Objective: Sociocultural factors are important in the pathogenesis of eating disorders. We examined some core (DSM IV) features of eating disorders, i.e., drive for thinness and dissatisfaction with the weight of the abdomen, hips, and thighs among women in Canada and India. Methods: A total of 65 Canadian (mean +/-S.D. age: 21.4 +/-2.0 years) and 47 Indian (mean +/-S.D. age: 18.7 +/-4.1 years) women completed the Drive for Thinness (DT) and Body, Dissatisfaction IBD) subscales of the Eating Disorder Inventory (EDI) and in addition rated the degree to which they believed all major regions of their body were overweight. Results: After the effects of body mass index (BMI) were partialled out statistically, the DT (EDI) and ED (EDI) scores were not significantly different between the two countries. In both groups, concerns about the weight of the abdomen, hips, thighs, and legs loaded on a factor that essentially described the 'body dissatisfaction' construct. After the effects of BMI were partialled out, however, the factor scores from this factor correlated with ED (EDI) in the Canadian but not the Indian sample. Discussion: In contrast to the Canadian women, the Indian women did not overestimate the 'fatness' of their abdomen, hips, thighs, and legs. Among the Indian women, concerns about the weight of the upper torso (i.e., face, neck, shoulders, and chest) emerged as a distinct body image construct. In conclusion, after the effect of BMI was controlled for statistically, the Canadian and Indian women scored similarly on some of the core features of eating disorders, as measured by the DT (EDI) and ED (EDI) subscales, however, the nature of the underlying body image construct was different between the two groups. (C) 2001 Elsevier Science Inc. All rights reserved.
