Factor structure and correlates of the acceptance of cosmetic surgery scale among South Korean university students.
BACKGROUND
Research on the acceptance of cosmetic surgery has focused on relatively affluent Western samples, to the exclusion of non-Western samples and any potential cross-cultural differences. While rates of cosmetic surgery in South Korea have risen sharply in the past decade, mirroring rates in other East Asian nations, little is known about attitudes toward cosmetic surgery in the Korean population.


OBJECTIVE
To examine the factor structure and correlates of a Korean adaptation of the previously-published Acceptance of Cosmetic Surgery Scale (ACSS).


METHODS
South Korean university students (N = 267) completed the ACSS, as well as included Korean translations of measures for actual vs. ideal body weight discrepancy, body appreciation, sociocultural attitudes toward appearance, and demographics.


RESULTS
The Korean ACSS reduced to a two-factor solution, mirroring results among other non-Western samples, although a one-factor solution was deemed more plausible. Compared to men, women had significantly higher total scores, suggesting that they were more accepting of cosmetic surgery. A multiple regression showed that, after controlling for the effects of participant sex, the only significant predictor of acceptance of cosmetic surgery was general body appreciation, suggesting that some may view cosmetic surgery as a means of enhancing their body image.


CONCLUSIONS
The results reveal important global information for plastic surgeons-not only on the treatment of non-Western patients but on the South Korean market, in which the cosmetic surgery industry remains unregulated. Given the popularity and acceptance of cosmetic surgery in South Korea, there is an urgent need for regulatory intervention to ensure patient safety and satisfaction.
Department of Psychology, University of Westminster, 309 Regent Street, London, United Kingdom. v.swami@wmin.ac.uk
Viren
V
Swami
Choon-Sup
CS
Hwang
Jaehee
J
Jung
D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000523:psychology*; D001828:Body Image; D016009:Chi-Square Distribution; D003466:Cultural Characteristics; D005163:Factor Analysis, Statistical; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D019651:Plastic Surgery Procedures / Q000523:psychology*; D012044:Regression Analysis; D056910:Republic of Korea / Q000453:epidemiology; D012649:Self Concept; D012919:Social Behavior; D013334:Students / Q000523:psychology*; D013518:Surgery, Plastic / Q000523:psychology*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult