title: Association of ethnicity and socioeconomic status with judgments of body size: the Coronary Artery Risk Development in Young Adults (CARDIA) Study.
abstract: The authors assessed the associations of ethnicity and socioeconomic status (SES) with body size judgments in Black and White young adults. Self-perceived and ideal body size judgments were measured using the Stunkard nine-figure scale (higher value = larger body) at the year 7 examination (1992-1993) of the Coronary Artery Risk Development in Young Adults (CARDIA) Study. In sex-specific adjusted multiple regression models, the difference between self-perceived and ideal body size judgments was larger for Whites than for Blacks: 0.74 vs. 0.57 for White men vs. Black men (p < 0.05) and 1.48 vs. 0.96 for White women vs. Black women (p < 0.0001). This ethnic difference was evident in all body mass index-stratified adjusted models (all p's < 0.05). In ethnicity/sex-specific adjusted models, lower education was associated with a smaller difference between self-perceived and ideal body size for all groups except White women (p's for trend: White women, 0.57; Black women, <0.0001; White men, 0.0007; Black men, 0.016). Judgments of self-perceived body size differed by ethnicity but not by SES, and judgments of ideal body size differed by SES but not by ethnicity. Learning to make medically accurate judgments of healthy body size may increase the motivation to lose weight in some persons.
authors.affiliation: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60601, USA. bethlynch@northwestern.edu
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lynch
authors.forename: Kiang
authors.initials: K
authors.lastname: Liu
authors.forename: Bonnie
authors.initials: B
authors.lastname: Spring
authors.forename: Arlene
authors.initials: A
authors.lastname: Hankinson
authors.forename: Gina S
authors.initials: GS
authors.lastname: Wei
authors.forename: Philip
authors.initials: P
authors.lastname: Greenland
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D001828:Body Image; D049628:Body Size / Q000208:ethnology*; D003324:Coronary Artery Disease / Q000191:economics / Q000208:ethnology*; D005260:Female; D006801:Humans; D008297:Male; D010465:Perception; D010549:Personal Satisfaction; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012649:Self Concept; D012923:Social Class; D014481:United States; D044465:White People / Q000523:psychology*