration of appearance anxiety and internalization of the mesomorphic ideal. J Am Coll Health. 2021;69(5):560–6. https://doi.org/10.1080/07448481.2019.1704412 .
doi: 10.1080/07448481.2019.1704412 pubmed: 31928371
Worthen MGF. Hetero-cis–normativity and the gendering of transphobia. Int J Transgend. 2016;17(1):31–57. https://doi.org/10.1080/15532739.2016.1149538 .
doi: 10.1080/15532739.2016.1149538
Cordes M, Vocks S, Hartmann AS. Appearance-related partner preferences and body image in a German sample of homosexual and heterosexual women and men. Arch Sex Behav. 2021;50:3575–86. https://doi.org/10.1007/s10508-021-02087-5 .
doi: 10.1007/s10508-021-02087-5 pubmed: 34713429 pmcid: 8604814
Bennett EV, Hurd LC, Pritchard EM, Colton T, Crocker PRE. An examination of older men’s body image: how men 65 years and older perceive, experience, and cope with their aging bodies. 2020; 34:27–37. https://doi.org/10.1016/j.bodyim.2020.04.005
Clarke LH, Griffin M. Becoming and being gendered through the body: older women, their mothers and body image. 2007; 27(5):701–18. https://doi.org/10.1017/S0144686X0700623X
Bennett EV, Welch KA, Fischer OJ. I tried to appreciate it in a different way: older lesbian, bisexual, and queer women’s body image and embodiment across the life course. 2024; 48:Article 101653. https://doi.org/10.1016/j.bodyim.2023.101653
Slevin KF, Linneman TJ. Old gay men’s bodies and masculinities. 2010; 12(4):483–507. https://doi.org/10.1177/1097184X08325225
Schaller SL, Kvalem IL, Træen B. Constructions of sexual identities in the ageing body: a qualitative exploration of older Norwegian adults’ negotiation of body image and sexual satisfaction. 2023; 27:1369–402. https://doi.org/10.1007/s12119-023-10067-1
Malik M, Grogan S, Cole J, Gough B. Men’s reflections on their body image at different life stages: a thematic analysis of interview accounts from middle-aged men. 2021; 26(8):1222–32. https://doi.org/10.1177/1359105319871640
Callen K. Disabled sexualities: a theoretical review of sociological approaches and a call to problematize the normative/non-normative dialectic. 2020:136346072097389. https://doi.org/10.1177/1363460720973892
Frederick DA, Pila E, Malcarne VL, Compte EJ, Nagata JM, Best CR, Cook-Cottone CP, Brown TA, Convertino L, Crerand CE, et al. Demographic predictors of objectification theory and tripartite influence model constructs: the US Body Project I. Body Image. 2022;40:182–99. https://doi.org/10.1016/j.bodyim.2021.12.012 .
doi: 10.1016/j.bodyim.2021.12.012 pubmed: 34972020
Sundgot-Borgen C, Sundgot-Borgen J, Bratland-Sanda S, Kolle E, Torstveit MK, Svantorp-Tveiten KME, Mathisen TF. Body appreciation and body appearance pressure in Norwegian university students comparing exercise science students and other students. BMC Public Health. 2021;21(1):Article532. https://doi.org/10.1186/s12889-021-10550-0 .
doi: 10.1186/s12889-021-10550-0
Pedersen L, Hicks RE, Rosenrauch S. Sociocultural pressure as a mediator of eating disorder symptoms in a non-clinical Australian sample. Cogent Psychol. 2018;5(1). https://doi.org/10.1080/23311908.2018.1523347 . Article 1523347.
Ogle JP, Johnson AN, Reddy-Best KL, Harmon J, Morris K, Kittersong P. A qualitative exploration of positive body image experiences among nonbinary individuals. 2023; 47:Article 101632. https://doi.org/10.1016/j.bodyim.2023.101632
Richards C, Bouman WP, Seal L, Barker MJ, Nieder TO, T’Sjoen G. Non-binary or genderqueer genders. Int Rev Psychiatry. 2016;28(1):95–102. https://doi.org/10.3109/09540261.2015.1106446 .
doi: 10.3109/09540261.2015.1106446 pubmed: 26753630
Becker I, Nieder TO, Cerwenka S, Briken P, Kreukels BPC, Cohen-Kettenis PT, Cuypere G, Haraldsen IRH, Richter-Appelt H. Body image in young gender dysphoric adults: a European multi-center study. Arch Sex Behav. 2016;45(3):559–74. https://doi.org/10.1007/s10508-015-0527-z .
doi: 10.1007/s10508-015-0527-z pubmed: 25836027
Schaeff C. Assigned-female-at-birth trans masculine and non-binary individuals differ in their body satisfaction and desire for gender affirming treatments. Arch Sex Behav. 2022;51:2037–47. https://doi.org/10.1007/s10508-021-02178-3 .
doi: 10.1007/s10508-021-02178-3 pubmed: 35099654
Ünsal BC, Ar-Karci Y, Demetrovics Z, Reinhardt M. Structural stigma, gender-affirming interventions, and identity concealment as determinants of depression and life satisfaction among trans adults in 28 European countries. Int J Transgend Health. 2024. https://doi.org/10.1080/26895269.2024.2310533 . Advance online publication.
Pecini C, Guizzo F, Bonache H, Borges-Castells N, Morera MD, Vaes J. Sexual objectification: advancements and avenues for future research. Curr Opin Behav Sci. 2023;50. https://doi.org/10.1016/j.cobeha.2023.101261 . :Article 101261.
Martins Y, Tiggemann M, Kirkbride A. Those speedos become them: the role of self-objectification in gay and heterosexual men’s body image. Pers Soc Psychol Bull. 2007;33(5):634–47. https://doi.org/10.1177/0146167206297403 .
doi: 10.1177/0146167206297403 pubmed: 17440202
Engeln-Maddox R, Miller SA, Doyle DM. Tests of Objectification Theory in Gay, Lesbian, and Heterosexual Community samples: mixed evidence for proposed pathways. Sex Roles. 2011;65(7–8):518–32. https://doi.org/10.1007/s11199-011-9958-8 .
doi: 10.1007/s11199-011-9958-8
Salim SR, Ortiz SN, Smith A, Messman T. Antibisexual stigma and sexual objectification prospectively associated with disordered eating among cisgender bisexual women. 2024:Advance online publication. https://doi.org/10.1037/sgd0000703
Calogero RM. A test of objectification theory: the effect of the male gaze on appearance cncerns in college women. Psychol Women Q. 2004;28(1):16–21. https://doi.org/10.1111/j.1471-6402.2004.00118.x .
doi: 10.1111/j.1471-6402.2004.00118.x
Kahalon R, Hässler T, Eisner L. Self-objectification endorsement among heterosexual and sexual minority people and its association with negative affect and substance use. Psychol Sex Orientat Gend Divers. 2024. https://doi.org/10.1037/sgd0000701 . Advance online publication.
doi: 10.1037/sgd0000701
Pradell L, Parmenter JG, Galliher RV, Wong EG, Rowley L, Huenemann H, South S. The sexual objectification experiences of non-binary people: embodied impacts and acts of resistance. Sex Roles. 2024;Advance online publication. https://doi.org/10.1007/s11199-024-01447-4 .
Bernstein DL. Evaluating the relationships between sexual orientation, weight-related teasing, weight bias internalization, and binge eating. Psychol Sex Orientat Gend Divers. 2023;10(4):675–85. https://doi.org/10.1037/sgd0000576 .
doi: 10.1037/sgd0000576
Nowicki GP, Marchwinski BR, O’Flynn JL, Griffths S, Rodgers RF. Body image and associated factors among sexual minority men: a systematic review. Body Image. 2022. https://doi.org/10.1016/j.bodyim.2022.08.006 . 43:154 – 69.
doi: 10.1016/j.bodyim.2022.08.006 pubmed: 36150358
Voyles CH, Orne J, Sell RL, ‘Yeah. I’m gay, but I’m strong.’ Physicality, physicalness, and sport persistence among sexual minority college students. 2023:1–21. https://doi.org/10.1080/19361653.2023.2245394
Frost DM, Meyer IH. Measuring community connectedness among diverse sexual minority populations. J Sex Res. 2012;49(1):36–49. https://doi.org/10.1080/00224499.2011.565427 .
doi: 10.1080/00224499.2011.565427 pubmed: 21512945
Frost DM, Meyer IH. Minority stress theory: Application, critique, and continued relevance. 2023; 51:Article 101579. https://doi.org/10.1016/j.copsyc.2023.101579
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Sex Orientat Gend Divers. 2013;1(S):3–26. https://doi.org/10.1037/2329-0382.1.S.3 .
doi: 10.1037/2329-0382.1.S.3
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003;129(5):674–97. https://doi.org/10.1037/0033-2909.129.5.674 .
doi: 10.1037/0033-2909.129.5.674 pubmed: 12956539 pmcid: 2072932
Wedell E, Bettergarcia JN, Thomson BR, Shrewsbury AM. Age moderates the association of community connectedness and psychological distress among LGBTQ + youth and adults. J Homosex. 2024;71(3):722–40. https://doi.org/10.1080/00918369.2022.2132573 .
doi: 10.1080/00918369.2022.2132573 pubmed: 36228152
Lim G, Bourne A, Hill A, McNair R, Lyons A, Amos N. Community connection is associated with lower psychological distress for sexual minority women who view community connection positively. Cult Health Sex. 2023;Advance online publication. https://doi.org/10.1080/13691058.2023.2231043 .
Aybar Camposano GA, Rodrigues DL, Moleiro C. A social cure for minority stress? Individual and collective identity strategies on the mental health outcomes of lesbian and gay people. 2024:Advance online publication. https://doi.org/10.1080/19419899.2024.2383726
Pulice-Farrow L, Bartnik A, Lindley L, Flanders CE, Gonzalez KA. Experiences of community connection and belonging for sexual minority trans individuals. Psychol Sex Orientat Gend Divers 2023:Advance online publication. https://doi.org/10.1037/sgd0000629
Muratore LA, Flentje A, Schuster D, Capriotti MR. Disordered eating and body dissatisfaction in transgender and gender-expansive adults: an evaluation and integration of the gender minority stress and resilience and tripartite influence models. Behav Ther. 2022;53(5):869–86. https://doi.org/10.1016/j.beth.2022.02.006 .
doi: 10.1016/j.beth.2022.02.006 pubmed: 35987545
Leach CW, van Zomeren M, Zebel S, Vliek MLW, Pennekamp SF, Doosje B, Ouwerkerk JW, Spears R. Group-level self-definition and self-investment: a hierarchical (multicomponent) model of in-group identification. J Pers Soc Psychol. 2008;95(1):144–65. https://doi.org/10.1037/0022-3514.95.1.144 .
doi: 10.1037/0022-3514.95.1.144 pubmed: 18605857
Tajfel H, Turner JC, Austin WG, Worchel S. An integrative theory of intergroup conflict. In: Organizational identity: A reader. edn. Edited by Hatch JM, Schultz M. Oxford: Oxford University Press; 1979: 56–65.
Roth J, Mazziotta A, Barth M. The two-dimensions-five-components structure of in-group identification is invariant across various identification patterns in different social groups. Self Identity. 2019;18(6):668–84. https://doi.org/10.1080/15298868.2018.1511465 .
doi: 10.1080/15298868.2018.1511465
Häusser JA, Junker NM, Dick R. The how and the when of the social cure: a conceptual model of group- and individual‐level mechanisms linking social identity to health and well‐being. Eur J Soc Psychol. 2020;50(4):721–32. https://doi.org/10.1002/ejsp.2668 .
doi: 10.1002/ejsp.2668
Hospitals and Health Resorts Act. (Bundesgesetz über Krankenanstalten und Kuranstalten - KAKuG). In., vol. Federal Law Gazette I No 3/2016. 1957/amended 2016; 2016.
Federal Act on the Organisation of Universities and their Studies. (Universitätsgesetz 2002 – UG). In., vol. Federal Law Gazette I No 11/2017. 2002/amended 2017; 2002.
Gleibs IH. Are all research fields equal? Rethinking practice for the use of data from crowdsourcing market places. Behav Res Methods. 2017;49(4):1333–42. https://doi.org/10.3758/s13428-016-0789-y .
doi: 10.3758/s13428-016-0789-y pubmed: 27515317
Chandler J, Shapiro D. Conducting clinical research using crowdsourced convenience samples. Annu Rev Clin Psychol. 2016;12(1):53–81. https://doi.org/10.1146/annurev-clinpsy-021815-093623 .
doi: 10.1146/annurev-clinpsy-021815-093623 pubmed: 26772208
Stokes Y, Vandyk A, Squires J, Jacob J-D, Gifford W. Using Facebook and LinkedIn to recruit nurses for an online survey. West J Nurs Res. 2019;41(1):96–110. https://doi.org/10.1177/0193945917740706 .
doi: 10.1177/0193945917740706 pubmed: 29113542
Huang JL, Curran PG, Keeney J, Poposki EM, Deshon RP. Detecting and deterring insufficient effort responding to surveys. J Bus Psychol. 2012;27(1):99–114. https://doi.org/10.1007/s10869-011-9231-8 .
doi: 10.1007/s10869-011-9231-8
Ward MK, Meade AW. Dealing with careless responding in survey data: Prevention, identification, and recommended best practices. Annu Rev Psychol. 2023;74(1):577–96. https://doi.org/10.1146/annurev-psych-040422-045007 .
doi: 10.1146/annurev-psych-040422-045007 pubmed: 35973734
Tukey JW. Exploratory data analysis. Volume 2. Reading, MA; 1977.
Miller J. Short report: reaction time analysis with outlier exclusion: Bias varies with sample size. 1991; 43(4):907–12. https://doi.org/10.1080/14640749108400962
Fraser G. Evaluating inclusive gender identity measures for use in quantitative psychological research. Psychol Sex. 2018;9(4):343–57. https://doi.org/10.1080/19419899.2018.1497693 .
doi: 10.1080/19419899.2018.1497693
Young SK, Bond MA. A scoping review of the structuring of questions about sexual orientation and gender identity. J Community Psychol. 2023;51(7):2592–617. https://doi.org/10.1002/jcop.23048 .
doi: 10.1002/jcop.23048 pubmed: 37088990
Garrow JS, Webster J. Quetelet’s index (W/H2) as a measure of fatness. Int J Obes. 1985;9(2):147–53.
pubmed: 4030199
Roth J, Mazziotta A. Adaptation and validation of a German multidimensional and multicomponent measure of Social Identification. Soc Psychol (Gott). 2015;46(5):277–90. https://doi.org/10.1027/1864-9335/a000243 .
doi: 10.1027/1864-9335/a000243
Postmes T, Haslam SA, Jans L. A single-item measure of social identification: reliability, validity, and utility. Br J Soc Psychol. 2013;52(4):597–617. https://doi.org/10.1111/bjso.12006 .
doi: 10.1111/bjso.12006 pubmed: 23121468
Ponterotto JG, Ruckdeschel DE. An overview of coefficient alpha and a reliability matrix for estimating adequacy of internal consistency coefficients with psychological research measures. Percept Mot Skills. 2007;105(3):997–1014. https://doi.org/10.2466/pms.105.3.997-1014 .
doi: 10.2466/pms.105.3.997-1014 pubmed: 18229554
Behrend N, Warschburger P. Validation of a German version of the body appreciation Scale-2 (BAS-2). Body Image. 2022. https://doi.org/10.1016/j.bodyim.2022.01.020 . 41:216 – 24.
doi: 10.1016/j.bodyim.2022.01.020 pubmed: 35279465
Paquette M-M, Dion J, Bőthe B, Bergeron S. Validation of the body appreciation scale-2 in cisgender, heterosexual and sexual and gender minority adolescents and sexuality-related correlates. Body Image. 2022;43:193–204. https://doi.org/10.1016/j.bodyim.2022.09.001 .
doi: 10.1016/j.bodyim.2022.09.001 pubmed: 36154978
Soulliard ZA, Vander Wal JS. Measurement invariance and psychometric properties of three positive body image measures among cisgender sexual minority and heterosexual women. Body Image. 2022. https://doi.org/10.1016/j.bodyim.2021.12.002 . 40:146 – 57.
doi: 10.1016/j.bodyim.2021.12.002 pubmed: 34959130
Schaefer LM, Harriger JA, Heinberg LJ, Soderberg T, Thompson JK. Development and validation of the sociocultural attitudes towards appearance questionnaire-4-revised (SATAQ-4R). Int J Eat Disord. 2017;50(2):104–17. https://doi.org/10.1002/eat.22590 .
doi: 10.1002/eat.22590 pubmed: 27539814
Knauss C, Paxton SJ, Alsaker FD. Validation of the German version of the Sociocultural attitudes towards Appearance Questionnaire (SATAQ-G). Body Image. 2009;6(2):113–20. https://doi.org/10.1016/j.bodyim.2009.01.002 .
doi: 10.1016/j.bodyim.2009.01.002 pubmed: 19244000
Hazzard VM, Schaefer LM, Thompson JK, Murray SB, Frederick DA. Measurement invariance of body image measures by age, gender, sexual orientation, race, weight status, and age: the U.S. Body Project I. Body Image. 2022;41:97–108. https://doi.org/10.1016/j.bodyim.2022.01.015 .
doi: 10.1016/j.bodyim.2022.01.015 pubmed: 35247868 pmcid: 9167237
Lawrence JW, Rosenberg L, Rimmer RB, Thombs BD, Fauerbach JA. Perceived stigmatization and social comfort: validating the constructs and their measurement among pediatric burn survivors. Rehabil Psychol. 2010;55(4):360–71. https://doi.org/10.1037/a0021674 .
doi: 10.1037/a0021674 pubmed: 21171795
Müller A, Smits D, Claes L, Jasper S, Berg L, Ipaktchi R, Vogt PM, de Zwaan M. Validation of the German version of the Perceived Stigmatization Questionnaire/Social Comfort Questionnaire in adult burn survivors. Burns. 2016;42(4):790–6. https://doi.org/10.1016/j.burns.2016.01.001 .
doi: 10.1016/j.burns.2016.01.001 pubmed: 26804022
Weston R, Gore PA. A brief guide to structural equation modeling. Couns Psychol. 2006;34(5):719–51. https://doi.org/10.1177/0011000006286345 .
doi: 10.1177/0011000006286345
Field A. Discovering statistics using SPSS. 3rd ed. London: Sage Publications Ltd.; 2009.
Forbes GB, Frederick DA, The UCLA, Body Project II. Breast and body dissatisfaction among African, Asian, European, and hispanic. Am Coll Women. 2008;58(7):449–57. https://doi.org/10.1007/s11199-007-9362-6 .
doi: 10.1007/s11199-007-9362-6
Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 3rd ed. New York: The Guilford Press; 2022.
Begeny CT, Huo YJ. When identity hurts: how positive intragroup experiences can yield negative mental health implications for ethnic and sexual minorities. Eur J Soc Psychol. 2017;47(7):803–17. https://doi.org/10.1002/ejsp.2292 .
doi: 10.1002/ejsp.2292
Fritz MS, MacKinnon DP. Required sample size to detect the mediated effect. Psychol Sci. 2007;18(3):233–9. https://doi.org/10.1111/j.1467-9280.2007.01882.x .
doi: 10.1111/j.1467-9280.2007.01882.x pubmed: 17444920
Cohen J. Statistical power analysis for the behavioral sciences 2edn. New York: Lawrence Erlbaum Associates Inc; 1988.
Tofighi D, MacKinnon DP. Monte Carlo confidence intervals for complex functions of indirect effects. 2016; 23(2):194–205. https://doi.org/10.1080/10705511.2015.1057284
Cohen J. A power primer. Psychol Bull. 1992;112(1):155–9. https://doi.org/10.1037/0033-2909.112.1.155 .
doi: 10.1037/0033-2909.112.1.155 pubmed: 19565683
Wyatt TR, Johnson M, Zaidi Z, Intersectionality. A means for centering power and oppression in research. Adv Health Sci Educ Theory Pract. 2022;27:863–75. https://doi.org/10.1007/s10459-022-10110-0 .
doi: 10.1007/s10459-022-10110-0 pubmed: 35366113
Marchia J, Sommer JM. (Re)defining heteronormativity. Sexualities. 2019;22(3):267–95. https://doi.org/10.1177/1363460717741801 .
doi: 10.1177/1363460717741801
Emmer C, Dorn J, Mata J. The immediate effect of discrimination on mental health: a meta-analytic review of the causal evidence. Psychol Bull 2024:Advance online publication. https://doi.org/10.1037/bul0000419
Aboim S, Vasconcelos P. What does it mean to be a man? Trans masculinities, bodily practices, and reflexive embodiment. Men Masc. 2022;25(1):43–67. https://doi.org/10.1177/1097184x211008519 .
doi: 10.1177/1097184x211008519
Meyer IH. Minority stress and mental health in gay men. J Health Soc Behav. 1995;36(1):38–56. https://doi.org/10.2307/2137286 .
doi: 10.2307/2137286 pubmed: 7738327
Soulliard ZA, Le TP, Yamasaki V. Pride and body image among transgender and nonbinary adults: the mediating role of body appreciation between gender identity pride and intuitive eating. 2024:Advance online publication. https://doi.org/10.1080/10640266.2024.2365519
Tavarez J. I can’t quite be myself’: bisexual-specific minority stress within LGBTQ campus spaces. J Divers High Educ. 2022;15(2):167–77. https://doi.org/10.1037/dhe0000280 .
doi: 10.1037/dhe0000280
Oswald F, Walton KA, Orlova L, Ayad J, Hooper A, Pedersen CL. I had already reconciled with being a slut when I came out as bisexual: experiences of binormativity, prototypicality, and marginalization within the bisexual community. J Bisex 2024:Advance online publication. https://doi.org/10.1080/15299716.2024.2310159
Matsick JL, Rubin JD. Bisexual prejudice among lesbian and gay people: examining the roles of gender and perceived sexual orientation. Psychol Sex Orientat Gend Divers. 2018;5(2):143–55. https://doi.org/10.1037/sgd0000283 .
doi: 10.1037/sgd0000283
Thöni C, Eisner L, Hässler T. Not straight enough, nor queer enough: identity denial, stigmatization, and negative affect among bisexual and pansexual people. Psychol Sex Orientat Gend Divers. 2022;Advance online publication. https://doi.org/10.1037/sgd0000606 .
Jhe GB, Mereish EH, Gordon AR, Woulfe JM, Katz-Wise SL. Associations between anti-bisexual minority stress and body esteem and emotional eating among bi + individuals: the protective role of individual- and community-level factors. Eat Behav. 2021;43:Article101575. https://doi.org/10.1016/j.eatbeh.2021.101575 .
doi: 10.1016/j.eatbeh.2021.101575
Chan RCH, Leung JSY. Monosexism as an additional dimension of minority stress affecting mental health among bisexual and pansexual individuals in Hong Kong: the role of gender and sexual identity integration. J Sex Res. 2023;60(5):704–17. https://doi.org/10.1080/00224499.2022.2119546 .
doi: 10.1080/00224499.2022.2119546 pubmed: 36121683
Hamilton LT, Armstrong EA, Seeley JL, Armstrong EM. Hegemonic femininities and intersectional domination. Sociol Theory. 2019;37(4):315–41. https://doi.org/10.1177/0735275119888248 .
doi: 10.1177/0735275119888248
Oswald DL, Chapleau KM. Selective self-stereotyping and women’s self-esteem maintenance. Pers Individ Dif. 2010;49(8):918–22. https://doi.org/10.1016/j.paid.2010.07.030 .
doi: 10.1016/j.paid.2010.07.030
Parent MC, Schwartz EN, Bradstreet TC. Men’s body image. In: APA Handbook of men and masculinities. edn. Edited by Wester YJWSR. Washington, DC, US: American Psychological Association; 2016: 591–614.
Roig-Mora A, Ventura R, Larrea O, Blanco-Fernández V. (Homo)masculinities: dating apps and body image among young gay users in Spain. J LGBT Youth. 2024;Advance online publication. https://doi.org/10.1080/19361653.2024.2310652 .
Grosz MP, van Aert RCM, Back MD. A meta-analytic review of the associations of personality, intelligence, and physical size with social status. Psychol Bull. 2024. https://doi.org/10.1037/bul0000416 . Advance online publication.
Clements ZA, Riggle EDB, Rostosky SS. Evaluating the effectiveness of a brief online positive identity intervention for transgender people. Prof Psychol Res Pr. 2023;54(5):372–7. https://doi.org/10.1037/pro0000520 .
doi: 10.1037/pro0000520
Haslam C, Cruwys T, Haslam SA, Dingle G, Chang MX-L. Groups 4 health: evidence that a social-identity intervention that builds and strengthens social group membership improves mental health. J Affect Disord. 2016;194:188–95. https://doi.org/10.1016/j.jad.2016.01.010 .
doi: 10.1016/j.jad.2016.01.010 pubmed: 26828756
Anzani A, Pavanello Decaro S, Paganin G, Siboni L, Portolani DM, Prunas A. Reimagining masculinity: models of masculinities in Italian cisgender and transgender emerging adults. 2024:Advance online publication. https://doi.org/10.1007/s12119-024-10229-9
Wong YJ, Wang S-Y. Toward an integrative psychology of masculinities. 2022; 23(3):285–98. https://doi.org/10.1037/men0000387
American Psychological Association. APA guidelines for psychological practice with boys and men. In. Washington, DC: American Psychological Association; 2018.
Russell ST, Mallory AB, Fish JN, Frost DM, Hammack PL, Lightfoot M, Lin A, Wilson BDM, Meyer IH. Distribution and prevalence of health in a national probability sample of three cohorts of sexual minority adults in the United States. LGBT Health. 2022;9(8):564–70. https://doi.org/10.1089/lgbt.2020.0505 .
doi: 10.1089/lgbt.2020.0505 pubmed: 35856801 pmcid: 9734014
Jacmin-Park S, Rossi M, Dumont L, Lupien SJ, Juster R-P. Mental health and social support of sexual and gender diverse people from Québec, Canada during the COVID-19 crisis. LGBT Health. 2022;9(3):151–60. https://doi.org/10.1089/lgbt.2021.0255 .
doi: 10.1089/lgbt.2021.0255 pubmed: 35290754
Baams L, Kaufman TML. Sexual orientation and gender identity/expression in adolescent research: two decades in review. J Sex Res. 2023;60(7):1004–19. https://doi.org/10.1080/00224499.2023.2219245 .
doi: 10.1080/00224499.2023.2219245 pubmed: 37307300
Autorengruppe Bildungsberichterstattung. Bildung in Deutschland 2020: Ein indikatorengestützter Bericht Mit Einer Analyse zu Bildung in Einer Digitalisierten Welt. In. Bielefeld: Autorengruppe Bildungsberichterstattung; 2020.
Astleithner F, Basas S, Benedik O, Deichmann F, Gumpoldsberger H, Hirt E-M, Klem S, Martinschitz S, Paskvan M, Pauli W, et al. Bildung in Zahlen 2021/22 - Schlüsselindikatoren und Analysen. In. Wien: STATISTIK AUSTRIA; 2023.
Klein V, Savaş Ö, Conley TD. How WEIRD and androcentric is sex research? Global inequities in study populations. J Sex Res. 2022;59(7):810–7. https://doi.org/10.1080/00224499.2021.1918050 .
doi: 10.1080/00224499.2021.1918050 pubmed: 33939579
Peterson RA. On the use of college students in social science research: insights from a second-order meta-analysis. J Consum Res. 2001;28(3):450–61. https://doi.org/10.1086/323732 .
doi: 10.1086/323732
Koopman J, Howe M, Hollenbeck JR, Sin H-P. Small sample mediation testing: misplaced confidence in bootstrapped confidence intervals. 2015; 100(1):194–202. https://doi.org/10.1037/a0036635
Paquette M-M, Dion J, Bőthe B, Girouard A, Bergeron S. Heterosexual, cisgender and gender and sexually diverse adolescents’ sexting behaviors: the role of body appreciation. J Youth Adolesc. 2022;51(2):278–90. https://doi.org/10.1007/s10964-021-01568-z .
doi: 10.1007/s10964-021-01568-z pubmed: 35098426
Parmar DD, Alabaster A, Vance S, Ritterman Weintraub ML, Lau JS. Disordered eating, body image dissatisfaction, and associated healthcare utilization patterns for sexual minority youth. J Adolesc Health. 2021;69(3):470–6. https://doi.org/10.1016/j.jadohealth.2021.02.002 .
doi: 10.1016/j.jadohealth.2021.02.002 pubmed: 34053814
Ålgars M, Santtila P, Sandnabba NK. Conflicted gender identity, body dissatisfaction, and disordered eating in adult men and women. Sex Roles. 2010;63(1–2):118–25. https://doi.org/10.1007/s11199-010-9758-6 .
doi: 10.1007/s11199-010-9758-6
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191–4. https://doi.org/10.1001/jama.2013.281053 .
doi: 10.1001/jama.2013.281053
APA. Ethical Principles of Psychologists and Code of Conduct. Am Psychol. 2002;57(12):1060–73. https://doi.org/10.1037/0003-066X.57.12.1060 .
doi: 10.1037/0003-066X.57.12.1060

Auteurs

Nikola Komlenac (N)

Institute for Diversity in Medicine, Medical University of Innsbruck, Fritz-Pregl Strasse 3, Innsbruck, 6020, Austria. nikola.komlenac@i-med.ac.at.

Kristina Stockburger (K)

Institute for Diversity in Medicine, Medical University of Innsbruck, Fritz-Pregl Strasse 3, Innsbruck, 6020, Austria.

Jennifer Birke (J)

Institute for Diversity in Medicine, Medical University of Innsbruck, Fritz-Pregl Strasse 3, Innsbruck, 6020, Austria.

Margarethe Hochleitner (M)

Institute for Diversity in Medicine, Medical University of Innsbruck, Fritz-Pregl Strasse 3, Innsbruck, 6020, Austria.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH