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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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What are the correlates of body image distortion and dissatisfaction among school-adolescents?

Houda Ben Ayed
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  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Sourour Yaich
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Maissa Ben Jemaa
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Mariem Ben Hmida
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Maroua Trigui
  • Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Jihene Jedidi
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Imen Sboui
  • Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Raouf Karray
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Habib Feki
  • Preventive Medicine and Hygiene Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Yosra Mejdoub
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Mondher Kassis
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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/ Jamel Damak
  • Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Sfax, Tunisia
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Published Online: 2019-05-17 | DOI: https://doi.org/10.1515/ijamh-2018-0279

Abstract

Background

Body image is considered as central to many aspects of human functioning including emotions, thoughts, behaviors and relationships. Our study aimed to investigate the prevalence of body image distortion and dissatisfaction among adolescents and to assess their main determinants.

Methods

This was a cross-sectional school-based study conducted among school-adolescents in the south of Tunisia, between October 2017 and February 2018.

Results

Among 1210 school-adolescents, body image distortion and dissatisfaction prevalence were 44.8% and 42.4%, respectively. Multivariate analysis showed that being in the 16–18 years age group [adjusted odds ratio (AOR) = 1.28, p = 0.046], low family financial situation (AOR = 1.88, p = 0.014), as well as high frequency of eating pasta (AOR = 1.3, p = 0.04) and fast-food consumption (AOR = 1.7, p = 0.042) were independently associated with under-estimated body image. Skipping breakfast (AOR = 1.9, p = 0.017) and having one obese parent (AOR = 1.9, p = 0.01) were independently associated with higher frequency of over-estimated body image. Regarding body image dissatisfaction, independent factors associated with desire to lose weight were: female gender (AOR = 1.53, p = 0.007), high income family financial situation (AOR = 2.1, p = 0.008) and having one parent who is obese (AOR = 2.21, p < 0.001). However, frequent fast-food consumption (AOR = 1.9, p = 0.038) and eating between meals (AOR = 1.57, p = 0.01) were independently associated with a higher desire to gain weight.

Conclusions

Our study highlighted that the prevalence of body image distortion and dissatisfaction were substantially high among adolescents. Their determinants included socio-demographic factors and lifestyle behaviors. Increased awareness among parents, educators and public health planners may help adolescents improve accuracy of body image attitudes.

Keywords: adolescents; body image; distortion; perception; satisfaction

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About the article

Received: 2018-12-08

Accepted: 2019-01-02

Published Online: 2019-05-17


Disclosure of potential conflicts of interest: All authors declare no conflict of interest.

Research funding: All authors declare no financial grant.

Authors’ contribution: Houda Ben Ayed, Sourour Yaich, Maissa Ben Jemaa, Maroua Trigui, Mariem Ben Hmida: Substantial contribution to conception and design of the study, to data acquisition, or to data analysis and interpretation. Houda Ben Ayed, Sourour Yaich: wrote the article and/or revised the article for important intellectual content. Houda Ben Ayed, Raouf Karray, Imen Sboui, Yosra Mejdoub, Mondher Kassis, Habib Feki, Sourour Yaich and Jamel Damak read and approved the final version of the submitted manuscript. All Authors revised the manuscript and gave their contribution to improve the paper. All authors read and approved the final manuscript.


Citation Information: International Journal of Adolescent Medicine and Health, 20180279, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0279.

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