Ethnic differences in BMI and body/self-dissatisfaction among whites, Asian subgroups, Pacific islanders, and African-Americans

Purpose: To distinguish body mass index (BMI) and body/self-dissatisfaction among Asian subgroups. Method: 211 white, 155 Japanese, 112 African-American, 79 Filipino, 70 Chinese, 70 Hawaiian, and 124 multiethnic college students in Hawaii completed: Figure Drawings (index of body-dissatisfaction), self-loathing subscale (SLSS, exercise-based measure of self-dissatisfaction), Eating Disorder Inventory-2 (EDI), and symptom self-report. Pearson correlation analyses were performed to determine whether BMI scores were related to self- and body-dissatisfaction and the relationship between self- and body-dissatisfaction. Results: BMI was highly correlated with body and self-dissatisfaction for males and females. Males appeared more satisfied than females with the body and more diverse in choice of larger or smaller ideal body type. Highly significant BMI/ethnic group differences emerged. White males were large (high BMI) but very satisfied with body and self. Filipino males were the largest of all male groups but followed a female pattern of strong body/self-dislike and preference for smaller body. Chinese females were small and highly satisfied with body/self whereas Japanese females were small but highly dissatisfied with body/self. Conclusion: Combining various ethnic groups under a single "Asian" category obscures important group differences. Study clearly demonstrates Asian ethnic subgroup differences in BMI and body/self dissatisfaction. (C) Society for Adolescent Medicine, 2004