title: Body Ideals and Body Dissatisfaction Among a Community Sample of Ethnically Diverse Adolescents on Kauai, Hawaii.
abstract: BACKGROUND
  Body dissatisfaction (BD), a risk factor for eating disorders, is occurring at younger ages and among a wide range of socioeconomic and cultural groups.
  
  
  OBJECTIVE
  To describe body ideals and prevalence of body satisfaction among an ethnically diverse population of male and female students in Hawaii.
  
  
  METHODS
  An anonymous cross-sectional survey including biographical information and the figure drawing screen was distributed to 7ththrough 12thgrade students.
  
  
  RESULTS
  Of the 1330 completed surveys, 19% of students were significantly dissatisfied with their bodies. Males were at greater risk than females for total BD (25.8% vs. 13.3%; p<0.001) and for BD in the direction of wanting to be larger (11.3% vs. 2.3%; p<0.001). Males and females were at similar risk for BD in the direction of wanting to be thinner (14.6% vs. 11.6%; p=0.11). Prevalence of BD in the direction of wanting to be thinner was significantly different (p<0.05) among ethnic groups. There were no significant differences in BD based on grade level or SES.
  
  
  CONCLUSIONS
  BD exists among nearly 1 out of 5 adolescents, with differing patterns for males and females, and with certain ethnic groups being at higher risk.
  
  
  CONCLUSIONS
  Studies to understand risk and protective factors by sex and among different ethnic groups may help generate tailored prevention strategies. Further research is needed to better understand the mechanisms underlying the bidirectional BD seen in males and potential outcomes.
authors.affiliation: University of Hawaii, John A. Burns School of Medicine; Department of Health, Child and Adolescent Mental Health Division, Kauai Family Guidance Center.
authors.forename: Tiffany K
authors.initials: TK
authors.lastname: Niide
authors.affiliation: University of Hawaii, John A. Burns School of Medicine.
authors.forename: James
authors.initials: J
authors.lastname: Davis
authors.affiliation: University of Hawaii, School of Nursing and Dental Hygiene.
authors.forename: Alice M
authors.initials: AM
authors.lastname: Tse
authors.affiliation: University of Hawaii, John A. Burns School of Medicine.
authors.forename: Chris
authors.initials: C
authors.lastname: Derauf
authors.affiliation: University of Hawaii, John A. Burns School of Medicine.
authors.forename: Rosanne C
authors.initials: RC
authors.lastname: Harrigan
authors.affiliation: University of Hawaii.
authors.forename: Alayne
authors.initials: A
authors.lastname: Yates