Development and validation of instruments measuring body image and body weight dissatisfaction in South African mothers and their daughters

摘要

Objective We sought to validate questionnaires concerning body image perception, body size dissatisfaction and weight-related beliefs in multi-ethnic South African mothers and their daughters. Settings and subjects: Girls attending primary school (ages 9-12 years, n = 333) and their mothers (n = 204) were interviewed regarding their demographics and body image. Weight, height and skinfold thicknesses were measured. Body image questions and body mass index (BMI) were compared with silhouettes adapted from the Pathways Study for girls and Stunkard\u27s body image figures for mothers. A Feel-Ideal Difference (FID) index score was created by subtracting the score of the silhouette selected by the participants as \u27Ideal\u27 from the one selected as most closely representing their current appearance or \u27Feel\u27. We hypothesised that a higher FID index score would be associated with greater body size dissatisfaction. Results BMI percentiles in girls (r = 0.46, P \u3c 0.05) and BMI in mothers (r = 0.68, P \u3c 0.05) were positively correlated with the selected silhouettes based on size. Participants who reported feelings of being \u27fat\u27 and those who perceived that their family and friends were more dissatisfied with their body size had significantly higher FID index scores. Scores were lower in black than white girls (all P \u3c 0.05). No differences were found in FID index scores between ethnic groups of mothers. Internal reliability of the \u27thin\u27 and \u27fat\u27 belief constructs for girls was demonstrated by standardised Cronbach\u27s α values ≥ 0.7. Conclusion Silhouettes, FID index, \u27fat\u27 and \u27thin\u27 belief constructs (in girls) are age-appropriate, culturally sensitive and can be used in further intervention studies to understand body image.